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Preventive lifestyle interventions are needed to address challenges in engaging men in conventional health programmes. This process evaluation examined the feasibility and acceptability of HAT TRICK, a gender-sensitized programme targeting physical activity, healthy eating and social connectedness. A mixed-methods approach was utilized to examine the effectiveness of recruitment and selection processes, facilitators' experiences and challenges and participant experiences with the programme. Evaluation measures included participant flow data and baseline assessments, facilitator debriefs, a post-intervention process evaluation questionnaire and telephone interviews with a subsample of participants. Participants (n = 62) were overweight (body mass index [BMI] > 25 kg m[superscript -2]) and inactive (<150 min of moderate to vigorous physical activity [MVPA] per week) men with a mean age 51 ± 10.1 years. Participants reported high levels of satisfaction, acceptability and engagement with the intervention programme, content and resources. Facilitators noted the importance of creating a friendly, non-judgmental environment and observed that intervention content was best received when delivered in an interactive and engaging manner. Future programme refinements should consider strategies for strengthening social support, as well as opportunities for leveraging participants' interest in other health-related issues (e.g. mental health). Findings yield valuable information about the implementation of gender-sensitized interventions for men and demonstrate the importance of male-specific engagement strategies for reaching and engaging overweight, inactive men.

This cross-sectional study of 504 community-dwelling Australian adults (328 females, 176 males, mean age 50.8 ± 13.0 years) sought to examine the reliability and validity of measurement scales for physical activity (PA) self-efficacy and outcome expectations. Participants completed demographic and anthropometric measurements, and a 23-item psychosocial questionnaire pertinent to an intervention target of 10,000 steps per day. Exploratory (n = 252) and confirmatory (n = 252) factor analyses were conducted to determine psychometric properties of the measures. Based on theory and goodness-of-fit indices, six factors were extracted from the questionnaire: PA self-efficacy; PA barriers self-efficacy (including general, personal, and conflict); and physical and mental outcome expectations. From confirmatory factor analysis, the model demonstrated good data fit in four out of five indices: CFI = 0.99; TLI = 0.99; SRMR = 0.03; RMSEA = 0.03, 90%CI = 0.01-0.05, ?[superscript 2] = 113.14 (88), p = 0.04; including good fit by sex, age, weight status, education, and birth country. PA interventions can employ our psychometrically sound social cognitive measures.

BackgroundAdolescents are highly susceptible to negative self-perceptions, likely due to their social cues and environment. The presence of these negative self-perceptions has been shown to adversely impact levels of physical activity (PA). Although PA has the ability to foster improved self-perceptions, the rates of PA among adolescents continue to descend, with girls appearing to be most susceptible to these declines. At-risk adolescent girls, who may experience a number of negative preceding lifestyle conditions, may be exceptionally vulnerable to declines in PA. There are a high number of adolescent girls from low-income and abusive households in British Columbia, Canada, thus indicating a need for a program to relay the importance of PA and healthy lifestyle behaviors. ObjectiveThis paper aims to describe the protocol of the Girls United and on the Move (GUM) pragmatic intervention, an integrated PA and psychosocial program aimed at improving self-compassion, social connectedness, and overall self-perceptions among at-risk adolescent girls. MethodsUsing a quasi-experimental mixed methods approach, the GUM intervention was conducted in 5 schools in British Columbia, Canada. Adolescent girls aged 11 to 15 years who were identified as at risk were included in the study. The 9-week intervention, co-delivered by a PA/health promotion–trained researcher and a registered social worker, involved a PA component and a psychosocial component with evidence-based topics addressing the concerns of the adolescent girls. The following outcomes were evaluated: PA, self-compassion, social support, leader supportiveness, and sport enjoyment and commitment. Program acceptability and satisfaction was also examined. Outcome measures were assessed at baseline (week 1), week 6, and postintervention (week 9), and interview data concerning program acceptability and satisfaction were collected at postintervention from a subsample of participants. ResultsA total of 101 participants were invited to participate in the GUM intervention. Reporting of the results is projected for the fall of 2020. ConclusionsIt is anticipated that the GUM intervention will enhance PA while also improving self-compassion, social connectedness, and overall self-perceptions among at-risk adolescent girls. The findings of this research will contribute to the literature concerning PA and various psychosocial factors that impact the physical and mental health of at-risk adolescent girls. Trial RegistrationClinicaltrials.gov NCT03567200; https://clinicaltrials.gov/ct2/show/NCT03567200. International Registered Report Identifier (IRRID)DERR1-10.2196/15302

Objectives: The value of workplace wellness programmes (WWPs) has been established in the literature. Such programmes, however, have an increased likelihood for success when both management and non-management employees' perspectives and needs are incorporated into development and implementation. This study aimed to identify the perspectives of each of these two employee groups as a means of informing the future development and implementation of WWPs. Methods: Nine focus groups (N = 56) were held in western Canada with participants employed at four diverse organisations consisting of >100 employees. Each participating organisation provided two separate groups, consisting of one management group and one non-management group. Participants were asked to share their perceptions, attitudes and beliefs concerning WWPs. Thematic inductive analysis was conducted to elicit emergent areas of focus. Results: Three areas of focus were identified: (1) role of the company in WWPs, (2) elements of successful WWPs and (3) mandatory participation in WWPs. Providing a clear indication of the roles and responsibilities of both employee groups, making these initiatives part of the organisational strategic plan, demonstrating a long term commitment to such programmes, and having employees play participatory roles in the design, implementation and decision making process, are components that need consideration. Conclusion: Both employee groups agreed that their organisation played a role in employee health. Similarities and discrepancies of the beliefs between groups are highlighted and key considerations are presented. Findings have implications for the future development and implementation of WWPs.

Background: The majority of cancer patients and cancer care clinicians-CCCs (e.g., oncologists) believe that exercise is an important adjunct therapy that should be embedded in standard practice. Yet, CCCs do not routinely discuss exercise with their patients, nor do they regularly refer them to exercise professionals (e.g., exercise physiologists-EPs). This study evaluated the feasibility and acceptability of an evidence-based approach to improving exercise communication between CCCs and their patients, including an exercise referral pathway. Methods: Implementation and testing of the Exercise Communication and Referral Pathway (ECRP) occurred in Sydney, Australia. The ECRP included a brief oncology-initiated communication exchange with patients, CCC exercise referral to an EP, followed by EP-initiated telephone consultation with patients concerning tailored exercise advice. Participant perceptions concerning the feasibility and applicability of the ECPR were evaluated. Semi-structured interviews were conducted with CCCs (n = 3), cancer patients (n = 21), and an EP (n = 1). Inductive thematic analysis was undertaken. Results: Analysis generated three themes: (1) Navigating the role of CCCs in the ECRP, suggesting that oncology-initiated communication is a cue to action, however there was a lack of role clarity regarding exercise referral; (2) Implementing Patient-Orientated Care within a Standardised Pathway, highlighting the need for tailored information and advice for patients that reflects individual disease, socio-cultural, and environmental factors, and; (3) Taking Steps Towards Action, revealing the need for structural (e.g., EP initiated contact with patients) and policy changes (i.e., changes to Medicare, direct oncologist referral) to engage patients and better integrate exercise as part of standard care. Conclusions: Findings provide important insights into improving oncology-patient exercise communication and developing an exercise referral pathway to increase engagement and patient reach. However, individual (e.g., experience, knowledge) and contextual factors (e.g., time, resources) need consideration when implementing an ECRP. Trial registration: This trial was prospectively registered with the Australian New Zealand Clinical (#ACTRN12620000358943) on March 13, 2020. [ABSTRACT FROM AUTHOR]

Physical activity and sport programs have been promoted as a strength-based way to enhance social and emotional wellbeing in young Aboriginal and Torres Strait Islanders. However, there is limited evidence that describes how these programs may be tailored for girls. Semi‐structured interviews with health promotion stakeholders (N = 11) explored organizational perceptions of the needs and preferences of young Aboriginal and Torres Strait Islander girls in relation to physical activity and social and emotional wellbeing. Interviews also investigated best practice approaches for implementing holistic health programs for the population. Thematic analysis revealed two overarching themes: (1) Perceived physical activity and health service needs, preferences and behaviours and (2) Best practice engagement strategies and associated challenges. A need for culturally safe, youth-friendly services was emphasized, where physical activity and sport may play an influential role. Program development recommendations included focussing upon health literacy, utilizing co-design and creating culturally secure, fun environments. [ABSTRACT FROM AUTHOR]

Purpose: To explore and describe the extent and quality of Mental Health Literacy (MHL) resources, information and education currently available within the Australian Football League (AFL) Next Generation Academy (NGA) programs and identify limitations/gaps in existing MHL practices within these programs. Methods: An exploratory mix ed -method descriptive design was utilised in two phases. Phase One consisted of a researcher led MHL audit of publicly available data associated with each NGA program. Phase Two included a web-based open-ended questionnaire distributed to key NGA personnel and focused on mental health practices within the programs. Descriptive statistics were used to present Phase One data and thematic analysis was utilised in Phase Two. Results: In Phase One, the total mean standardised score for resources on mental health, raising awareness on mental health and culture of support within the clubs were 47% (SD = 16, range 18–89), 51% (SD = 23, range 0–77) and 61% (SD = 27, range of 9–97). In Phase Two, eight participants responded to the questionnaire (44% response rate). Three themes emerged from the thematic analysis: 1) current initiatives and resources within the club; 2) training, education and support for staff; 3) the gender divide. Conclusion: Mainstream mental health resources do exist within the AFL and there is some support within the professional league. However, these are not effectively tailored for youth elite athletes, nor have they been implemented into NGA programs despite the willingness of staff in supporting the mental health of these athletes. [ABSTRACT FROM AUTHOR]

Regular physical activity supports children's physical and psychological health and wellbeing, and provides opportunities to build social and emotional skills such as resilience, confidence, and self-efficacy. Research has demonstrated that mass participant sporting events can serve as important social and environmental correlates of physical activity. This study sought to explore parents and children's perceived motivations and perspectives of participation in the Australian Sanitarium Weet-Bix Kids TRYathlon (a non-competitive triathlon series), on children's health and well-being. An exploratory qualitative design utilizing seven focus groups were conducted with 27 family units including 31 parents and 61 children (age 7–15 years old). Data were recorded, professionally transcribed and then analyzed using thematic analysis. Three overarching themes were identified, including (1) motivations for event and physical activity participation , revealing social interaction, peer support and friendly competition as motivators for participation as well as parents' interest in supporting the development of healthy habits; (2) Perceived physical activity, fitness, and developmental benefits , detailing changes to the types of physical activity children performed as well as opportunities for children to develop physical skills and competencies; and (3) Perceived psychosocial benefits of participation , highlighting opportunities for children to develop and demonstrate independence and autonomy through event participation. Notably, parents and children identified benefits beyond immediate participation including increased family engagement and social support. Mass participant events hold the potential to elicit a range of benefits for children and their families; however, further efforts may be needed to engage less active or disengaged families. [ABSTRACT FROM AUTHOR]