Increasing participation in resistance training using outdoor gyms: A study protocol for the ecofit type III hybrid effectiveness implementation trial

IF 1.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
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Abstract

Background

In this paper we outline the protocol for an implementation-effectiveness trial of ecofit, a multi-component mHealth intervention aimed at increasing participation in resistance and aerobic physical activity using the outdoor built environment (i.e., outdoor gyms) and social support. We have previously demonstrated the efficacy and effectiveness of the ecofit program in insufficiently active people with (or at risk of) type 2 diabetes and community-dwelling adults, respectively. The objective of this trial is to compare the effects of two implementation support models (i.e., ‘Low’ versus ‘Moderate’) on the reach (primary outcome), uptake, dose received, impact and fidelity of the ecofit program.

Research design and methods

This hybrid type III implementation-effectiveness study will be evaluated using a two-arm randomized controlled trial, including 16 outdoor gym locations in two large regional municipalities in New South Wales, Australia. Outdoor gym locations will be pair-matched, based on an established socio-economic status consensus-based index (high versus low), and randomized to the ‘Low’ (i.e., ecofit app only) or ‘Moderate’ (i.e., ecofit app, face-to-face workout sessions and QR codes) implementation support group. The primary outcome of ‘reach’ will be measured using a modified version of the ‘System for Observing Play and Recreation in Communities’, capturing outdoor gym use amongst community members.

Conclusion

This implementation-effectiveness trial will evaluate the effects of different levels of implementation support on participation in resistance-focused physical activity using mHealth and outdoor gyms across the broader community. This may guide widespread dissemination for councils (municipalities) nation-wide wanting to promote outdoor gym usage.

Trial registry

This trial was preregistered with the Australian and New Zealand Clinical Trial Registry (ACTRN12624000261516).

利用户外健身房提高阻力训练的参与度:生态健身房 III 型混合效果实施试验的研究方案
背景在本文中,我们概述了 ecofit 的实施效果试验方案,这是一项多成分移动保健干预措施,旨在利用户外建筑环境(即户外健身房)和社会支持来提高阻力和有氧体育活动的参与率。此前,我们已分别在活动量不足的 2 型糖尿病患者(或高风险患者)和居住在社区的成年人中证实了 ecofit 计划的有效性和有效性。本试验的目的是比较两种实施支持模式(即 "低度 "与 "中度")对 ecofit 计划的覆盖率(主要结果)、吸收率、接受剂量、影响和忠实度的影响。研究设计与方法这项混合 III 型实施效果研究将采用双臂随机对照试验进行评估,包括澳大利亚新南威尔士州两个大型地区城市的 16 个户外健身房地点。户外健身房地点将根据既定的社会经济地位共识指数(高与低)进行配对,并随机分配到 "低度"(即仅使用 ecofit 应用程序)或 "中度"(即使用 ecofit 应用程序、面对面锻炼课程和二维码)实施支持组。主要结果 "覆盖范围 "将使用 "社区游戏和娱乐观察系统 "的修订版进行测量,以了解社区成员使用户外健身房的情况。 结论这项实施效果试验将评估不同程度的实施支持对在更广泛的社区内使用移动医疗和户外健身房参与抗阻力体育活动的影响。该试验已在澳大利亚和新西兰临床试验登记处(ACTRN12624000261516)进行了预先登记。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Contemporary Clinical Trials Communications
Contemporary Clinical Trials Communications Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
2.70
自引率
6.70%
发文量
146
审稿时长
20 weeks
期刊介绍: Contemporary Clinical Trials Communications is an international peer reviewed open access journal that publishes articles pertaining to all aspects of clinical trials, including, but not limited to, design, conduct, analysis, regulation and ethics. Manuscripts submitted should appeal to a readership drawn from a wide range of disciplines including medicine, life science, pharmaceutical science, biostatistics, epidemiology, computer science, management science, behavioral science, and bioethics. Contemporary Clinical Trials Communications is unique in that it is outside the confines of disease specifications, and it strives to increase the transparency of medical research and reduce publication bias by publishing scientifically valid original research findings irrespective of their perceived importance, significance or impact. Both randomized and non-randomized trials are within the scope of the Journal. Some common topics include trial design rationale and methods, operational methodologies and challenges, and positive and negative trial results. In addition to original research, the Journal also welcomes other types of communications including, but are not limited to, methodology reviews, perspectives and discussions. Through timely dissemination of advances in clinical trials, the goal of Contemporary Clinical Trials Communications is to serve as a platform to enhance the communication and collaboration within the global clinical trials community that ultimately advances this field of research for the benefit of patients.
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