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The intervention process in the European Fans in Training (EuroFIT) trial: a mixed method protocol for evaluation.

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Summary

The EuroFIT program engaged overweight men in lifestyle changes using football clubs. This process evaluation assessed its implementation and impact, offering insights for future health initiatives in sports.

Keywords:
Behaviour changeComplex interventionDietFootballHealth promotionMasculinityMen’s healthPhysical activityProcess evaluationPublic healthSedentary lifestyleSports stadia

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Area of Science:

  • Public Health
  • Behavioral Science
  • Sports Science

Background:

  • EuroFIT is a gender-sensitized health program for men, delivered via football clubs to encourage lifestyle changes.
  • It targets physical activity, sedentary behavior, and diet, leveraging football interest for engagement.
  • The program is evaluated in a multicenter pragmatic randomized controlled trial (RCT) involving ~1000 overweight men aged 30-65.

Purpose of the Study:

  • To evaluate the implementation of the EuroFIT program within a multicenter RCT.
  • To investigate the processes through which EuroFIT affects health and lifestyle outcomes in men.
  • To provide recommendations for optimizing the program for future implementation and broader health initiatives.

Main Methods:

  • A mixed-methods process evaluation guided by MRC guidance for complex interventions.
  • Data collection included participant and coach questionnaires, attendance logs, observations, and usage data from self-monitoring devices (SitFIT) and a social support app (MatchFIT).
  • Interviews with coaches and club representatives, and focus groups with participants were conducted across 15 football clubs in four countries.

Main Results:

  • The process evaluation will detail implementation requirements and outcome effects within the RCT.
  • Analysis will focus on how the program was implemented across different countries and clubs.
  • Findings will highlight the processes linking EuroFIT to outcomes, considering the football club context.

Conclusions:

  • The evaluation provides a comprehensive account of EuroFIT's implementation and impact.
  • Results will inform program optimization for post-trial rollout and future health promotion strategies.
  • The study offers insights for developing health and wellbeing initiatives through professional sports clubs.