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The FamilyFIT Program: Feasibility of an innovative family-based intervention designed to increase physical activity levels
S316
Friday 2 November Posters / Journal of Science and Medicine in Sport 15 (2012) S265–S327
Conclusions: PACCS are accessible and multi-sectorial interventions, which make use of readily existing infrastructure. They are likely to be effective in promoting healthy lifestyles and to have a positive impact on population quality of life; however, more future research is needed.
766
http://dx.doi.org/10.1016/j.jsams.2012.11.767
University of Oxford
765 The FamilyFIT Program: Feasibility of an innovative familybased intervention designed to increase physical activity levels L. Paras 1,2,∗ , E. James 1,2 , P. Morgan 2 , M. Lynagh 1 1
Priority Research Centre in Health Behaviour, Faculty of Health, University of Newcastle 2 Priority Research Centre in Physical Activity, Nutrition, Faculty of Education, University of Newcastle Introduction: There is a gap in the evidence base regarding effective and sustainable programs that engage parents to promote children’s PA and a shortage of programs in community and home settings. The aim of this study was to assess the feasibility of a family-focused, community-based intervention (FamilyFIT), to increase physical activity levels in primary school children. Methods: A single arm pre-post design was used to test recruitment strategies and assess the feasibility and acceptability of the data collection methods used and the intervention content and delivery mode. Recruitment rate, program retention, adherence and satisfaction data were collected. Nine families (n = 14 children; n = 15 parents) with at least one primary school-aged child (5–12 years) were recruited. The FamilyFIT Program was theoretically based and evidence informed, comprising 8 weekly face-to-face sessions that incorporated structured parental health education, child PA, and whole family games and PA. Education session topics included; strategies to increase family PA and reduce sedentary behaviour, goal setting, improving children’s fundamental movement skills, health-related fitness. Parents and children wore a pedometer for seven days. Parents and children also completed self-report (parental support for child PA, parenting styles, home physical and social environment, sitting time) and objectively assessed (height, weight, waist, blood pressure, resting heart rate) items. Parents completed a process evaluation questionnaire and one parent from each family took part in a semi-structured telephone interview to assess acceptability and satisfaction. Results: Forty two per cent recruitment rate, (77%) attendance rate and (77%) retention rate at 10 week follow-up. One-third of families attended all 8 face-to-face sessions and 45% of families attended 6 or 7 sessions. Most parents agreed or strongly agreed that FamilyFIT helped their family to be more active together (75%) and impacted positively on the whole family (83%). All interviewed parents reported positive changes in PA related-behaviours in the family’s home environment as a result of attending FamilyFIT and all would recommend FamilyFIT to other families. Four parents and 4 children increased their mean step count. Self-reported PA behaviours, parenting practices and changes in the family home environment will be presented. Discussion: Findings demonstrate the feasibility of FamilyFIT with high retention, acceptability and satisfaction. These results will be used to refine the program in readiness for a fully powered RCT to assess the efficacy of the intervention. http://dx.doi.org/10.1016/j.jsams.2012.11.768
The impact of a sport-for-development programme on the physical fitness of young adolescents in Gulu, Northern Uganda J. Richards ∗ , C. Foster
Introduction: Physical inactivity is thought to be contributing to low levels of physical fitness (PF) and the emergence of the double burden of disease in low- and middle-income countries (LMICs). Behavioural, environmental and socio-economic characteristics of post-conflict settings may expedite this epidemiological transition. The sport-for-development (SfD) sector is rapidly expanding and claims to positively influence PF in this context. This study examined the impact of a SfD programme on PF levels of young adolescents in Gulu, Uganda. Methods: Voluntary male registrants for a SfD programme in Gulu aged 11–14 years were randomly allocated into an intervention (T, n = 73) or wait-list (W, n = 71) group. All voluntary female registrants aged 11–14 years were allocated into group T (n = 79). A non-registered control (O) group was also formed for both boys (n = 450) and girls (n = 727). The intervention comprised 9-weeks of activities (1 × 40 minute football match and at least 1 × 1.5 hour training per week). All groups undertook measurement for the multi-stage fitness test (MSFT) and standing broad jump (SBJ) before and after the intervention. Within-group changes () were assessed using paired t-tests. The between-group comparisons of were analysed using a repeat measures ANOVA adjusted for baseline, age, school, residential division and history of abduction. Results: There was significant improvement in the MSFT for all groups [p < 0.05]. For the boys MSFT, the T was significantly greater than the O [p < 0.01], but not different to the W [p = 0.141]. A similar trend was observed for the T vs. O for the girls MSFT, but it was statistically insignificant [p = 0.065]. The SBJ performance of the boys in T deteriorated during the intervention [p < 0.05]. Although there was a statistically insignificant improvement in the SBJ of the boys in W [p = 0.333] or O [p = 0.882], there were no significant between-group differences after adjusting the data [T vs. W: p = 0.392, T vs. O: p = 0.770]. There was no change in the SBJ for the girls in T [p = 0.499] or O [p = 0.836] and no significant between-group difference in the T vs. O [p = 0.834]. Discussion: The SfD intervention appeared to positively affect aerobic PF. The deterioration in SBJ of boys in T may be due to physiological adaptation to a higher “dosage” of aerobic physical activity than the girls and wait-listed boys. The development of local capacity by the SfD programme may explain the community wide changes in aerobic PF most evident in the wait-listed boys who were more keen and available to play sport. http://dx.doi.org/10.1016/j.jsams.2012.11.769 767 Insights into engaging men in weight loss: Process evaluation of the SHED-IT RCT of gender-sensitised weight loss programs for overweight men K. Saunders ∗ , P. Morgan, R. Callister, C. Collins, R. Plotnikoff, M. Young, N. Berry, P. McElduff, T. Burrows, E. Aguiar University of Newcastle Introduction: Process evaluation can provide important information about the quality of an intervention, participant’s views regarding intervention components and insights into the mechanisms of change. However, process data are rarely reported,
Friday 2 November Posters / Journal of Science and Medicine in Sport 15 (2012) S265–S327
Conclusions: PACCS are accessible and multi-sectorial interventions, which make use of readily existing infrastructure. They are likely to be effective in promoting healthy lifestyles and to have a positive impact on population quality of life; however, more future research is needed.
766
http://dx.doi.org/10.1016/j.jsams.2012.11.767
University of Oxford
765 The FamilyFIT Program: Feasibility of an innovative familybased intervention designed to increase physical activity levels L. Paras 1,2,∗ , E. James 1,2 , P. Morgan 2 , M. Lynagh 1 1
Priority Research Centre in Health Behaviour, Faculty of Health, University of Newcastle 2 Priority Research Centre in Physical Activity, Nutrition, Faculty of Education, University of Newcastle Introduction: There is a gap in the evidence base regarding effective and sustainable programs that engage parents to promote children’s PA and a shortage of programs in community and home settings. The aim of this study was to assess the feasibility of a family-focused, community-based intervention (FamilyFIT), to increase physical activity levels in primary school children. Methods: A single arm pre-post design was used to test recruitment strategies and assess the feasibility and acceptability of the data collection methods used and the intervention content and delivery mode. Recruitment rate, program retention, adherence and satisfaction data were collected. Nine families (n = 14 children; n = 15 parents) with at least one primary school-aged child (5–12 years) were recruited. The FamilyFIT Program was theoretically based and evidence informed, comprising 8 weekly face-to-face sessions that incorporated structured parental health education, child PA, and whole family games and PA. Education session topics included; strategies to increase family PA and reduce sedentary behaviour, goal setting, improving children’s fundamental movement skills, health-related fitness. Parents and children wore a pedometer for seven days. Parents and children also completed self-report (parental support for child PA, parenting styles, home physical and social environment, sitting time) and objectively assessed (height, weight, waist, blood pressure, resting heart rate) items. Parents completed a process evaluation questionnaire and one parent from each family took part in a semi-structured telephone interview to assess acceptability and satisfaction. Results: Forty two per cent recruitment rate, (77%) attendance rate and (77%) retention rate at 10 week follow-up. One-third of families attended all 8 face-to-face sessions and 45% of families attended 6 or 7 sessions. Most parents agreed or strongly agreed that FamilyFIT helped their family to be more active together (75%) and impacted positively on the whole family (83%). All interviewed parents reported positive changes in PA related-behaviours in the family’s home environment as a result of attending FamilyFIT and all would recommend FamilyFIT to other families. Four parents and 4 children increased their mean step count. Self-reported PA behaviours, parenting practices and changes in the family home environment will be presented. Discussion: Findings demonstrate the feasibility of FamilyFIT with high retention, acceptability and satisfaction. These results will be used to refine the program in readiness for a fully powered RCT to assess the efficacy of the intervention. http://dx.doi.org/10.1016/j.jsams.2012.11.768
The impact of a sport-for-development programme on the physical fitness of young adolescents in Gulu, Northern Uganda J. Richards ∗ , C. Foster
Introduction: Physical inactivity is thought to be contributing to low levels of physical fitness (PF) and the emergence of the double burden of disease in low- and middle-income countries (LMICs). Behavioural, environmental and socio-economic characteristics of post-conflict settings may expedite this epidemiological transition. The sport-for-development (SfD) sector is rapidly expanding and claims to positively influence PF in this context. This study examined the impact of a SfD programme on PF levels of young adolescents in Gulu, Uganda. Methods: Voluntary male registrants for a SfD programme in Gulu aged 11–14 years were randomly allocated into an intervention (T, n = 73) or wait-list (W, n = 71) group. All voluntary female registrants aged 11–14 years were allocated into group T (n = 79). A non-registered control (O) group was also formed for both boys (n = 450) and girls (n = 727). The intervention comprised 9-weeks of activities (1 × 40 minute football match and at least 1 × 1.5 hour training per week). All groups undertook measurement for the multi-stage fitness test (MSFT) and standing broad jump (SBJ) before and after the intervention. Within-group changes () were assessed using paired t-tests. The between-group comparisons of were analysed using a repeat measures ANOVA adjusted for baseline, age, school, residential division and history of abduction. Results: There was significant improvement in the MSFT for all groups [p < 0.05]. For the boys MSFT, the T was significantly greater than the O [p < 0.01], but not different to the W [p = 0.141]. A similar trend was observed for the T vs. O for the girls MSFT, but it was statistically insignificant [p = 0.065]. The SBJ performance of the boys in T deteriorated during the intervention [p < 0.05]. Although there was a statistically insignificant improvement in the SBJ of the boys in W [p = 0.333] or O [p = 0.882], there were no significant between-group differences after adjusting the data [T vs. W: p = 0.392, T vs. O: p = 0.770]. There was no change in the SBJ for the girls in T [p = 0.499] or O [p = 0.836] and no significant between-group difference in the T vs. O [p = 0.834]. Discussion: The SfD intervention appeared to positively affect aerobic PF. The deterioration in SBJ of boys in T may be due to physiological adaptation to a higher “dosage” of aerobic physical activity than the girls and wait-listed boys. The development of local capacity by the SfD programme may explain the community wide changes in aerobic PF most evident in the wait-listed boys who were more keen and available to play sport. http://dx.doi.org/10.1016/j.jsams.2012.11.769 767 Insights into engaging men in weight loss: Process evaluation of the SHED-IT RCT of gender-sensitised weight loss programs for overweight men K. Saunders ∗ , P. Morgan, R. Callister, C. Collins, R. Plotnikoff, M. Young, N. Berry, P. McElduff, T. Burrows, E. Aguiar University of Newcastle Introduction: Process evaluation can provide important information about the quality of an intervention, participant’s views regarding intervention components and insights into the mechanisms of change. However, process data are rarely reported,