Recent Submissions

  • Save the student labour market

    Hooley, Tristram; Institute of Student Employers; University of Derby (The Student Employer, 2020-07)
    The pandemic has created a youth unemployment ticking time bomb and we all have a role to play. ISE is championing government support for employers. What else can be done?
  • International nurses day 2020: The importance of the healthcare sector to society

    Williams, Alan; University of Derby (University of Derby, 2020-05-11)
    Dr Alan Williams, Academic Lead for Nursing and Perioperative Practice at the University of Derby, marks International Nurses Day 2020 (May 12) by discussing why he is proud of his profession and the wider healthcare sector and why it should be celebrated and appreciated all year round.
  • How will education 4.0 influence learning in higher education?

    Williams, Alan; Windle, Richard; Wharrad, Heather; University of Derby; University of Nottingham (Association for Learning Development in Higher Education, 2020-05-29)
    Higher education at the start of the Fourth Industrial Revolution (Schwab, 2015) is undergoing unprecedented change because of the opportunities revealed through the use of digital technology. Though societies throughout time have undergone seismic change, it is the speed and magnitude of change now because of technology that is challenging higher education. The changes include access to knowledge, how that knowledge is shared and the increasing demand by students’ for their voice to be heard in their education and to be integral to the design of their learning. The opportunities revealed by the use of digital technology can lead to good and bad effects and it is essential academics and higher education investigate the design of learning objects used by students in higher education.
  • An investigation uncovering how students and how tutors design learning objects for novice students to use when acquiring established resuscitation knowledge.

    Williams, Alan; University of Nottingham (2018-07-01)
    Higher education in the twenty-first century is experiencing transformational change due to the advances in technology, with this period referred to as the Fourth Industrial Revolution – the Information Age. Just as the three previous revolutions created step changes in society so will this one, and as the changes now are occurring over a much shorter time period academics, educators and universities have less time to understand and respond to these events. The three key technological changes are firstly the availability, power and pervasiveness of computers, secondly the development of the Internet and finally how these factors have affected knowledge and learning, in the new millennium. These changes in the Information Age have influenced learning theories and learners, with the rapidity meaning there is less time to consider and investigate how technology can be used to enhance student learning in higher education. The opportunities technology provide to improve student learning in higher education range from the design of small educational resources to overarching curricula and educational organisations themselves. This work investigated the design of small educational resources called learning objects and in particular, the storyboard creation aspect of this process and then the educational gains achieved from using said resources. The established knowledge of resuscitation was a suitable vehicle to investigation the design of learning objects as it has a strong internationally accepted theoretical foundation and nurses are required to learn this knowledge as part of their pre-registration education. The Storyboard Workshop (phase 1) of this research investigated how learning objects are designed by nursing students (n=7) and by tutors (n=6), by applying Tuckman’s stage of group development model revealing how each homogenous group functioned and what twelve pedagogical factors student-designers and tutor-designers felt important when analysed using the Learning Object Attributes Metric (LOAM) Tool. In the Learning and Evaluation (phase 2) of this investigation, novice nursing student were randomly assigned to view either the student-designed (n=58) or tutor-designed (n=61) learning object to acquire established resuscitation knowledge with the learning gain and acceptability of the resource viewed, assessed. The results of phase 1 revealed student-designers and tutor-designers generally discussed similar LOAM pedagogical factors though students spent more time discussing navigation and tutors focussed on the objective. When Tuckman’s model was applied the student-designers spent significantly less time forming and storming and significantly more time performing than the tutor-designers, suggesting when designing learning objects on established knowledge, students focus on the task whereas tutors may refer to professional experience that may distract from the design process. Phase two demonstrated irrespective of the designers, viewing either the student-designed or tutor-designed learning object conferred significant learning gains when pre and post viewing (knowledge, student-designed 4.3 to 8.3, p=.000; tutor-designed 4.4 to 8.2, p=.000 and confidence in knowledge, student-designed 5.4 to 7.5, p=.000; tutor-designed 5.3 to 6.9, p=.000) was assessed. However, the difference in confidence in knowledge significantly favoured the student-designed resource (2.1 v 1.5, p=.042), though both resources were very positively evaluated. In the design of a learning object it may be the student-designers are more attuned to their peers needs, and this effect could be exploited by ensuring students are integral in the design of a learning object for novice student to use when acquiring established knowledge. In addition, this effect may be applicable with projects to design learning objects for novice learners to acquire established knowledge, whether this has a clinical focus or for novice students in non-healthcare disciplines.
  • Birth shock! What role might arts engagement have to play in antenatal and postnatal care?

    Hogan, Susan; University of Derby (Intellect, 2020-06-17)
    This article shares research findings for an Arts and Humanities Research Council project called The Birth Project (grant ref. AH/K003364/1). The Birth Project has been particularly interested to explore women’s personal experience of birth and the transition to motherhood using the arts, within a participatory arts framework. It ran experiential art-based groups for mothers and a further group for birthing professionals, each over a twelve-week period to solicit in-depth qualitative data. An innovative aspect of this endeavour has been the use of film as research data, as a means of answering the research questions (through selective editing) and as the primary mode of dissemination of the research results. Results elaborated and summarized here explore the ways women and birthing professionals found the intervention useful. The project analyses the distinctive contribution of the arts and concludes that arts engagement can play a vital role in both antenatal and postnatal care.
  • Understanding inclusion

    Wharton, Julie; Codina, Geraldene; Middleton, Tristan; Esposito, Rosanne; University of Winchester; University of Derby; University of Gloucestershire; UCL Centre for Inclusive Education (Nasen, 2020-06-02)
    This mini guide is for SENCOs, school leaders (including governors), teachers and support staff. This guide aims to help you to consider your position with regard to inclusion in your setting, identify how you can develop an inclusive ethos and practice and reflect on the approach to inclusion taken in your setting.
  • Distributed leadership in DMOs: a review of literature and directions for future research

    Hristov, Dean; Ramkissoon, Haywantee; Naumov, Nick; University of Northampton; University of Derby; The Arctic University of Norway, Tromsø, Norway; University of Johannesburg, South Africa; Nexford University, Washington DC, USA (Taylor & Francis, 2020-07-27)
    Amidst key emergent challenges for Destination Management Organisations (DMOs) and destinations triggered by changes in the funding and governance landscape for tourism on a global scale, Distributed Leadership (DL) has emerged as a promising concept to provide a collaborative framework for channelling resources and leadership to cope with such changes. Current evidence from academic literature discussing the importance of embedding shared forms of leadership is scarce and few studies discuss the application of DL in the context of DMOs. The key purpose of the following conceptual study is to provide a critical overview of key DL contributions in the mainstream and DMO academic literature. The study seeks to examine the relevance of DL in the context DMOs with the purpose to stimulate future empirical investigations in the application of DL in DMO organisations.
  • Pellino-1 regulates the responses of the airway to viral infection

    Marsh, Elizabeth K; Prestwich, Elizabeth C; Marriott, Helen M; Williams, Lynne; Hart, Amber R; Muir, Claire F; Parker, Lisa C; Jonker, Marnix R; Heijink, Irene H; Timens, Wim; et al. (Frontiers, 2020)
    Exposure to respiratory pathogens is a leading cause of exacerbations of airway diseases such as asthma and chronic obstructive pulmonary disease (COPD). Pellino-1 is an E3 ubiquitin ligase known to regulate virally-induced inflammation. We wished to determine the role of Pellino-1 in the host response to respiratory viruses in health and disease. Pellino-1 expression was examined in bronchial sections from patients with GOLD stage 2 COPD and healthy controls. Primary bronchial epithelial cells (PBECs), in which Pellino-1 expression had been knocked down, were extracellularly challenged with the TLR3 agonist poly(I:C). C57BL/6 Peli1-/- mice and wild type littermates were subjected to intranasal infection with clinically-relevant respiratory viruses; rhinovirus (RV1B) and influenza A. We find that Pellino-1 is expressed in the airways of normal subjects and those with COPD, and that Pellino-1 regulates TLR3 signalling and responses to airways viruses. In particular we observed that knockout of Pellino‐1 in the murine lung resulted in increased production of proinflammatory cytokines IL‐6 and TNFα upon viral infection, accompanied by enhanced recruitment of immune cells to the airways, without any change in viral replication. Pellino-1 therefore regulates inflammatory airway responses without altering replication of respiratory viruses.
  • The challenge and impact of engaging hard-to-reach populations in regular physical activity and health behaviours: an examination of an English Premier League ‘Football in the Community’ men's health programme

    Curran, K.; Drust, B.; Murphy, R.; Pringle, Andy; Richardson, D.; Leeds Beckett University; Liverpool John Moores University (Elsevier BV, 2016-04-20)
    To investigate the challenges that men from hard-to-reach (HTR) populations encounter when attempting to commit to regular participation in physical activity and health behaviours, and to explore the psychological and social effects of participation in a twelve week football-led health improvement intervention. A twelve week football specific physical activity intervention targeting men from HTR populations was delivered by Everton Football Clubs' Football in the Community (FitC) scheme as part of a national programme of men's health delivered in/by English Premier League (EPL) football clubs. Men living in homeless shelters and/or recovering from substance misuse were recruited over a period of three months. The programme consisted of a two hour football session, twice weekly, alongside the dissemination of healthy living messages. Football sessions were conducted by a qualified FitC coach. This research was conducted during a twelve week period of immersed practitioner-research. Ethnographic and observational methodologies were adopted. Psychosocial issues were discussed with participants through informal client–researcher interactions and data were logged via field notes. Records of attendance were logged. Participants who failed to attend a session were contacted and their reason(s) for non-attendance were recorded. Data were analysed using deductive and inductive reasoning. Despite the apparent ambition of the participants to regularly participate in the FitC programme, adherence to the programme was poor. Economic, environmental and social barriers to engagement in the programme were apparent. Engagement in the programme resulted in positive psychosocial developments; the development of structure, social interaction and social capital. Community based football-led health improvement programmes endorsed by professional football clubs appear well positioned to connect with, and attract, men from HTR populations. The evidence suggests that such programmes can improve psychosocial health amongst these populations. However, a bottom-up programme design and management strategy is required in order to reduce the challenges facing HTR participants when attempting to regularly engage in physical activity and health behaviours.
  • Why consistent completion criterion are required in childhood weight management programmes

    Nobles, J.; Griffiths, C.; Pringle, Andy; Gately, P.; Leeds Beckett University (Elsevier BV, 2017-09-01)
    Current research in the field of childhood weight management (WM) effectiveness is hampered by inconsistent terminology and criterion for WM programme completion, alongside other engagement-related concepts (e.g. adherence, dropout and attrition). Evidence reviews are not able to determine conclusive intervention effectiveness because of this issue. This study aims to quantify how various completion criterion impacts upon on: 1) the percentage of WM completers; 2) the standardised body mass index (BMI SDS) reduction; and 3) the predictors of WM completion. A methodological, sensitivity analysis to examine how differential completion criterion affect programme outcomes and predictors. Secondary data of 2948 children were used. All children attended a MoreLife WM programme between 2009 and 2014. The completion criterion was incrementally adjusted by 10% (i.e. completer attends 10%, 20%, 30%... of sessions) for research aims 1–2, with the percentage of completers and change in BMI SDS calculated at each increment. For aim 3, the stability (strength, direction and significance) of the predictors were examined when using the completion criterion of four alternative studies against our previous study (completion ≥70% attendance). The volume of programme completers decreased in a linear manner as the completion criterion became more stringent (i.e. 70–100% attendance). The change in BMI SDS conversely became incrementally greater. The strength, direction and significance of the predictors was highly dependent on the completion criterion; the odds ratio varied by 24.2% across a single predictor variable (delivery period). The degree of change is evidenced in the paper. Inconsistent completion criterion greatly limits the synthesis of programme effectiveness and explains some of the inconsistency in the predictors of engagement. Standardised criterion for engagement-related terminology are called for.
  • Engaging older adults with physical-activity delivered in professional soccer clubs: initial pre-adoption and implementation characteristics

    Pringle, Andy; Parnell, D; Zwolinsky, S; McKenna, J; Hargreaves, J; Rutherford, Z; Trotter, L; Rigby, M; Richardson, D; Leeds Beckett University (2015-05)
    Older-adults are a priority within policy designed to facilitate healthy lifestyles through physical activity. Golden Goal is a pilot programme of physical activity-led health improvement for older-adults 55 years and older. Activities were delivered at Burton Albion Football Club. Sessions involved weekly moderate-intensity exercise sessions including exer-gaming (exercise orientated video-games), indoor bowls, cricket, new age curling, walking football, and traditional board games and skittles. Secondary analysis of data collected through the original programme evaluation of Golden Goal investigated the impact of the intervention on participants. Older-adults completed self-reports for demographics, health-screening/complications and quality of life. Attendees, n=23 males (42.6%) and n=31 females (57.4%) with a mean age of 69.38 (±5.87) (n=40), ranging from 55-85 years took part. The mean attendance was 7.73 (±3.12) sessions for all participants, (n=51). Older-adults with two or more health complications (n=22, 42.3%) attended fewer sessions on average (6.91 ±3.322) compared to those reporting less than two health complications (8.65 ±2.694). Self-rated health was higher for women (87.32 ±9.573) versus men (80.16 ±18.557), although this was not statistically significant (U= 223.500, p=0.350). Results support the potential of football-led health interventions for recruiting older-adults, including those reporting health problems.
  • Are intervention-design characteristics more predictive than baseline participant characteristics on participant attendance to a paediatric, community weight management programme?

    Nobles, J; Gately, P; Griffiths, C; Pringle, Andy; Leeds Beckett University (2015-05)
    Approximately 50% of participants complete a paediatric weight management programme, yet the predictors of attendance and dropout are inconsistent. This study investigates subject and intervention-design characteristics associated with attendance at a group based, family weight management programme. Secondary data analysis of 2948 subjects (Age 10.4±2.8 years, BMI 26.0±5.7kg/m2, Standardised BMI (BMI SDS) 2.48±0.87, White 70.3%) from 244 MoreLife (UK) programmes. Subjects attend weekly for 10-12 weeks, sessions last 2-3 hours. Sessions include lifestyle guidance and physical activity. Subject characteristics (demographics, psychological (body satisfaction & self-esteem) and sedentary behaviour) were gathered at first contact and BMI SDS was noted weekly. Intervention-design characteristics were recorded (year, length (weeks), group size, age segregation and day of session). Attendance was calculated as total number of sessions attended (%). Multivariate linear regression examined predictors of attendance and multiple imputation countered missing data. RESULTS: Average attendance was 59.4%±29.3%. Baseline subject characteristics were ‘poor’ predictors of attendance. Intervention year, group size and day of session significantly predicted attendance (Tables 1 & 2). Yet, the most predictive marker of attendance was a change in BMI SDS during the programme (B = -0.38, 95% CI = -0.43 - -0.33). A reduction in BMI was seen to predict greater attendance. However, baseline subject characteristics were weakly associated with attendance, refuting past findings. Dominant intervention characteristics (large groups, weekend sessions and recent delivery) predicted lower attendance. Future programmes may be better informed.
  • Professional football clubs’ involvement in health promotion in Spain: an audit of current practices

    Lozano-Sufrategui, Lorena; Pringle, Andy; Zwolinsky, Stephen; Drew, Kevin J; Leeds Beckett University (Oxford University Press (OUP), 2019-09-20)
    The implementation of effective community-based health interventions within Spanish football clubs has the potential to positively influence the public health agenda and enable the health care system in Spain to be more successful and sustainable. This paper aims to explore the involvement of Spanish football clubs in health promotion activities, their potential for future involvement and what that would require. A mixed methods explanatory sequential design, with a purposive sample of La Liga clubs. Data collection included online questionnaires and phone interviews. Quantitative methods enabled us to describe the number and types of programmes the clubs are currently involved in. Qualitative data was useful to further unpick the processes followed by the clubs in planning and developing health promotion programmes, while identifying any determinants to change. Seventeen clubs completed questionnaires and 11 participated in interviews. Clubs generally support inclusive programmes that target disadvantaged groups. Health-related programmes focus on healthy eating, physical activity and blood donation. Thematic analysis of interviews with 11 representatives of La Liga clubs resulted in three key themes. These related to: (1) Diversity of programmes; (2) (Lack of) evidence-based approaches to intervention design and evaluation; and (3) Contrasting views about a club’s role in health promotion interventions. Spanish football clubs have potential to reach into communities that are currently underserved. However, there is limited infrastructure and understanding within the clubs to do this. Nevertheless, there is huge opportunity for organisations with public health responsibility in Spain to implement translational approaches within football-based settings.
  • Design programmes to maximise participant engagement: a predictive study of programme and participant characteristics associated with engagement in paediatric weight management

    Nobles, James; Griffiths, Claire; Pringle, Andy; Gately, Paul; Leeds Beckett University (Springer Science and Business Media LLC, 2016-07-19)
    Approximately 50 % of paediatric weight management (WM) programme attendees do not complete their respective programmes. High attrition rates compromise both programme effectiveness and cost-efficiency. Past research has examined pre-intervention participant characteristics associated with programme (non-)completion, however study samples are often small and not representative of multiple demographics. Moreover, the association between programme characteristics and participant engagement is not well known. This study examined participant and programme characteristics associated with engagement in a large, government funded, paediatric WM programme. Engagement was defined as the family’s level of participation in the WM programme. Secondary data analysis of 2948 participants (Age: 10.44 ± 2.80 years, BMI: 25.99 ± 5.79 kg/m2, Standardised BMI [BMI SDS]: 2.48 ± 0.87 units, White Ethnicity: 70.52 %) was undertaken. Participants attended a MoreLife programme (nationwide WM provider) between 2009 and 2014. Participants were classified into one of five engagement groups: Initiators, Late Dropouts, Low- or High- Sporadic Attenders, or Completers. Five binary multivariable logistic regression models were performed to identify participant (n = 11) and programmatic (n = 6) characteristics associated with an engagement group. Programme completion was classified as ≥70 % attendance. Programme characteristics were stronger predictors of programme engagement than participant characteristics; particularly small group size, winter/autumn delivery periods and earlier programme years (proxy for scalability). Conversely, participant characteristics were weak predictors of programme engagement. Predictors varied between engagement groups (e.g. Completers, Initiators, Sporadic Attenders). 47.1 % of participants completed the MoreLife programme (mean attendance: 59.4 ± 26.7 %, mean BMI SDS change: -0.15 ± 0.22 units), and 21 % of those who signed onto the programme did not attend a session. As WM services scale up, the efficacy and fidelity of programmes may be reduced due to increased demand and lower financial resource. Further, limiting WM programme groups to no more than 20 participants could result in greater engagement. Baseline participant characteristics are poor and inconsistent predictors of programme engagement. Thus, future research should evaluate participant motives, expectations, and barriers to attending a WM programme to enhance our understanding of participant WM engagement. Finally, we suggest that session-by-session attendance is recorded as a minimum requirement to improve reporting transparency and enhance external validity of study findings.
  • “Football is pure enjoyment”: An exploration of the behaviour change processes which facilitate engagement in football for people with mental health problems

    Hargreaves, Jackie; Pringle, Andy; Leeds Beckett University (Elsevier BV, 2019-03-08)
    Physical activity is known to be beneficial for people with mental health problems, although engagement is low. Football, provided by professional football club community trusts could aid engagement in physical activity, however little is known about the behaviour change processes which engage individuals in this type of PA. One factor which is often overlooked is affect and exploring this could help identify the behaviour change processes, which engage individuals in a professional football club-led mental health intervention. The aim of this study was to explore the experiences of individuals attending football provided by a professional club community trust to further our understanding of the behaviour change processes involved in facilitating engagement in this provision. Semi-structured interviews were conducted with twelve men who played football provided by a professional football club trust. A range of mental health problems were reported and the participants were aged between 19 and 46. Template analysis was conducted, implementing some of the concepts from the Affective – Reflective Theory (ART). The results highlighted that both affective and reflective processes of ART were evident in engaging individuals in football. Pleasurable experiences were enabled through the physical and social characteristics of football. Self-control strategies emerged which help to action engagement. The professional football club trust provided coaching knowledge and skills, team organisation and resources and feelings of belonging and responsibility. Application of ART to the understanding of football experiences has provided a novel exploration of the processes involved in engaging individuals in football. This has important implications for intervention design; the focus should be on providing pleasurable experiences and fostering appropriate self-control strategies.
  • Engaging families in weight management

    Nobles, J; Griffiths, C; Pringle, Andy; Staniford, L; Gately, P; Leeds Beckett University (2016-06)
    Approximately 50% of families who initiate a weight management programme (WMP) will not complete. It is fundamental to understand why participants initiate and complete a programme, and to ensure that programmes are effectively designed and delivered. This study examined the reasoning for family (young person and parent) engagement in three different and diverse WMPs. A multiple instrumental case study approach was employed. Three community-based WMPs participated: MoreLife, SHINE, and Weigh to Go. Clear design and implementation differences existed between WMPs. Multiple WMPs were recruited to examine the generalisability of research findings, and extract key features associated with participant engagement. Thirty families took part (~10 per programme). Data were collected early in the programme (0-2 weeks) and immediately after completion or dropout (within two weeks). Young people took part in a Participatory Action Research (PAR) session (interactive activities to generate meaningful information), and parents completed semi-structured interviews. A deductive line of inquiry was used; questions were based upon participant characteristics, environmental interactions, psychological processes and programme interactions. Interview data was transcribed verbatim and analysed alongside the PAR data using content and thematic analysis (themes presented in italics). Preliminary findings indicate that families often engage in a WMP for non-weight related reasons. Such reasons include: management of mental health, to improve self -esteem, and to create friendships. Families remain in a WMP when: the programme suits their needs, they fit in amongst other participants, strong relationships are fostered with staff, and have strong support networks. Numerous families completing programmes prioritised WMP attendance above other leisure activities, and had plans in place to ensure they could attend each session. Low engagement was due to situational factors (e.g. logistic barriers [transport, timing…]) rather than programme dissatisfaction. Families attend community-based WMPs for reasons beyond weight management. Additionally, the families identified unique WMP features (e.g. maintenance programmes and non-clinical staff) which encourage programme attendance. Such features can be replicated in multiple, diverse settings. Understanding participant engagement is critical to designing and implementing efficacious WMPs.
  • Physical activity and sedentary behavior clustering: segmentation to optimize active lifestyles

    Zwolinsky, Stephen; McKenna, James; Pringle, Andy; Widdop, Paul; Griffiths, Claire; Mellis, Michelle; Rutherford, Zoe; Collins, Peter; Leeds Beckett University (Human Kinetics, 2016-09)
    Increasingly the health impacts of physical inactivity are being distinguished from those of sedentary behavior. Nevertheless, deleterious health prognoses occur when these behaviors combine, making it a Public Health priority to establish the numbers and salient identifying factors of people who live with this injurious combination. Using an observational between-subjects design, a nonprobability sample of 22,836 participants provided data on total daily activity. A 2-step hierarchical cluster analysis identified the optimal number of clusters and the subset of distinguishing variables. Univariate analyses assessed significant cluster differences. High levels of sitting clustered with low physical activity. The Ambulatory & Active cluster (n = 6254) sat for 2.5 to 5 h·d−1 and were highly active. They were significantly younger, included a greater proportion of males and reported low Indices of Multiple Deprivation compared with other clusters. Conversely, the Sedentary & Low Active cluster (n = 6286) achieved ≤60 MET·min·wk−1 of physical activity and sat for ≥8 h·d−1. They were the oldest cluster, housed the largest proportion of females and reported moderate Indices of Multiple Deprivation. Public Health systems may benefit from developing policy and interventions that do more to limit sedentary behavior and encourage light intensity activity in its place.
  • Linking physical activity & health evaluation to policy: lessons from UK evaluations

    Pringle, Andy; McKenna, J; Zwolinsky, S; Leeds Beckett University (Routledge, 2017-12-18)
    Evaluation is an important component of contemporary physical activity (PA) interventions. In this chapter, we provide a series of peer-review case studies that we have been involved. We comment on a number of issues and debates on the role of evaluation in PA policy and interventions. The case studies selected originated in local and or national policy. To identify these cases, we applied two key criteria set elsewhere (Pringle, Hargreaves Lozano et al., 2014): (I) Credibility: Cases represent real world illustrations of the place of evaluation in a policy context. (II). Impact: Cases identify their effects. The case studies provide applied, insightful, contextual and practical examples of partnership evaluations in both PA intervention and policy. Emerging from these case studies are a number of lessons for how evaluation is performed. We share this learning so it may shape future evaluation practice in physical activity and public health.
  • A calling for standardised completion criteria in weight management

    Nobles, J; Pringle, Andy; Griffiths, C; Gately, P; Leeds Beckett University (2016-06)
    The criteria for participant completion of a weight management programme (WMP) is arbitrary. Programme commissioners (WMP purchasers) will frequently establish the percentage of attendance that classifies programme completion (e.g. 70% attendance). Differential criteria for WMP completion make it impossible for researchers, practitioners and policy makers to conclude what constitutes an effective programme and what factors predict WMP completion. This study exemplifies the impact of variable completion status on 1) BMI reduction, 2) volume of completers and 3) predictors of completion. Secondary data was obtained from MoreLife – a UK-based, community WMP for children (aged 4-17 years). 2948 children attended between 2009-2014 (Age 10.4±2.8 years, BMI 26.0±5.7kg/m2, Standardised BMI (BMI SDS) 2.48±0.87 units, White 70.3%). Separate analyses were conducted for research aims 1-2, and aim 3. Programme completion was adjusted incrementally by 10% (i.e. 10%, 20% attendance etc…) for research aims 1-2. The volume of programme completers and change in BMI SDS was calculated at each increment of the completion criteria (0-100%). For aim 3, programme completion was defined using five classifications from previous WMP studies (e.g. 50% sessions attended). Multivariable logistic regression determined participant and programme variables predictive of programme completion. Percentage difference between the odds ratio of the original model (completion = 70% attendance) and the four subsequent models was calculated. The volume of participants completing the programme decreased in a linear manner (r = -0.99, p = 0.00) when completion classification became more stringent (i.e. 70-100% attendance). Conversely, the change in BMI SDS became incrementally greater (r = 0.98, p = 0.00). Predictors of completion varied by up to 24.2% in certain variables (e.g. Programme Intake Period) when using five different completion classifications. Statistical significance of the predictor variables were reliant on completion classification (e.g. WMP Group Size was significant in two of five models). The volume of completers and change in BMI SDS were strongly associated with programme completion classification. Poor programme outcomes (e.g. minimal change in BMI SDS) can be masked by (un)demanding completion criteria. Moreover, completion criteria mediates participant and programme characteristics predictive of programme completion. Standardised completion criteria are called for.
  • ‘It brings the lads together’: a critical exploration of older men’s experiences of a weight management programme delivered through a Healthy Stadia project

    Lozano-Sufrategui, Lorena; Pringle, Andy; Carless, David; McKenna, Jim; Leeds Beckett University (Taylor and Francis, 2016-04-22)
    Older men whose weight is considered unhealthy may experience particular barriers that can restrict their adoption of health improvement interventions. Despite promising findings recommending the use of sports settings to facilitate health promotion with men, little evidence has addressed older men’s health needs for, or experiences of, these settings. Using a qualitative methodology, this study explored the experiences of 14 ageing men attending a football-led weight management programme delivered at a community sports setting. The thematic analysis of semi-structured interviews elucidates important insights regarding the provision of sports-led health improvement interventions for this population. Men especially valued the opportunity to play sports and do physical activity in an environment that promotes ‘inclusive’ competition and caring interpersonal relationships. Implicit in the findings is the key role of practitioners in promoting social engagement. We conclude the paper with key practical implications of this research.

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