Andy Daly-Smith

Optimizing lifestyles for men regarded as ‘hard-to-reach’ through top-flight football/soccer clubs

This study assessed the effect of a 12-week behavioural intervention delivered in and by English Premier League football/soccer clubs, and its influence on lifestyle behaviours, in men typically regarded as hard-to-reach. One hundred and thirty men aged 18 years or older engaging in the programme self-reported data on optimal lifestyle behaviours (OLBs) (physical activity, diet, smoking and alcohol consumption) at pre- and post-intervention. Logistic regression models were used to predict the likelihood of OLBs post-intervention. Healthy behaviours were uncommon at baseline, yet at 12 weeks, 19% (n = 24) of men displayed positive change in one behaviour and 67% (n = 87) had changed ≥2. A combination of improving diet (odds ratio [OR] = 2.76; 95% confidence interval [CI] = 1.65-4.63) and being employed (OR = 4.90, CI = 1.46-16.5) significantly increased the likelihood of reporting ≥150 min of physical activity per week. Increased physical activity significantly increased the likelihood of self-reporting a healthy diet (OR = 2.32, CI = 1.36-3.95). This study shows that a 12-week behavioural intervention can reach and engage a proportion of at risk men. Further, among such men, the intervention helped to stabilize and improve several of the most important lifestyle behaviours that impact mortality and morbidity.

Delivering men's health interventions in English Premier League football clubs: key design characteristics

OBJECTIVES To investigate the key design characteristics of Premier League Health (PLH), a national programme of mens health improvement delivered in/by 16 English Premier League (EPL) football clubs. STUDY DESIGN Health Trainers (HTs) were hired by EPL clubs to deliver PLH. HTs were the focus of investigations aimed at identifying the active design characteristics of male-specific health promotion interventions. METHODS Semi-structured interviews led by researchers were performed with 13/16 HTs and identified the key design characteristics influential in (I) reaching and (II) helping participants adopt health improvement interventions delivered in professional football club settings. RESULTS HTs believed that combining the appeal of football alongside EPL clubs, offered a unique opportunity to reach adult males, including hard-to-engage-men (HTEM). Awareness raising events held on match days aimed to connect with men, but outreach activities were especially important for engaging participants. Following initial reach, familiar settings, such as the club stadia and community venues were also important for ensuring regular involvement in health improvement sessions. Interventions shaped around mens health needs and delivered at times when participants could more easily attend, were factors which helped to engage men. Supportive social environments and a range of exercise modes and delivery options were also seen by HTs as being similarly important. Both the informality and familiarity of EPL clubs were viewed by HTs as having substantial advantages over conventional NHS settings for reaching and engaging men. Importantly, HTs contributed substantial skills to the delivery of PLH. CONCLUSION Although, top flight professional football clubs can recruit men, including those regarded as hard-to-engage into health improvement programmes, considerable attention to delivery refinement is needed to support male participants adopting interventions aimed at promoting healthy lifestyles.

The impact of additional weekdays of active commuting to school on children achieving a criterion of 300+ minutes of moderate-to-vigorous physical activity

Objective: To investigate the value of additional days of active commuting for meeting a criterion of 300+ minutes of moderate-to-vigorous physical activity (MVPA; 60+ mins/day x 5) during the school week. Methods: Based on seven-day diaries supported by teachers, binary logistic regression analyses were used to predict achievement of MVPA criteria according to days of active commuting to and from school. MVPA was recorded across five time points: (a) before school, (b) walking/cycling to and from school, (c) during school, (d) in school-based clubs and (e) during leisure time. The study was conducted in Derby, UK, in June 2006. Results: Active commuting was reported by 4218 (78 per cent of 5422) children for an average daily commuting time of 18.4 ± 16.4 minutes. Children who commuted on more days in the week were most likely to achieve the MVPA criterion. Every day of active commuting doubled the chances of meeting the MVPA criterion; in Year 10 girls this effect was stronger (odds ratio 6.45). Conclusion: Results confirm the ubiquity of active commuting among young people. Even one additional day of active commuting helps to meet established criteria. In older girls active commuting is uniquely powerful in contributing to attainment of public health targets of MVPA.

Systematic review of acute physically active learning and classroom movement breaks on children’s physical activity, cognition, academic performance and classroom behaviour: understanding critical design features

Objective To examine the impact of acute classroom movement break (CMB) and physically active learning (PAL) interventions on physical activity (PA), cognition, academic performance and classroom behaviour. Design Systematic review. Data sources PubMed, EBSCO, Academic Search Complete, Education Resources Information Center, PsycINFO, SPORTDiscus, SCOPUS and Web of Science. Eligibility criteria for selecting studies Studies investigating school-based acute bouts of CMB or PAL on (PA), cognition, academic performance and classroom behaviour. The Downs and Black checklist assessed risk of bias. Results Ten PAL and eight CMB studies were identified from 2929 potentially relevant articles. Risk of bias scores ranged from 33% to 64.3%. Variation in study designs drove specific, but differing, outcomes. Three studies assessed PA using objective measures. Interventions replaced sedentary time with either light PA or moderate-to-vigorous PA dependent on design characteristics (mode, duration and intensity). Only one study factored individual PA outcomes into analyses. Classroom behaviour improved after longer moderate-to-vigorous (>10 min), or shorter more intense (5 min), CMB/PAL bouts (9 out of 11 interventions). There was no support for enhanced cognition or academic performance due to limited repeated studies. Conclusion Low-to-medium quality designs predominate in investigations of the acute impacts of CMB and PAL on PA, cognition, academic performance and classroom behaviour. Variable quality in experimental designs, outcome measures and intervention characteristics impact outcomes making conclusions problematic. CMB and PAL increased PA and enhanced time on task. To improve confidence in study outcomes, future investigations should combine examples of good practice observed in current studies. PROSPERO registration number CRD42017070981.

Initial effects of a free swimming pilot programme on the physical activity levels of young people

Concerns remain over the physical activity (PA) levels of young people.1,2 Consequently, identifying interventions that are effective at encouraging young people to adopt and improve PA levels over the life course3 – especially those not meeting PA guidelines – is central to non-communicable disease prevention in later life.1 Efforts to increase PA levels through the promotion of swimming and aquatic activities for children and young people are one such option.4,5 Swimming has been referred to as the UKs ‘major participation sport’ and a mode of exercise that inactive groups contemplate when seeking to increase their PA levels.4 The aspiration to find effective and sustainable models of PA intervention necessitates rigorous monitoring and evaluation within the context where implementation takes place. With those thoughts in mind, this research set out to investigate the effectiveness of a local authority (LA) led pilot programme of free swimming (FS), with this paper reporting the initial key findings emerging from this study.

Developing Interventions for Children’s Exercise (DICE): A Pilot Evaluation of School-Based Exercise Interventions for Primary School Children Aged 7 to 8 Years

BACKGROUND Developing Interventions for Childrens Exercise (DICE) is an initiative aimed at determining effective school-based exercise programs. To assess feasibility, we conducted a pilot study of exercise sessions which varied in duration and frequency. METHODS Exercise interventions were delivered to Year 3 pupils (age 7-8 years; n = 73) in primary schools within Yorkshire, UK. Evaluations were conducted using focus group sessions, questionnaires and observations. RESULTS The study revealed positive aspects of all interventions, including favorable effects on childrens concentration during lessons and identified the value of incorporation of the DICE concept into curriculum lessons. Children appeared enthused and reported well-being and enjoyment. Areas requiring attention were the need for appropriate timetabling of sessions and ensuring the availability of space. CONCLUSION The concept and sessions were well-accepted by teachers who confirmed their full support of any future implementation There appears to be potential for the encouragement and empowerment of teachers to support physical activity and healthy school environments, and to take an interest in the health of their pupils. Ultimately, these findings should assist in the design of successful exercise interventions in the school setting.

‘You get some very archaic ideas of what teaching is…’: Primary school teachers’ perceptions of the barriers to physically active lessons

ABSTRACT Physically active lessons present a key paradigm shift in educational practice. However, little is known about the barriers to implementing physically active lessons. To address this, 31 practising primary teachers (23 = female) from 9 primary schools across West Yorkshire, England, were engaged in focus group interviews. Drawing on the socio-ecological model, findings revealed that barriers influencing the implementation of physically active lessons are multifaceted. Teacher’s confidence and competence, concerns over classroom space, preparation time and resources, coupled with the wider school culture that is influenced by governors and parents, reinforce a didactic approach and act as barriers to physically active lessons.

Supporting lifestyle risk reduction: promoting men’s health through professional football

For men, unhealthy lifestyle behaviours including physical inactivity, a poor diet, smoking and excess alcohol represent major, modifiable causes of non-communicable disease worldwide. Innovative approaches that seek to overcome the barriers that men experience when attempting to deploy more self-care to manage these behaviours are required. This study assessed the outcomes of a 12-week men’s health promotion intervention delivered in and by professional football clubs. Data comprised self-reports from 1667 men aged 18–75 years from 16 English Premier League and Championship football clubs. A multinomial logistic regression model estimated the probability of self-reporting a number of baseline lifestyle risk factors compared to a reference group with none. Wilcoxon signed-rank tests assessed differences in lifestyle risk profiles. Over 85% of participants presented with multiple risk factors. Men aged ≥35 years were least likely to present all four risk factors (OR: 0.45, 95% CI: 0.23–0.88), whereas unemployed men (OR: 3.64, 95% CI: 1.78–7.51) and those with no social support network (OR: 5.10, 95% CI: 2.44–10.50) were most likely to self-report all four lifestyle risks. The prevalence of risk factors was significantly reduced post-intervention (z = −7.488, p < 0.001, r = −0.13), indicating a positive effect, and potential public health significance. Findings show that men can respond positively to behaviourally-focused interventions delivered in familiar and local settings, like professional football clubs.