曲棍球迷训练生活方式干预（针对超重或肥胖男性）的过程评估。

Process evaluation of the Hockey Fans in Training lifestyle intervention (for men with overweight or obesity).

作者信息

Blunt Wendy M, Kfrerer Marisa L, Gill Dawn P, Shillington Katie J, Riggin Brendan, Irwin Jennifer D, Bliss Brooke, Petrella Robert J

机构信息

Centre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, N6G 2M1, Canada.

Health and Rehabilitation Sciences, Faculty of Health Sciences, The University of Western Ontario, London, Ontario, N6A 3K7, Canada.

出版信息

Transl Behav Med. 2025 Jan 16;15(1). doi: 10.1093/tbm/ibaf002.

DOI:10.1093/tbm/ibaf002

PMID:39963751

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11833241/

Abstract

BACKGROUND

Despite the proven relationship between lifestyle and morbidity and mortality, rates of chronic disease (e.g. obesity) continue to rise in paradox to the myriad of studies supporting lifestyle behaviour change. Men have been less likely to seek out preventative care or lifestyle programs, putting them at risk. In response, Hockey Fans In Training (Hockey FIT) was developed as a group-based, lifestyle intervention leveraging the draw of hockey fandom to engage middle-aged men with overweight or obesity in lifestyle change. Encouraging pilot study results informed the optimization and delivery of the intervention through a cluster randomized controlled trial in 42 sites in Canada and the USA.

METHODS

A process evaluation was conducted to evaluate intervention acceptability and fidelity and adaptations. Community-based sites were randomly allocated to Hockey FIT intervention (immediate program start) or wait-list control (12-month delay). Qualitative process evaluation data were collected from intervention sites and included seven virtual participant focus groups and one interview (n = 35 participants), open-ended participant feedback questionnaires (n = 316), interviews with program coaches (n = 22), post-session coach reflections (n = 233), and interviews with implementation partners (n = 16). A process of content analysis by question was performed and data saturation was reached.

RESULTS

Themes fell into the following categories: (i) motivations for joining Hockey FIT; (ii) effective program components; and (iii) adaptations and suggested improvements.

CONCLUSIONS

The process evaluation detailed success engaging men in lifestyle change using sport fandom, and the importance of capitalizing further on competition within groups to drive behavioural change through user-friendly supports and greater engagement with hockey.

CLINICAL TRIAL INFORMATION

ClinicalTrials.gov. ID: NCT03636282.

摘要

背景

尽管生活方式与发病率和死亡率之间的关系已得到证实，但慢性病（如肥胖症）的发病率仍在不断上升，这与众多支持生活方式行为改变的研究相悖。男性寻求预防性护理或生活方式项目的可能性较小，这使他们面临风险。作为回应，“冰球训练粉丝团”（Hockey FIT）应运而生，这是一项基于群体的生活方式干预措施，利用冰球迷的吸引力，促使超重或肥胖的中年男性改变生活方式。令人鼓舞的试点研究结果为通过在加拿大和美国的42个地点进行的整群随机对照试验来优化和实施该干预措施提供了依据。

方法

进行了一项过程评估，以评估干预措施的可接受性、保真度和适应性。以社区为基础的地点被随机分配到“冰球训练粉丝团”干预组（立即开始项目）或等待名单对照组（延迟12个月）。从干预地点收集了定性过程评估数据，包括7个虚拟参与者焦点小组和1次访谈（n = 35名参与者）、开放式参与者反馈问卷（n = 316）、与项目教练的访谈（n = 22）、课后教练反思（n = 233）以及与实施伙伴的访谈（n = 16）。通过对问题进行内容分析的过程，达到了数据饱和。