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
Abstract Background 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...
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| Format: | Article |
| Language: | English |
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BMC
2017-02-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-017-4047-8 |
| _version_ | 1818887992299749376 |
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| author | Dawn P. Gill Wendy Blunt Cassandra Bartol Roseanne W. Pulford Ashleigh De Cruz P. Karen Simmavong Adam Gavarkovs Ian Newhouse Erin Pearson Bayley Ostenfeldt Barbi Law Kristina Karvinen Pertice Moffit Gareth Jones Cori Watson Guangyong Zou Robert J. Petrella |
| author_facet | Dawn P. Gill Wendy Blunt Cassandra Bartol Roseanne W. Pulford Ashleigh De Cruz P. Karen Simmavong Adam Gavarkovs Ian Newhouse Erin Pearson Bayley Ostenfeldt Barbi Law Kristina Karvinen Pertice Moffit Gareth Jones Cori Watson Guangyong Zou Robert J. Petrella |
| author_sort | Dawn P. Gill |
| collection | DOAJ |
| description | Abstract Background 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. Method/Design 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. Discussion 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. Trial registration NCT02413385 (Clinicaltrials.gov). Date Registered: April 6, 2015. |
| first_indexed | 2024-12-19T16:46:02Z |
| format | Article |
| id | doaj.art-579c2980c2684ceaaddab5421c9c2290 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-19T16:46:02Z |
| publishDate | 2017-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-579c2980c2684ceaaddab5421c9c22902022-12-21T20:13:39ZengBMCBMC Public Health1471-24582017-02-0117111210.1186/s12889-017-4047-8HealtheSteps™ 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 clinicsDawn P. Gill0Wendy Blunt1Cassandra Bartol2Roseanne W. Pulford3Ashleigh De Cruz4P. Karen Simmavong5Adam Gavarkovs6Ian Newhouse7Erin Pearson8Bayley Ostenfeldt9Barbi Law10Kristina Karvinen11Pertice Moffit12Gareth Jones13Cori Watson14Guangyong Zou15Robert J. Petrella16Centre 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 UniversityCentre 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 UniversityCentre 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 UniversityCentre 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 UniversityCentre 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 UniversityCentre 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 UniversityCentre 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 UniversitySchool of Kinesiology, Lakehead UniversitySchool of Kinesiology, Lakehead UniversityCentre for Education and Research on Aging and Health, Lakehead UniversitySchool of Physical and Health Education, Nipissing UniversitySchool of Physical and Health Education, Nipissing UniversityAurora Research Institute, Aurora CollegeSchool of Health and Exercise Sciences, University of British ColumbiaNorthwest Local Health Integration Network, Chronic Disease, Health and Design DevelopmentDepartment of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western UniversityCentre 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 UniversityAbstract Background 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. Method/Design 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. Discussion 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. Trial registration NCT02413385 (Clinicaltrials.gov). Date Registered: April 6, 2015.http://link.springer.com/article/10.1186/s12889-017-4047-8Physical activitySedentary behaviourHealthy eatingPrimary care interventionChronic disease prevention and managementHealth technology |
| spellingShingle | Dawn P. Gill Wendy Blunt Cassandra Bartol Roseanne W. Pulford Ashleigh De Cruz P. Karen Simmavong Adam Gavarkovs Ian Newhouse Erin Pearson Bayley Ostenfeldt Barbi Law Kristina Karvinen Pertice Moffit Gareth Jones Cori Watson Guangyong Zou Robert J. Petrella 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 Physical activity Sedentary behaviour Healthy eating Primary care intervention Chronic disease prevention and management Health technology |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Physical activity Sedentary behaviour Healthy eating Primary care intervention Chronic disease prevention and management Health technology |
| url | http://link.springer.com/article/10.1186/s12889-017-4047-8 |
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