Background
Methods
Study design
Study group
|
(Baseline) 0 month
|
Intervention
|
(Post intervention) 6 months
|
---|---|---|---|
Controls (n = 300) | O1 | O2 | |
Interventions (n = 300) | O1 | X | O2 |
Study procedure
Recruitment of RCs
Recruitment of participants
Procedure
Sample size determination
Outcome measures
Primary outcome variables
|
Measurement tools
|
Self-reported levels of PA behaviour (incidental, programmed and sedentary) | GPAQ |
Objectively measured levels of PA: intensity, duration and frequency | ActiGraph GT3X accelerometers |
Self-reported levels of dietary behaviours on wholegrains, fat, oils, salt, sugar, fruits and vegetables consumption | STEPS dietary behaviour questionnaire |
Lipid profile – cholesterol and TG, BG | Fasting blood samples |
Secondary outcome variables
|
Measurement tools
|
Anthropometric measurements – weight, height, BMI, waist hip circumference and body fat percentage | Portable stadiometer, calibrated weighing machines, tape measures and Endo Body Fat Composition Analyser E-DBS908 |
BP | Omron electronic BP monitor |
Self-reported health-related QOL | SF-8 questionnaire |
Primary outcome variables
Blood samples
Secondary outcome variables
Process evaluation
Theoretical framework
SCT
|
Strategies
|
Methods
|
---|---|---|
Environment | Build physical and nutrition supports within the RCs | Conduct face-to-face meetings, follow-up calls and provide educational resources |
Outcome expectations / Expectancies | Educate on the benefits of nutritious diet and regular PA / achievement of better health screening results and MI | Introduce concept of goal setting and resources at initial meeting; undertake face-to-face sessions, follow-up calls and feedback sessions |
Self-efficacy | Goal setting, monitor progress and mastery of health practices and MI | Regular coaching and feedback on participants' PA and nutrition goals towards improving health outcomes (incremental and achievable). Programme ambassadors encourage the adoption of health-enhancing behaviour and practice of new skills and provide feedback |
Observational learning | Observe programme ambassadors’ dietary and PA behaviours | Demonstrate PA and showcase cooking advice practices. Programme ambassadors act as positive role models |
Positive reinforcement | Education and skill building sessions and MI | Regular encouragement, ongoing monitoring of personal PA goals through follow-up support and feedback |
Intervention
Session (timing)
|
Session details
|
Participant’s resources / interactive activities
|
---|---|---|
PA sessions
(1 hr- twice a month)
[Week 2 -24]
| 1. Introduction to SPANS programme 2. Focus PA: aerobic • Benefits/barriers/motivators • Guidelines 3. Establish short and long term PA goals | 1. Resources • ‘Active for Life’ booklet 2. Interactive activities • PA warm up • Muscle strengthening and low intensity aerobic workout • Cool down and stretches |
Nutrition session 1 – Eat Well, Live Well
[Week 1]
| 1. Focus on nutrition • Benefits/barriers/motivators • Healthy plate model and guidelines 2. Establish short and long term nutrition goals | 1. Resources: • ‘Nutrition Guide for Healthy Aging’ booklet • Health calendar with monthly recipes and health tips 2. Interactive activities: • What’s On Your Plate? • Read your food label |
Nutrition session 2 – Smart Shopping and Dining Alert [Week 12]
| 1. Focus on nutrition • Healthy shopping and cooking tips • Healthier Choice Symbols | 1. Resources • ‘Recipes for Health Aging’ booklet • ‘Lowering BP’ booklet 2. Interactive activities • Ranking game on food calorie • Guess the herbs and spices in cooking |
Nutrition session 3 – Take Charge Of Your Health
[Week 24]
| 1. Focus on nutrition and PA • Manage cholesterol and BG levels 2. Identify social support and overcome relapse | 1. Resources • ‘Keeping Cholesterol in Check’ booklet • ‘Tips to Better Health: Keeping My Blood Sugar Levels Healthy’ booklet 2. Interactive activities • Mix and match cholesterol in foods • Brainstorm on improving BG levels |
PA and nutrition counselling
(45 mins – once every 2 months)
[Week 4, 12, 20]
| 1. Focus on behavioural change 2. Record dietary and PA record 3. Set, review short and long term goals 4. Provide guidance and support on healthy lifestyle | 1. Resources • Fridge magnet with reminders on ‘Eat More Fruits and Vegetables’ • Tote Bag on ‘Healthy Living’ • Sports towel with ‘Warm Up Before PA’ slogan 2. Interactive activity • Goal setting and reflection |
Follow-Up Calls / PA and nutrition text phone messages
(once per month)
[Week 4 -24]
| 1. A monthly PA and nutrition ‘tip of the day’ will be sent via a “WhatsApp” chat platform. |
Interactive activity
• Participants send other health-related messages to simulate discussion. |