Base de données de recherche des TNO

Régions: North Slave Region, South Slave Region

étiquettes: social sciences, wellness, health promotion, cultural relevance, lifestyle change, diabetes

Objectif(s): To create healthier communities through evidence-based lifestyle prescription (i.e. Individualized targets and goals for exercise, number of steps per day, and fruit and vegetable, water, and healthy breakfast consumption) and to address the epidemic of type 2 diabetes, in rural/remote Canadian communities.

Description du projet: The objectives of this research project are: 1) to improve the health of participants (weight, BMI, fitness score, step counts, exercise frequency and duration, consumption of a healthy diet (fruits and vegetables, water, healthy breakfast), and health-related quality of life) through an evidence-based individualized lifestyle prescription, goal setting, and in-person/technology-supported coaching; 2) to measure the effectiveness of using technology to support participants who live in small urban, rural, and remote communities to achieve their lifestyle prescription and goals; 3) to build the capacity of local HealtheSteps™ Coaches to implement and sustain the program over an 8-month period and beyond the research project time frame; 4) to increase and share knowledge about the barriers and facilitators to implementing sustainable lifestyle prescription programs within small urban, rural and remote communities in Canada; and, 5) to assess the scalability of the program across Canada to reach vulnerable populations. A. HealtheSteps™ Coaches – Training Procedures & Materials All training sessions will be coordinated by the centralized knowledge broker and regional student knowledge broker for the given study region. Training Session 1 (Webinar):Overview of HealtheSteps™ Program, including protocol, how to access and navigate the HealtheSteps™ website and portal, and an overview of the Canadian Diabetes Strategy research project, including the site’s roles and responsibilities. Training Session 2 (In-Person): Specific training related to performing the STEP Test™, lifestyle prescription coaching and goal-setting related to physical activity, exercise and healthy eating for adults. Initiate a discussion surrounding recruitment and implementation strategies that fit with the context of the study site and their clients. Training Session 3 (Webinar): Provide the sites with a “booster session” on the overall HealtheSteps™ protocol, including the research protocol; Continue discussion surrounding recruitment and implementation strategies. The centralized knowledge broker and regional student knowledge broker will be available to the individuals and HealtheSteps™ coaches at any time via email or telephone (or in-person if local) throughout the course of the 8-month program should any questions or challenges arise. B. Implementation of the HealtheSteps™ Program i) Screening & Enrolment (Month 1) 1) Provide potential participants with an Overview of the HealtheSteps™ Program and an Overview of the Canadian Diabetes Strategy Research Project. 2) Participants will read through a Letter of Information and provide written consent to participate in the study. 3) The HealtheSteps™ coach will then work with the participant to complete a PAR-Q- the Physical Activity Readiness Questionnaire (PAR-Q). If the results of the PAR-Q indicate that the participant requires medical clearance before proceeding with physical activity, the participant will be asked to make an appointment with their family physician or other qualified health care provider. Official clearance by a qualified health care provider will be documented. 4) Once eligible, participants will be assigned a Participant ID# by the HealtheSteps™ coach and this will be documented on the Participant Enrolment and Monitoring Form. 5) The HealtheSteps™ coach will provide participants with the technology-based support options that are available to them at their study site. Participants will be asked to select which technology-based support they would like to use to assist with achieving their lifestyle prescription and goals. 6) Participants will be logging their physical activity (e.g., step counts), healthy eating (e.g., fruit & vegetable, water, and healthy breakfast consumption), and exercise (e.g., duration, frequency, type of activity). 7) Participants will be provided a health-related questionnaires to complete in their own time before their first program session and again after the program completion; an International Physical Activity Questionnaire - used to measure health-related physical activity in the past 7 days; and, a Three-Day Food Diary - the participant will take this home with them to complete and will be provided with a copy of Canada’s Food Guide to assist them with this process. ii) HealtheSteps™ Program Coaches will be provided with a detailed Coaches Guide & Checklist document which outlines the documents needed to conduct the session and the steps to follow. Session 1 (Month 0) 1) The participants will complete two additional health-related questionnaires: SF-8 Health Survey and the Diabetes CANRISK Questionnaire. 2) The HealtheSteps™ Coach will take and record the participant’s resting heart rate, height, and weight on the Quick Check-Up Form. 3) Participants will then complete a STEP Test ™which will produce an individualized exercise prescription based on target heart rate. 4) The HealtheSteps™ coach will then sit with the participant and go over the results of their Step TEST™, including target heart rate for exercise and will provide them with a physical activity prescription (step count) based on their current levels of sedentary time. 5) Next the HealtheSteps™ coach will provide the participant with a healthy eating prescription based on their current levels of healthy eating and formulate a goal/plan to achieve their prescription. 6) The session will end with: • The coach showing the participant how to take their pulse, • Providing participants with pedometers to track their step counts, • Reinforcing the importance of the participant tracking their healthy living behaviors, and • Problem solve issues related to online activity tracker and/or Tyze/Sykes if applicable. Sessions 2-4 (Months 2, 4, 6) Sessions 2 through 4 will follow the same procedure as described above in Session 1 – with new goals set at each visit based on their revised exercise, physical activity (step count), and healthy eating prescriptions. At the end of Session 4, the HealtheSteps™ coach will provide participants with new copies of the International Physical Activity Questionnaire and the Three-Day Food Diary to be completed and brought back to Session #5. Session 5 (Month 8) Participants will complete a new SF-8 Health Survey and Diabetes CANRISK Questionnaire. Participants will complete a Participant Reaction Survey – to capture their feedback on their experience with the HealtheSteps™ program and be provided with a Certificate of Participation. iii) HealtheSteps™ Program – Post-Program Follow-Up (Month 10) In Month 10, two months post-program completion, the research team will select a purposeful sample of HealtheSteps™ participants to participate in a telephone interview (N = 8-10 participants per region). The research team will also select a purposeful sample of Key Stakeholders, Program Partners and Program Leaders and Staff to participate in a telephone interview (N = 2-3 participants per region). The interview questions will explore the development and implementation of the HealtheSteps™ program and consultation process with respect to: facilitating factors, challenges, suggestions to overcome challenges; and suggestions for improvements, sustainability and further development. At each of our NWT sites, the research team will aim to recruit approximately 10-15 participants and train 2-3 HealtheSteps Coaches. Within the Northwest Territories, the research team will be implementing the program at two sites: one in Fort Smith (Aurora College - Thebacha Campus) and one in Yellowknife (Aurora College – Yellowknife Campus). The target population will be adults aged 18+ years. Within the Northwest Territories, the project will be overseen by the Academic Lead and Regional Student Knowledge Broker. At both locations there will be considerable opportunities to engage local community members and organizations, students, health care professionals, health promoters, and educators. The research team will involve the target HealtheSteps™ participant population by inviting them to participate in program-hosted webinars and conferences/workshops. They will also be provided with access to the website and social media where they can find information on the research results (including lay summaries), resources that encourage and support a healthy lifestyle, and where they can have discussions and be supported by other HealtheSteps™ participants. The research team will also use innovative and culturally relevant arts-based methods of dissemination including photovoice, digital story-telling, and infographics. Each NWT site will also be provided with access to all collected data for their region and will be free to use and/or share this information with stakeholder partners, the general public, community partners etc. as they see fit. They are also welcome to use these results to leverage additional funding to support long-term and sustainable implementation of the HealtheSteps™ program. Finally, the research team will utilize a number of technology-based strategies to disseminate the research findings including the HealtheSteps™ web portal, webinars, social media and press releases. The research team will also continue to present the research at national conferences/workshops where many collaborative academic and community partners will be in attendance. The research team will target conferences that are relevant to both academic and community partners and will encourage them to attend and/or present if applicable. The team will also attend events that are hosted by academic and community partners such as University-based student conferences, community/town meetings, council meetings, health-related workshops at community-based health centres, and webinars. The fieldwork for this study will be conducted from January 28, 2015 to December 31, 2015.