The SHED-IT Community Trial: A randomised controlled trial of Internet- and paper-based weight loss programs tailored for overweight and obese men

Morgan, P.; Callister, Robin; Collins, Clare E.; Plotnikoff, Ronald C.; Young, Myles D.; Berry, Nina J.; McElduff, Patrick; Burrows, T.; Aguiar, Elroy J.; Saunders, Kristen L.

doi:10.1016/j.orcp.2012.08.062

Cited by 4 publications

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“…In addition, men appear more reluctant than women to engage in existing weight management and other programmes aimed at encouraging people to live healthier lifestyles [11-16]. However, evidence suggests that when gender issues are used to inform programme design and delivery, men will engage with weight management initiatives [17-20], although there have been few high quality randomised control trials of male-only interventions [15,18]. …”

Section: Introductionmentioning

confidence: 99%

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

et al. 2013

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BackgroundThe prevalence of obesity in men is rising, but they are less likely than women to engage in existing weight management programmes. The potential of professional sports club settings to engage men in health promotion activities is being increasingly recognised. This paper describes the development and optimization of the Football Fans in Training (FFIT) programme, which aims to help overweight men (many of them football supporters) lose weight through becoming more active and adopting healthier eating habits.MethodsThe MRC Framework for the design and evaluation of complex interventions was used to guide programme development in two phases. In Phase 1, a multidisciplinary working group developed the pilot programme (p-FFIT) and used a scoping review to summarize previous research and identify the target population. Phase 2 involved a process evaluation of p-FFIT in 11 Scottish Premier League (SPL) clubs. Participant and coach feedback, focus group discussions and interviews explored the utility/acceptability of programme components and suggestions for changes. Programme session observations identified examples of good practice and problems/issues with delivery. Together, these findings informed redevelopment of the optimized programme (FFIT), whose components were mapped onto specific behaviour change techniques using an evidence-based taxonomy.Resultsp-FFIT comprised 12, weekly, gender-sensitised, group-based weight management classroom and ‘pitch-side’ physical activity sessions. These in-stadia sessions were complemented by an incremental, pedometer-based walking programme. p-FFIT was targeted at men aged 35-65 years with body mass index ≥ 27 kg/m2. Phase 2 demonstrated that participants in p-FFIT were enthusiastic about both the classroom and physical activity components, and valued the camaraderie and peer-support offered by the programme. Coaches appreciated the simplicity of the key healthy eating and physical activity messages. Suggestions for improvements that were incorporated into the optimized FFIT programme included: more varied in-stadia physical activity with football-related components; post-programme weight management support (emails and a reunion session); and additional training for coaches in SMART goal setting and the pedometer-based walking programme.ConclusionsThe Football Fans in Training programme is highly acceptable to participants and SPL coaches, and is appropriate for evaluation in a randomised controlled trial.

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Section: Introductionmentioning

confidence: 99%

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

et al. 2013

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“…Almost half of the interventions examined targeted a group with a medical condition (48%; 12/25) [ 48 , 49 , 53 , 56 , 57 , 59 , 63 , 64 , 66 , 69 – 71 ], and of these, six interventions (50%) targeted people with type 2 diabetes [ 49 , 53 , 66 , 69 – 71 ]. Overweight people with and without a preexisting medical condition were addressed by 24% (6/25) of the interventions examined [ 49 – 51 , 61 , 68 , 70 ], and 16% (4/25) targeted inactive people or people who engage in sedentary behaviors [ 47 , 52 , 59 , 60 , 62 ]. In total, 8% (2/25) of the interventions focused specifically on older adults over 50 years [ 54 , 67 ].…”

Section: Resultsmentioning

confidence: 99%

“…The mean duration of the interventions was approximately 30 weeks (range 8–52 weeks, SD 16.6). In the majority of interventions, the therapist-guided and digital components took place in parallel (76%; 18/25) [ 46 , 47 , 52 – 56 , 59 – 68 , 70 ]; in 3 of 25 interventions (12%), the therapist-guided and digital components were sequentially linked [ 48 – 50 ]; and in 4 of 25 interventions (15%), the therapist-guided and digital components took place at least partially simultaneously (parallel–sequential) [ 51 , 57 , 69 , 71 ].…”

Section: Resultsmentioning

confidence: 99%

“…With 40% (10/25), the most commonly used blended care intervention was the combination of one-on-one meetings via telephone and Web-based interventions [ 46 , 48 , 52 , 53 , 55 , 57 , 63 – 66 ], followed by one-on-one meetings in person and Web-based interventions (32%; 8/25) [ 48 , 50 , 62 – 66 , 68 ], individualized mails and Web-based interventions (20%; 5/25) [ 55 , 65 , 66 , 68 , 70 ], one-on-one meetings via telephone and text messages (20%; 5/25) [ 52 , 55 , 56 , 65 , 67 ], and one-on-one meetings via telephone and app-based interventions (16%; 4/25) [ 55 , 66 , 67 , 71 ].…”

Section: Resultsmentioning

confidence: 99%

“…Considering the individual blended care components, the most commonly used therapist-guided components were one-on-one interviews via telephone (60%; 15/25) [ 46 , 48 , 52 , 53 , 55 – 57 , 59 , 61 , 63 – 67 , 71 ], one-on-one in-person interviews (40%; 10/25) [ 48 – 50 , 61 – 66 , 68 ], and group sessions (28%; 7/25) [ 53 , 54 , 57 , 60 , 61 , 64 , 69 ]. The focus of digital components was on Web-based interventions (64%; 16/25) [ 46 – 48 , 50 , 52 – 55 , 57 , 62 – 66 , 68 , 70 ], app-based interventions (24%; 6/25) [ 51 , 55 , 66 , 67 , 69 , 71 ], and/or standardized text messaging (24%; 6/25) [ 51 , 52 , 55 , 56 , 65 , 67 ].…”

Section: Resultsmentioning

confidence: 99%

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Blended Care Interventions to Promote Physical Activity: A Systematic Review of Randomized Controlled Trials

et al. 2022

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Background Blended care interventions combine therapeutic guidance with digital care. Current research results show the promising role of the blended care approach in clinical care. This new way of delivering health care could have the potential to effectively promote physical activity in different public health settings. Objective The aim of the systematic review is to investigate the varieties of intervention characteristics of blended care interventions to promote physical activity in terms of structure, behavior change goals, behavior change techniques, and effectiveness of blended care interventions compared to a control group. Methods We searched for randomized controlled trials published from 2000 to March 2021 in MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials, SPORTDiscus, PsycINFO, and Web of Science according to the PRISMA guidelines. Risk of bias was assessed using the Cochrane Collaboration tool. Study characteristics, intervention characteristics, and outcome data were extracted. Furthermore, the effect size on the outcome of physical activity was examined or calculated. Results In total, the number of reports identified from the database searches was 4828. Of these, 25 studies were included in the review, with a total of 5923 study participants. Results indicated that the characteristics of blended care interventions showed a high heterogeneity. The combinations of therapist-guided interventions and digital interventions allowed the identification of specific subgroups, but they varied in length (range 8–52 weeks, SD 16.6), intensity, and the combination of the components. The most used combination of blended care interventions to promote physical activity was the combination of one-on-one meetings via telephone and Web-based interventions. Motivational models of behavior change were used most frequently as underlying theoretical foundations. Certain behavior change techniques were used consistently across the individual components, e.g., “problem solving” in the therapist-guided component and “feedback on behavior” in the digital component. Considering the effect size of blended care interventions compared with control groups, most studies showed a small effect. Conclusions It can be concluded that blended care interventions have potential to promote physical activity. In the future, further high-quality studies should investigate which type of blended care intervention is effective for which target group. Additionally, insights are required on which intervention characteristics are most effective, taking into account new evidence on behavior change. Registration This systematic literature review was registered in PROSPERO (CRD42020188556).

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Technology‐delivered personalized nutrition intervention on dietary outcomes among adults with overweight and obesity: A systematic review, meta‐analysis, and meta‐regression

Lau,

Wong,

Chee

et al. 2024

Obesity Reviews

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SummaryThe prevalence of overweight and obesity has continued to increase globally, and one‐size‐fits‐all dietary recommendations may not be suitable for different individual characteristics. A personalized nutrition intervention may be a potential solution. This review aims to evaluate the effects of the technology‐delivered personalized nutrition intervention on energy, fat, vegetable, and fruit intakes among adults with overweight and obesity. A three‐step comprehensive search strategy was performed from 10 databases and seven clinical registries in published and unpublished trials. A total of 46 randomized controlled trials (RCTs) involving 19,670 adults with overweight and obesity from 14 countries are included. Subgroup and meta‐regression analyses were conducted. Meta‐analyses showed a reduction of energy intake (−128.05, 95% CI: −197.08, −59.01) and fat intake (−1.81% energy/days, 95% CI: −3.38, −0.24, and −0.19 scores, 95% CI: −0.40, 0.02) in the intervention compared with the comparator. Significant improvements in vegetable and fruit intakes with 0.12–0.15 servings/day were observed in the intervention. Combined one‐ and two‐way interactions had a greater effect on energy intake reduction compared with their counterparts. Meta‐regression analyses revealed that no significant covariates were found. Given that the certainty of the evidence was rated as low or very low, further well‐designed RCTs with long‐term follow‐up are warranted.

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The SHED-IT Community Trial: A randomised controlled trial of Internet- and paper-based weight loss programs tailored for overweight and obese men

Cited by 4 publications

References 0 publications

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

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

Blended Care Interventions to Promote Physical Activity: A Systematic Review of Randomized Controlled Trials

Technology‐delivered personalized nutrition intervention on dietary outcomes among adults with overweight and obesity: A systematic review, meta‐analysis, and meta‐regression

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