12-Week Lifestyle
Modification Program
For Men, Run by Men
Reducing Chronic
Disease Risk
Funding and Partnerships: SA Health, CSIRO, Freemasons Foundation, University of Adelaide
Freemasons Foundation Centre for Men's Health, University of Adelaide
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Clinical Consequences of Abdominal
Obesity in Men
Lower urinary tract symptoms
•
•
Musculoskeletal
Prostate cancer
aggressiveness
Freemasons Foundation Centre for Men's Health, The University of Adelaide
•
•
Years of healthy
life lived
Time off work
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Background
Men are less likely than women to
• meet dietary and exercise recommendations
• address stress, mental health
• engage in lifestyle modification programs (LMPs)
Just 5% weight loss reduces risk of
• abnormal sexual function, lower urinary tract
symptoms and severe sleep apnoea
• chronic disease
Successful LMPs for men only
• Manup (on-line) - Men prefer face to face
• Football Fans in Training - Professionally led, cost
AIHW 2013; Smith et al 2006,2008; Pagato et al, 2011, Stoutenberg et al, 2014; Khoo, 2011, Peppard et al, 2000
Freemasons Foundation Centre for Men's Health, University of Adelaide
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• 12-week structured program
• 1.5 hour sessions
• Based on chronic disease selfmanagement (Stanford) framework
• Volunteer group leaders trained in group facilitation
and peer-education techniques
• Maximum group size =15 men
• Focus on social support & increasing men’s health
literacy and self-efficacy in relation to 4 lifestyle
areas nutrition, physical activity, sleep habits, stress)
• Specific men’s health education topics
Freemasons Foundation Centre for Men ‘s Health, University of Adelaide
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• Evidence, expert and focus-group
group
advised resources tailored to men
• Baseline and 12-week testing
– waist circumference, BMI, blood pressure, grip
strength
– lipid and blood glucose (optional)
Validated by randomised controlled trial
• 178 men
• 18-84 years (mean 55; SD 14)
• 11 groups in SA, NT, Vic
Freemasons Foundation Centre for Men's Health, University of Adelaide
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Trial Outcomes
• Feasible, 88% retention
• > 80% rated group experience
positively
• > 90% would recommend GIRTH
to other men
• Improvements over 12 weeks in
– Waist circumference
4.9cm (95% CI 6.1 to 3.8cm)
– Other risk factors for cardiometabolic disease
– Health related quality of life
– Self-efficacy
Freemasons Foundation Centre for Men ‘s Health, University of Adelaide
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Delivery of GIRTH via Local
Government
Health promotion agenda expanded role of LGs from health
protection and healthy environments to LMP
implementation
Advantages
• Understand communities – “real world needs & barriers”
• Have trust of community
• Good marketing & communication infrastructure
• Local public venues
• Can identify community champions and leaders
Constraints
• Available personnel to administer LMP
Pettman et al, 2013 • Competing programs
Freemasons Foundation Centre for Men's Health, University of Adelaide
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Community Roll-out Trial
• Christine Loveday – City of
Charles Sturt
• Seminar – 25 attendees and 19
EOIs
• 3 volunteers leaders trained
• 15 men available for designated
venue/night
• 14 men attended, 13 completed
• Clinical results and evaluation
consistent with, or better, than
RCT
Freemasons Foundation Centre for Men's Health, University of Adelaide
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Academic-LG Partnership
Model
• Train the trainer/ lead the leader approach
(once-off training cost to LG)
• Share resources and expertise without cost
subject to a user agreement that includes
– Use of de-identified testing data
– No profiteering at the cost of participants
• Involve local “lifestyle” businesses in delivery
Freemasons Foundation Centre for Men's Health, University of Adelaide
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Further Information
on GIRTH
and Leader Training
(Nov 5-6, 2016)
Marg McGee BSc, MPH
[email protected]
Professor Gary Wittert
Director of FF Centre for Men’s Health
Head of Discipline of Medicine,
University of Adelaide
[email protected]
Freemasons Foundation Centre for Men's Health, University of Adelaide
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