The effectiveness of the Structured Health Intervention For Truckers (SHIFT): a cluster randomised controlled trial (RCT)
Abstract Background Long distance heavy goods vehicle (HGV) drivers exhibit higher than nationally representative rates of obesity, and obesity-related co-morbidities, and are underserved in terms of health promotion initiatives. The purpose of this study was to evaluate the effectiveness of the mul...
| Main Authors: | , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | BMC Medicine |
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| Online Access: | https://doi.org/10.1186/s12916-022-02372-7 |
| _version_ | 1811253569764982784 |
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| author | Stacy A. Clemes Veronica Varela-Mato Danielle H. Bodicoat Cassandra L. Brookes Yu-Ling Chen Charlotte L. Edwardson Laura J. Gray Amber J. Guest Vicki Johnson Fehmidah Munir Nicola J. Paine Gerry Richardson Katharina Ruettger Mohsen Sayyah Aron Sherry Ana Suazo Di Paola Jacqui Troughton Thomas Yates James A. King |
| author_facet | Stacy A. Clemes Veronica Varela-Mato Danielle H. Bodicoat Cassandra L. Brookes Yu-Ling Chen Charlotte L. Edwardson Laura J. Gray Amber J. Guest Vicki Johnson Fehmidah Munir Nicola J. Paine Gerry Richardson Katharina Ruettger Mohsen Sayyah Aron Sherry Ana Suazo Di Paola Jacqui Troughton Thomas Yates James A. King |
| author_sort | Stacy A. Clemes |
| collection | DOAJ |
| description | Abstract Background Long distance heavy goods vehicle (HGV) drivers exhibit higher than nationally representative rates of obesity, and obesity-related co-morbidities, and are underserved in terms of health promotion initiatives. The purpose of this study was to evaluate the effectiveness of the multicomponent ‘Structured Health Intervention For Truckers’ (SHIFT), compared to usual care, at 6- and 16–18-month follow-up. Methods We conducted a two-arm cluster RCT in transport sites throughout the Midlands, UK. Outcome measures were assessed at baseline, at 6- and 16–18-month follow-up. Clusters were randomised (1:1) following baseline measurements to either the SHIFT arm or usual practice control arm. The 6-month SHIFT programme included a group-based interactive 6-h education and behaviour change session, health coach support and equipment provision (Fitbit® and resistance bands/balls to facilitate a ‘cab workout’). The primary outcome was device-assessed physical activity (mean steps/day) at 6 months. Secondary outcomes included the following: device-assessed sitting, physical activity intensity and sleep; cardiometabolic health, diet, mental wellbeing and work-related psychosocial variables. Data were analysed using mixed-effect linear regression models using a complete-case population. Results Three hundred eighty-two HGV drivers (mean ± SD age: 48.4 ± 9.4 years, BMI: 30.4 ± 5.1 kg/m2, 99% male) were recruited across 25 clusters (sites) and randomised into either the SHIFT (12 clusters, n = 183) or control (13 clusters, n = 199) arms. At 6 months, 209 (55%) participants provided primary outcome data. Significant differences in mean daily steps were found between groups, in favour of the SHIFT arm (adjusted mean difference: 1008 steps/day, 95% CI: 145–1871, p = 0.022). Favourable differences were also seen in the SHIFT group, relative to the control group, in time spent sitting (− 24 mins/day, 95% CI: − 43 to − 6), and moderate-to-vigorous physical activity (6 mins/day, 95% CI: 0.3–11). Differences were not maintained at 16–18 months. No differences were observed between groups in the other secondary outcomes at either follow-up. Conclusions The SHIFT programme led to a potentially clinically meaningful difference in daily steps, between trial arms, at 6 months. Whilst the longer-term impact is unclear, the programme offers potential to be incorporated into driver training courses to promote activity in this at-risk, underserved and hard-to-reach essential occupational group. Trial registration ISRCTN10483894 (date registered: 01/03/2017) |
| first_indexed | 2024-04-12T16:54:03Z |
| format | Article |
| id | doaj.art-98ce4f1cfebe4e009fcc726d56c51c5b |
| institution | Directory Open Access Journal |
| issn | 1741-7015 |
| language | English |
| last_indexed | 2024-04-12T16:54:03Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medicine |
| spelling | doaj.art-98ce4f1cfebe4e009fcc726d56c51c5b2022-12-22T03:24:19ZengBMCBMC Medicine1741-70152022-05-0120111710.1186/s12916-022-02372-7The effectiveness of the Structured Health Intervention For Truckers (SHIFT): a cluster randomised controlled trial (RCT)Stacy A. Clemes0Veronica Varela-Mato1Danielle H. Bodicoat2Cassandra L. Brookes3Yu-Ling Chen4Charlotte L. Edwardson5Laura J. Gray6Amber J. Guest7Vicki Johnson8Fehmidah Munir9Nicola J. Paine10Gerry Richardson11Katharina Ruettger12Mohsen Sayyah13Aron Sherry14Ana Suazo Di Paola15Jacqui Troughton16Thomas Yates17James A. King18School of Sport, Exercise and Health Sciences, Loughborough UniversitySchool of Sport, Exercise and Health Sciences, Loughborough UniversityIndependent ResearcherLeicester Clinical Trials Unit, University of LeicesterSchool of Sport, Exercise and Health Sciences, Loughborough UniversityNIHR Leicester Biomedical Research CentreDepartment of Health Sciences, University of LeicesterSchool of Sport, Exercise and Health Sciences, Loughborough UniversityLeicester Diabetes Centre, University Hospitals of Leicester NHS TrustSchool of Sport, Exercise and Health Sciences, Loughborough UniversitySchool of Sport, Exercise and Health Sciences, Loughborough UniversityCentre for Health Economics, University of YorkSchool of Sport, Exercise and Health Sciences, Loughborough UniversitySchool of Sport, Exercise and Health Sciences, Loughborough UniversitySchool of Sport, Exercise and Health Sciences, Loughborough UniversityLeicester Clinical Trials Unit, University of LeicesterLeicester Diabetes Centre, University Hospitals of Leicester NHS TrustNIHR Leicester Biomedical Research CentreSchool of Sport, Exercise and Health Sciences, Loughborough UniversityAbstract Background Long distance heavy goods vehicle (HGV) drivers exhibit higher than nationally representative rates of obesity, and obesity-related co-morbidities, and are underserved in terms of health promotion initiatives. The purpose of this study was to evaluate the effectiveness of the multicomponent ‘Structured Health Intervention For Truckers’ (SHIFT), compared to usual care, at 6- and 16–18-month follow-up. Methods We conducted a two-arm cluster RCT in transport sites throughout the Midlands, UK. Outcome measures were assessed at baseline, at 6- and 16–18-month follow-up. Clusters were randomised (1:1) following baseline measurements to either the SHIFT arm or usual practice control arm. The 6-month SHIFT programme included a group-based interactive 6-h education and behaviour change session, health coach support and equipment provision (Fitbit® and resistance bands/balls to facilitate a ‘cab workout’). The primary outcome was device-assessed physical activity (mean steps/day) at 6 months. Secondary outcomes included the following: device-assessed sitting, physical activity intensity and sleep; cardiometabolic health, diet, mental wellbeing and work-related psychosocial variables. Data were analysed using mixed-effect linear regression models using a complete-case population. Results Three hundred eighty-two HGV drivers (mean ± SD age: 48.4 ± 9.4 years, BMI: 30.4 ± 5.1 kg/m2, 99% male) were recruited across 25 clusters (sites) and randomised into either the SHIFT (12 clusters, n = 183) or control (13 clusters, n = 199) arms. At 6 months, 209 (55%) participants provided primary outcome data. Significant differences in mean daily steps were found between groups, in favour of the SHIFT arm (adjusted mean difference: 1008 steps/day, 95% CI: 145–1871, p = 0.022). Favourable differences were also seen in the SHIFT group, relative to the control group, in time spent sitting (− 24 mins/day, 95% CI: − 43 to − 6), and moderate-to-vigorous physical activity (6 mins/day, 95% CI: 0.3–11). Differences were not maintained at 16–18 months. No differences were observed between groups in the other secondary outcomes at either follow-up. Conclusions The SHIFT programme led to a potentially clinically meaningful difference in daily steps, between trial arms, at 6 months. Whilst the longer-term impact is unclear, the programme offers potential to be incorporated into driver training courses to promote activity in this at-risk, underserved and hard-to-reach essential occupational group. Trial registration ISRCTN10483894 (date registered: 01/03/2017)https://doi.org/10.1186/s12916-022-02372-7Physical activitySedentary behaviourOccupational driversDietObesityWorkplace |
| spellingShingle | Stacy A. Clemes Veronica Varela-Mato Danielle H. Bodicoat Cassandra L. Brookes Yu-Ling Chen Charlotte L. Edwardson Laura J. Gray Amber J. Guest Vicki Johnson Fehmidah Munir Nicola J. Paine Gerry Richardson Katharina Ruettger Mohsen Sayyah Aron Sherry Ana Suazo Di Paola Jacqui Troughton Thomas Yates James A. King The effectiveness of the Structured Health Intervention For Truckers (SHIFT): a cluster randomised controlled trial (RCT) BMC Medicine Physical activity Sedentary behaviour Occupational drivers Diet Obesity Workplace |
| title | The effectiveness of the Structured Health Intervention For Truckers (SHIFT): a cluster randomised controlled trial (RCT) |
| title_full | The effectiveness of the Structured Health Intervention For Truckers (SHIFT): a cluster randomised controlled trial (RCT) |
| title_fullStr | The effectiveness of the Structured Health Intervention For Truckers (SHIFT): a cluster randomised controlled trial (RCT) |
| title_full_unstemmed | The effectiveness of the Structured Health Intervention For Truckers (SHIFT): a cluster randomised controlled trial (RCT) |
| title_short | The effectiveness of the Structured Health Intervention For Truckers (SHIFT): a cluster randomised controlled trial (RCT) |
| title_sort | effectiveness of the structured health intervention for truckers shift a cluster randomised controlled trial rct |
| topic | Physical activity Sedentary behaviour Occupational drivers Diet Obesity Workplace |
| url | https://doi.org/10.1186/s12916-022-02372-7 |
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