Recruitment of Men Into a Pragmatic Rural Primary Care Weight Loss Trial

Punt, Stephanie; Kurz, Daniel; Befort, Christie A.

doi:10.1177/1557988320971917

Cited by 8 publications

(7 citation statements)

References 42 publications

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“…First, participants living further away from their medical clinic may have self‐selected out of the study. However, analysis of participation rates in the trial showed similar rates across clinics randomized to phone visits as for clinics randomized to either individual or group clinic visits, 31 suggesting that required travel to the clinic for counseling visits did not significantly reduce study participation. Second, there is the possibility that some participants may have traveled from their work, not their home, to the clinic.…”

Section: Discussionmentioning

confidence: 95%

Travel burden in a rural primary care behavioral weight loss randomized trial: Impact on visit attendance and weight loss

Kurz

Befort

2022

The Journal of Rural Health

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Purpose: Rural residents have higher obesity rates and need access to treatment.Travel burden may limit use and effectiveness of clinic-based behavioral weight loss treatment, which includes frequent visits. This paper examines the impact of travel distance and time on visit attendance and weight loss during a 2-year cluster randomized trial.Methods: Thirty-six primary care practices were randomized to 1 of 3 methods of providing behavioral weight loss counseling: individual clinic visits, group clinic visits, or group phone visits. Participants in the clinic visit conditions were included in this secondary analysis (n = 875). Travel distance and time was measured using ArcGIS and categorized as <15 miles (and minutes) or ≥15 miles (and minutes). Percent visit attendance and percent weight loss were measured 6 and 24 months.Findings: Participants traveling ≥15 miles (n = 211) had lower attendance than those traveling <15 miles (n = 664) for individual clinic visits, both in the first 6 months (81.4% vs 89.1%, respectively; P = .005) and between 7 and 24 months (52.8% vs 61.6%, respectively; P = .02). Travel time revealed similar findings. Neither travel distance nor time had an effect on attendance to group clinic visits. Travel distance and time were not significantly associated with weight loss for either individual or group visits. Conclusion:Travel burden to clinics was associated with visit attendance for individual visits but not for group visits and was not significantly associated with weight loss.Assessment of travel burden as a potential barrier to clinic-based weight loss interventions should be based on local empirical data.

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Section: Discussionmentioning

confidence: 95%

Travel burden in a rural primary care behavioral weight loss randomized trial: Impact on visit attendance and weight loss

Kurz

Befort

2022

The Journal of Rural Health

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“…This paper characterizes the health of a sample of largely rural dwelling Australians over 65 years of age, a population that has been historically under-researched resulting in minimal evidence to inform health promotion priorities for this age group [ 40 ]. Of most interest was that our population were predominantly male (59%), which addresses important gaps in the evidence as, broadly speaking, males tend to be difficult to recruit in health research, especially in rural areas [ 41 , 42 ]. Overall, most of the population (72.3%) were aged between 66 and 75 years of age and lived in either a large rural (MM3 34.0%) or small rural (MM5 22.3%) town, with lower levels of education (most of our sample reported that they had not completed high school (60.9% of participants)).…”

Section: Discussionmentioning

confidence: 99%

“…The ARFS ranges from 0 to 73, and questions align with foods in the core food groups of The Australian Guide to Healthy Eating [37]. Scores are categorized as "needs work" (<33), "getting there" (33)(34)(35)(36)(37)(38), "excellent" (39)(40)(41)(42)(43)(44)(45)(46), or "outstanding' (47+)".…”

Section: Dietary Intakementioning

confidence: 99%

Characterizing the Health of Older Rural Australians Attending Rural Events: Implications for Future Health Promotion Opportunities

Schumacher

Alston

Wakely

et al. 2022

IJERPH

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This paper describes the health of older Australians (>65 years) attending rural events to inform health promotion interventions for rural populations. This cross-sectional study collected survey data and objective health measures between 2017 and 2020 at two events held in rural New South Wales, Australia. Participants included in the analysis were adults > 65 years of age. Data included demographic and health information, anthropometric measures (height, weight, waist circumference), and dietary and physical activity data. A total of 256 people > 65 years participated. Our sample, which was mostly male (59.0%), contained people aged between 66 and 75 years (72.3%). Participants lived in either a large rural (34.0%) or small rural town (22.3%), with low levels of education (60.9% did not complete high school). Dietary quality was rated as below average. All but 17.2% of the participants reported having a health condition. The risk of a health condition was associated with increasing age, lower education, and higher waist circumference, but not remoteness. Rural events may provide an opportunity to access, engage with, and understand the health of older rural Australians, especially males. They may offer ideal contexts for health and nutrition promotion opportunities in rural areas where access to health professionals is limited.

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“…In Australia and internationally, many rural communities face disadvantage due to a multitude of factors, including lack of access to facilities, resources, and services [ 2 ]. Despite a growing international evidence-base for rural weight management program effectiveness [ 9 ], rural men are significantly less likely to take up an offer to participate in mixed-gender programs than women [ 10 ]. The Australian Government’s Men’s Health Strategy highlights the need for interventions that support health in priority population groups, including men in rural and low socioeconomic areas [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

‘A Different Ball Game’: Adaptation of a men’s health program for implementation in rural Australia

et al. 2023

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Background Men residing in rural areas are less likely to participate in weight management interventions than women, and few men-specific programs target rural areas. Aussie-Fans in Training (Aussie-FIT) is an evidence-based weight management intervention that uses professional Australian Football club affiliations and settings as a ‘hook’ to engage urban-residing men. The aim of this study is to report on how findings from rural stakeholder focus groups were used to inform the adaptation of Aussie-FIT for implementation in rural areas. Methods Seven focus groups with stakeholders (n = 24) in three rural towns explored existing weight management and physical activity provisions, barriers and facilitators to engaging men, and considerations for adapting Aussie-FIT for implementation in rural contexts. Qualitative data were analysed using the framework approach. Adaptations made to the Aussie-FIT program and strategies to implement the program in rural contexts were reported using a structured framework. Results Themes generated from our analysis include limited appealing services for men, Australian Football as a ‘common language’, the influence of the ‘smaller fishpond’(population), considerations for program inclusivity, and the importance of local partner organisations for sustainability. We adapted the recruitment and marketing strategies, delivery settings, football program theme and partnerships for rural implementation. Stakeholders advised that an Australian Football program theme without specific local club affiliations would be important to avoid alienating men with differing club allegiances or non-sporting backgrounds. A multi-component recruitment strategy utilising local trusted sources, and program marketing that aligns with masculine ideals were considered important by stakeholders in small communities where ‘people talk’. Conclusions Rural areas were described as ‘a different ball game’ due to limited local services and resources in comparison to metropolitan areas. Study findings have synergies with previous studies undertaken in rural contexts including in relation to the power of word of mouth, the importance of trust, and local partner organisations. Findings have implications for engaging rural men in health interventions in rural contexts where professional sporting contexts are not available. Assessing the extent to which the adapted Aussie-FIT program can reach and engage men in rural Australia, and exploring the barriers and facilitators to delivering the program in rural contexts is required.

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Recruitment of Men Into a Pragmatic Rural Primary Care Weight Loss Trial

Cited by 8 publications

References 42 publications

Travel burden in a rural primary care behavioral weight loss randomized trial: Impact on visit attendance and weight loss

Travel burden in a rural primary care behavioral weight loss randomized trial: Impact on visit attendance and weight loss

Characterizing the Health of Older Rural Australians Attending Rural Events: Implications for Future Health Promotion Opportunities

‘A Different Ball Game’: Adaptation of a men’s health program for implementation in rural Australia

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