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

Autor: Adam G. Gavarkovs, P. Karen Simmavong, Roseanne W. Pulford, Wendy Blunt, Barbi Law, Cori Watson, Ian Newhouse, Bayley Ostenfeldt, Erin S. Pearson, Kristina H. Karvinen, Dawn P. Gill, Ashleigh De Cruz, Gareth R. Jones, Robert J. Petrella, Cassandra Bartol, Pertice Moffit, Guangyong Zou
Rok vydání: 2017
Předmět:
Adult
Male
Program evaluation
Canada
medicine.medical_specialty
Adolescent
Health Behavior
Primary care intervention
030209 endocrinology & metabolism
Health Promotion
Coaching
Lifestyle coaching
law.invention
Study Protocol
Young Adult
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
Nursing
law
Active living
Health care
eHealth
Humans
Medicine
Community Health Services
Healthy Lifestyle
030212 general & internal medicine
Health policy
Chronic disease prevention and management
Aged
Aged
80 and over
Primary Health Care
Physical activity
business.industry
lcsh:Public aspects of medicine
Public Health
Environmental and Occupational Health
Behaviour change
lcsh:RA1-1270
Sedentary behaviour
Middle Aged
Health promotion
Family medicine
Healthy eating
Health technology
Female
business
Program Evaluation
Zdroj: BMC Public Health
BMC Public Health, Vol 17, Iss 1, Pp 1-12 (2017)
ISSN: 1471-2458
DOI: 10.1186/s12889-017-4047-8
Popis: Physical inactivity is one of the leading causes of chronic disease in Canadian adults. With less than 50% of Canadian adults reaching the recommended amount of daily physical activity, there is an urgent need for effective programs targeting this risk factor. HealtheSteps™ is a healthy lifestyle prescription program, developed from an extensive research base to address risk factors for chronic disease such as physical inactivity, sedentary behaviour and poor eating habits. HealtheSteps™ participants are provided with in-person lifestyle coaching and access to eHealth technologies delivered in community-based primary care clinics and health care organizations. To determine the effectiveness of Healthesteps™, we will conduct a 6-month pragmatic randomized controlled trial with integrated process and economic evaluations of HealtheSteps™ in 5 clinic settings in Southwestern Ontario. 110 participants will be individually randomized (1:1; stratified by site) to either the intervention (HealtheSteps™ program) or comparator (Wait-list control). There are 3 phases of the HealtheSteps™ program, lasting 6 months each. The active phase consists of bi-monthly in-person coaching with access to a full suite of eHealth technology supports. During the maintenance phase I, the in-person coaching will be removed, but participants will still have access to the full suite of eHealth technology supports. In the final stage, maintenance phase II, access to the full suite of eHealth technology supports is removed and participants only have access to publicly available resources and tools. This trial aims to determine the effectiveness of the program in increasing physical activity levels and improving other health behaviours and indicators, the acceptability of the HealtheSteps™ program, and the direct cost for each person participating in the program as well as the costs associated with delivering the program at the different community sites. These results will inform future optimization and scaling up of the program into additional community-based primary care sites. NCT02413385 (Clinicaltrials.gov). Date Registered: April 6, 2015.
Databáze: OpenAIRE
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