Optimization of the Hockey Fans in Training (Hockey FIT) weight loss and healthy lifestyle program for male hockey fans

Wendy Blunt, Dawn P Gill, Shannon L Sibbald, Brendan Riggin, Roseanne W Pulford, Ryan Scott, Karen Danylchuk, Cindy M Gray, Sally Wyke, Christopher Bunn, Robert J Petrella, Wendy Blunt, Dawn P Gill, Shannon L Sibbald, Brendan Riggin, Roseanne W Pulford, Ryan Scott, Karen Danylchuk, Cindy M Gray, Sally Wyke, Christopher Bunn, Robert J Petrella

Abstract

Background: The health outcomes of men continue to be poorer than women globally. Challenges in addressing this problem include difficulties engaging men in weight loss programs as they tend to view these programs as contrary to the masculine narrative of independence and self-reliance. Researchers have been turning towards sports fans to engage men in health promotion programs as sports fans are typically male, and tend to have poor health habits.

Methods: Developed from the highly successful gender-sensitized Football Fans in Training program, Hockey Fans in Training (Hockey FIT) recruited 80 male hockey fans of the London Knights and Sarnia Sting who were overweight or obese into a weekly, 90-minute classroom education and group exercise program held over 12 weeks; a 40-week minimally-supported phase followed. A process evaluation of the Hockey FIT program was completed alongside a pragmatic randomized controlled trial and outcome evaluation in order to fully explore the acceptability of the Hockey FIT program from the perspectives of coaches delivering and participants engaged in the program. Data sources included attendance records, participant focus groups, coach interviews, assessment of fidelity (program observations and post-session coach reflections), and 12-month participant interviews.

Results: Coaches enjoyed delivering the program and found it simple to deliver. Men valued being among others of similar body shape and similar weight loss goals, and found the knowledge they gained through the program helped them to make and maintain health behaviour changes. Suggested improvements include having more hockey-related information and activities, greater flexibility with timing of program delivery, and greater promotion of technology support tools.

Conclusions: We confirmed Hockey FIT was an acceptable "gender-sensitized" health promotion program for male hockey fans who were overweight or obese. Minor changes were required for optimization, which will be evaluated in a future definitive trial.

Trial registration: NCT02396524 (Clinicaltrials.gov). Date of registration: Feb 26, 2015.

Keywords: Lifestyle intervention; Men’s health; Overweight/obesity; Process evaluation, sports fans; Weight loss.

Conflict of interest statement

Ethics approval and consent to participate

Western University Health Sciences Research Ethics Board approved this study and all participants provided written informed consent.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Weekly Attendance (Intervention group, separated by site)

References

    1. Statistics Canada. Overweight and obese adults (self-reported), 2014. In: Health fact sheets report no.: 82–625-X: Minister of Industry; 2015. . Accessed 13 Sept 2017.
    1. Evans J, Frank B, Oliffe JL, Gregory D. Health, illness, men and masculinities (HIMM): a theoretical framework for understanding men and their health. J Men's Health. 2011;8(9):7–15. doi: 10.1016/j.jomh.2010.09.227.
    1. Yu E, Ley SH, Manson JE, Willett WC, Stjija A, Hu FB, Stokes A. Weight history and all-cause and cause-specific mortality in three prospective cohort studies. Ann Intern Med. 2017;166(9):613–620. doi: 10.7326/M16-1390.
    1. H. Krueger & Associates Inc., The Economic Burden Associated with Diseases in Men And the Contribution of Tobacco Smoking, Excess Weight, Alcohol Consumption and Physical Inactivity to this Burden, 2014. . Accessed 5 Sept 2017.
    1. Kreuger H, Turner D, Kreuger J, Ready AE. The economic benefits of risk factor reduction in Canada. Tobacco smoking, excess weight and physical inactivity. Canadian Journal of Public Health. 2014;105(1):e69–e78. doi: 10.17269/cjph.105.4084.
    1. Jeffries M, Grogan S. ‘Oh, I’m just, you know, a little bit weak because I’m going to the doctor's’: young men's talk of self-referral to primary healthcare services. Psychol Health. 2012;27(8):898–915. doi: 10.1080/08870446.2011.631542.
    1. Bottorff JL, Seaton CL, Johnson ST, Caperchione CM, Oliffe JL, More K, Jaffer-Hirji H, Tillotson SM. An updated review of interventions that include promotion of physical activity for adult men. Sports Med. 2015;45(6):775–800. doi: 10.1007/s40279-014-0286-3.
    1. Gough B. “Real men don’t diet”: an analysis of contemporary newspaper representations of men, food and health. Soc Sci Med. 2007;64:326–337. doi: 10.1016/j.socscimed.2006.09.011.
    1. Courtenay WH. Constructions of masculinity and their influence on men's well-being: a theory of gender and health. Soc Sci Med. 2000;50:1385–1401. doi: 10.1016/S0277-9536(99)00390-1.
    1. Hunt K, Gray CM, Maclean A, Smillie S, Bunn C, Wyke S. Do weight management programmes delivered at professional football clubs attract and engage high risk men? A mixed-methods study. BMC Public Health. 2014;14(50):1–11.
    1. Robertson C, Avenell A, Boachie C, Stewart F, Archibald D, Douglas F, Hoddinott P, van Teijlingen E, Boyers D. Should weight loss and maintenance programmes be designed differently for men? A systematic review of long-term randomised controlled trials presenting data for men and women: the ROMEO project. Obes Res Clin Pract. 2016;10(1):70–84. doi: 10.1016/j.orcp.2015.04.005.
    1. Hunt K, Wyke S, Gray CM, Anderson AS, Brady A, Bunn C, Donnan PT, Fenwick E, Grieve E, Leishman J, et al. A gender-sensitised weight loss and healthy living programme for overweight and obese men delivered by Scottish premier league football clubs (FFIT): a pragmatic randomised controlled trial. Lancet. 2014;383(9924):1211–1221. doi: 10.1016/S0140-6736(13)62420-4.
    1. Sealey RM, Twomey J, Pringle FA, Cheffins T, Gupta S. A 12-week lifestyle intervention for middle-aged, overweight men who are supporters of local sporting clubs. Aging Male. 2013;16(3):118–122. doi: 10.3109/13685538.2013.805320.
    1. Bunn C, Wyke S, Gray CM, Maclean A, Hunt K. ‘Coz football is what we all have’: masculinities, practice, performance and effervescence in a gender-sensitised weight-loss and healthy living programme for men. Sociology of health & illness. 2016;38(5):812–828. doi: 10.1111/1467-9566.12402.
    1. Sweeney DR, Quimby DG. Exploring the physical health behavior differences between high and low identified sports fans. The Sport Journal. 2012:1–12.
    1. Inoue Y, Berg BK, Chelladurai P. Spectator sport and population health: a scoping study. Journal of Sport Management. 2015;29(6):705–725. doi: 10.1123/JSM.2014-0283.
    1. Neuman K. Hockey in Canada - 2012 public opinion survey (final report). The Environics Institute. 2012 . Accessed 13 Sept 2017
    1. Gray CM, Hunt K, Mutrie N, Anderson AS, Leishman J, Dalgarno L, Wyke S. Football fans in training: the development and optimization of an intervention delivered through professional sports clubs to help men lose weight, become more active and adopt healthier eating habits. BMC Public Health. 2013;13:1–17. doi: 10.1186/1471-2458-13-232.
    1. Gill DP, Blunt W, Bartol C, Pulford RW, De Cruz A, Simmavong PK, Gavarkovs A, Newhouse I, Pearson E, Ostenfeldt B, et al. HealtheSteps™ study protocol: a pragmatic randomized controlled trial promoting active living and healthy lifestyles in at-risk Canadian adults delivered in primary care and community-based clinics. BMC Public Health. 2017;17(1):173. doi: 10.1186/s12889-017-4047-8.
    1. Gill DP, Blunt W, De Cruz A, Riggin B, Hunt K, Zou G, Sibbald S, Danylchuk K, Zwarenstein M, Gray CM, et al. Hockey fans in training (hockey FIT) pilot study protocol: a gender-sensitized weight loss and healthy lifestyle program for overweight and obese male hockey fans. BMC Public Health. 2016;16(1):1096. doi: 10.1186/s12889-016-3730-5.
    1. Petrella RJ, Gill DP, Zou G, De Cruz A, Riggin B, Bartol C, Danylchuk K, Hunt K, Wyke S, Gray CM, et al. Hockey fans in training: a pilot pragmatic randomized controlled trial. Med Sci Sports Exerc. 2017;49(12):2506–2516. doi: 10.1249/MSS.0000000000001380.
    1. Gale NK, Heath G, Cameron E, Rashid S, Redwood S. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodol. 2013;13(1):117. doi: 10.1186/1471-2288-13-117.
    1. Morse JM. Critical analysis of strategies for determining rigor in qualitative inquiry. Qual Health Res. 2015;25(9):1212–1222. doi: 10.1177/1049732315588501.
    1. Muise S, Gill DP, De Cruz A, Riggin B, Pulford R, Sibbald S, Petrella RJ. Men's experiences with the hockey fans in training weight loss and healthy lifestyle program. Int J Med Stud. 2016;4(3):91–95.
    1. Wyke S, Hunt K, Gray CM, Fenwick E, Bunn C, Donnan PT, et al. Football fans in training (FFIT): a randomised controlled trial of a gender-sensitised weight loss and healthy living programme for men – end of study report. Public Health Res. 2015;3:2. doi: 10.3310/phr03020.
    1. Pyette R. Knights top sting as 402 rivalry continues. London, Canada: The London Free Press; 2014.

Source: PubMed

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