Department of Sport and Exercise Science, Waterford Institute of Technology Ireland, Waterford, Ireland.
National Centre for Men's Health, Institute of Technology Carlow, Carlow, Ireland.
BMC Public Health. 2021 Apr 26;21(1):801. doi: 10.1186/s12889-021-10823-8.
Men's Sheds ("Sheds") offer a unique opportunity to reach a captive audience of "hard-to-reach" men. However, attempts to engage Sheds in structured health promotion programmes must respect the ethos of Sheds as highly variable, autonomous, non-structured spaces. This paper captures the key methodologies used in "Sheds for Life' (SFL), a men's health initiative tailored to the Shed setting.
A hybrid effectiveness-implementation study design is used to test effectiveness and implementation outcomes across multiple levels (participant, provider, organisational and systems levels). A dynamic, iterative and collaborative process seeks to address barriers and translation into the real world context. Using a community-based participatory research approach and guided by established implementation frameworks, Shed members ('Shedders') assume the role of key decision makers throughout the evaluation process to promote the systematic uptake of SFL across Shed settings. The protocols pertaining to the development, design and implementation of SFL and the evaluation of impact on participants' health and wellbeing outcomes up to 12 months are outlined.
There is a dynamic interplay between the intervention characteristics of SFL and the need to assess and understand the diverse contexts of Sheds and the wider implementation environment. A pragmatic and context-specific design is therefore favoured over a tightly controlled efficacy trial. Documenting the protocols used to evaluate and implement a complex multi-level co-developed intervention such as SFL helps to inform gender-specific, community-based men's health promotion and translational research more broadly.
This study has been retrospectively registered with the 'International Standard Randomised Controlled Trial Number' registry ( ISRCTN79921361 ) as of the 5th of March 2021.
男士棚屋（“棚屋”）为接触到难以接触到的男性提供了一个独特的机会。然而，尝试让棚屋参与有组织的健康促进计划必须尊重棚屋的精神，即高度可变、自主、非结构化的空间。本文介绍了“棚屋生活”（SFL）中使用的关键方法，这是一项针对棚屋环境量身定制的男性健康倡议。
采用混合有效性-实施研究设计，在多个层面（参与者、提供者、组织和系统层面）上测试有效性和实施结果。一个动态、迭代和协作的过程旨在解决障碍，并将其转化为现实世界的背景。使用基于社区的参与式研究方法，并遵循既定的实施框架，棚屋成员（“棚屋居民”）在整个评估过程中承担主要决策者的角色，以促进 SFL 在所有棚屋环境中的系统采用。概述了与 SFL 的开发、设计和实施以及评估对参与者健康和幸福感结果的影响相关的协议，最长可达 12 个月。
SFL 的干预特征与评估和理解棚屋和更广泛的实施环境的不同背景的需求之间存在动态相互作用。因此，倾向于采用实用且具体背景的设计，而不是严格控制的功效试验。记录用于评估和实施复杂的多层次共同开发干预措施（如 SFL）的协议有助于更广泛地为基于社区的男性健康促进和转化研究提供信息。
这项研究已于 2021 年 3 月 5 日在“国际标准随机对照试验编号”登记处（ISRCTN79921361）进行了回顾性登记。
