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

Study Protocol

Pertice Moffit¹  Bayley Ostenfeldt²  Wendy Blunt³  P. Karen Simmavong³  Cassandra Bartol³  Ashleigh De Cruz³  Roseanne W. Pulford³  Dawn P. Gill⁴  Robert J. Petrella⁵  Adam Gavarkovs⁶  Guangyong Zou⁷  Cori Watson⁸  Gareth Jones⁹  Erin Pearson^1,10  Ian Newhouse^1,10  Barbi Law^1,11  Kristina Karvinen^1,11 

[1] Aurora Research Institute, Aurora College, Yellowknife, Northwest Territories, Canada;Centre for Education and Research on Aging and Health, Lakehead University, Thunder Bay, Ontario, Canada;Centre for Studies in Family Medicine, Department of Family Medicine, Western Centre for Public Health and Family Medicine, 2nd Floor, Schulich School of Medicine and Dentistry, Western University, 1465 Richmond St., N6G 2M1, London, ON, Canada;Lawson Health Research Institute, London, Ontario, Canada;Centre for Studies in Family Medicine, Department of Family Medicine, Western Centre for Public Health and Family Medicine, 2nd Floor, Schulich School of Medicine and Dentistry, Western University, 1465 Richmond St., N6G 2M1, London, ON, Canada;Lawson Health Research Institute, London, Ontario, Canada;School of Health Studies, Faculty of Health Sciences, Western University, London, Ontario, Canada;Centre for Studies in Family Medicine, Department of Family Medicine, Western Centre for Public Health and Family Medicine, 2nd Floor, Schulich School of Medicine and Dentistry, Western University, 1465 Richmond St., N6G 2M1, London, ON, Canada;Lawson Health Research Institute, London, Ontario, Canada;School of Kinesiology, Faculty of Health Sciences, Western University, London, Ontario, Canada;Centre for Studies in Family Medicine, Department of Family Medicine, Western Centre for Public Health and Family Medicine, 2nd Floor, Schulich School of Medicine and Dentistry, Western University, 1465 Richmond St., N6G 2M1, London, ON, Canada;Lawson Health Research Institute, London, Ontario, Canada;School of Public Health, Brown University, Providence, Road Island, USA;Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada;Robarts Clinical Trials, Robarts Research Institute, Western University, London, Ontario, Canada;Northwest Local Health Integration Network, Chronic Disease, Health and Design Development, Thunder Bay, Ontario, Canada;School of Health and Exercise Sciences, University of British Columbia, Kelowna, British Columbia, Canada;School of Kinesiology, Lakehead University, Thunder Bay, Ontario, Canada;School of Physical and Health Education, Nipissing University, Ontario, North Bay, Canada;

关键词: Physical activity;    Sedentary behaviour;    Healthy eating;    Primary care intervention;    Chronic disease prevention and management;    Health technology;    Behaviour change;    Lifestyle coaching;   

DOI  :  10.1186/s12889-017-4047-8

 received in 2016-12-16, accepted in 2017-01-17,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundPhysical 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.Method/DesignTo 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.DiscussionThis 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.Trial registrationNCT02413385 (Clinicaltrials.gov). Date Registered: April 6, 2015.

【 授权许可】

CC BY   
© The Author(s). 2017