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BMC Public Health
Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Study protocol

HealtheSteps™ Study Protocol: a pragmatic randomized controlled trial promoting active living and healthy lifestyles in at-risk Canadian adults delivered in primary care and community-based clinics

Authors: Dawn P. Gill, Wendy Blunt, Cassandra Bartol, Roseanne W. Pulford, Ashleigh De Cruz, P. Karen Simmavong, Adam Gavarkovs, Ian Newhouse, Erin Pearson, Bayley Ostenfeldt, Barbi Law, Kristina Karvinen, Pertice Moffit, Gareth Jones, Cori Watson, Guangyong Zou, Robert J. Petrella

Published in: BMC Public Health | Issue 1/2017

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Abstract

Background

Physical inactivity is one of the leading causes of chronic disease in Canadian adults. With less than 50% of Canadian adults reaching the recommended amount of daily physical activity, there is an urgent need for effective programs targeting this risk factor. HealtheSteps™ is a healthy lifestyle prescription program, developed from an extensive research base to address risk factors for chronic disease such as physical inactivity, sedentary behaviour and poor eating habits. HealtheSteps™ participants are provided with in-person lifestyle coaching and access to eHealth technologies delivered in community-based primary care clinics and health care organizations.

Method/Design

To determine the effectiveness of Healthesteps™, we will conduct a 6-month pragmatic randomized controlled trial with integrated process and economic evaluations of HealtheSteps™ in 5 clinic settings in Southwestern Ontario. 110 participants will be individually randomized (1:1; stratified by site) to either the intervention (HealtheSteps™ program) or comparator (Wait-list control). There are 3 phases of the HealtheSteps™ program, lasting 6 months each. The active phase consists of bi-monthly in-person coaching with access to a full suite of eHealth technology supports. During the maintenance phase I, the in-person coaching will be removed, but participants will still have access to the full suite of eHealth technology supports. In the final stage, maintenance phase II, access to the full suite of eHealth technology supports is removed and participants only have access to publicly available resources and tools.

Discussion

This trial aims to determine the effectiveness of the program in increasing physical activity levels and improving other health behaviours and indicators, the acceptability of the HealtheSteps™ program, and the direct cost for each person participating in the program as well as the costs associated with delivering the program at the different community sites. These results will inform future optimization and scaling up of the program into additional community-based primary care sites.

Trial registration

NCT02413385 (Clinicaltrials.gov). Date Registered: April 6, 2015.
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Metadata
Title
HealtheSteps™ Study Protocol: a pragmatic randomized controlled trial promoting active living and healthy lifestyles in at-risk Canadian adults delivered in primary care and community-based clinics
Authors
Dawn P. Gill
Wendy Blunt
Cassandra Bartol
Roseanne W. Pulford
Ashleigh De Cruz
P. Karen Simmavong
Adam Gavarkovs
Ian Newhouse
Erin Pearson
Bayley Ostenfeldt
Barbi Law
Kristina Karvinen
Pertice Moffit
Gareth Jones
Cori Watson
Guangyong Zou
Robert J. Petrella
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4047-8

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