The First Twenty (TF20) for Volunteer Firefighters in a Clinic Based Setting
| Status: | Completed |
|---|---|
| Conditions: | Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 8/24/2018 |
| Start Date: | December 15, 2015 |
| End Date: | February 18, 2018 |
A Clinic and Tech-Based Diet and Fitness Intervention for Volunteer Firefighters
The First Twenty® (TF20) was recently developed as a not-for-profit, web-mobile program for
firefighters (FFs) specifically focused on improving fitness and nutrition knowledge and
practices. The program was designed by FFs with backgrounds in tactical fitness, marketing
and program development professionals, and nutrition and exercise scientists. Preliminary
data suggests the program is well-received by FFs and results in significant improvement in
body composition and physical fitness. One innovative approach for the eventual dissemination
of TF20 to VFFs is through their fitness-for duty medical exams. The synergy created by
linking the TF20 intervention components, feedback to the VFFs from their medical exam, and
health messages from their physician is predicted to maximize the impact of this much-needed
intervention. The goal of the proposed project is to tailor TF20 for use in a clinic based
setting (CB-TF20) for VFFs and to pilot test it in comparison to the American Heart
Association's Life's Simple 7 (LS7), a web-based diet and physical activity
knowledge/behavior and lifestyle program. The specific aims are to: 1) Conduct formative
research with key stakeholders in the VFF community (e.g., physicians, department leadership,
VFFs) to determine best practices for implementing a clinic-based, web-mobile health and
wellness program with VFFs and medical providers; 2) Develop a clinic-based version of TF20
(CB-TF20) and beta-test it with VFFs; and, 3) Conduct a 6 month, 2-arm, pilot cluster (i.e.,
department) randomized clinical trial (PCRCT) to determine the comparative effectiveness of
the revised CB-TF20 to LS7 on body composition, Framingham Risk Scores, and diet/physical
activity knowledge and behaviors among VFF with BMI >25.0kg/m2; and conduct an evaluation of
the CB-TF20 materials and technology. This innovative R34 study is a critical step in
providing a much needed intervention for VFFs and those providing their annual examinations.
firefighters (FFs) specifically focused on improving fitness and nutrition knowledge and
practices. The program was designed by FFs with backgrounds in tactical fitness, marketing
and program development professionals, and nutrition and exercise scientists. Preliminary
data suggests the program is well-received by FFs and results in significant improvement in
body composition and physical fitness. One innovative approach for the eventual dissemination
of TF20 to VFFs is through their fitness-for duty medical exams. The synergy created by
linking the TF20 intervention components, feedback to the VFFs from their medical exam, and
health messages from their physician is predicted to maximize the impact of this much-needed
intervention. The goal of the proposed project is to tailor TF20 for use in a clinic based
setting (CB-TF20) for VFFs and to pilot test it in comparison to the American Heart
Association's Life's Simple 7 (LS7), a web-based diet and physical activity
knowledge/behavior and lifestyle program. The specific aims are to: 1) Conduct formative
research with key stakeholders in the VFF community (e.g., physicians, department leadership,
VFFs) to determine best practices for implementing a clinic-based, web-mobile health and
wellness program with VFFs and medical providers; 2) Develop a clinic-based version of TF20
(CB-TF20) and beta-test it with VFFs; and, 3) Conduct a 6 month, 2-arm, pilot cluster (i.e.,
department) randomized clinical trial (PCRCT) to determine the comparative effectiveness of
the revised CB-TF20 to LS7 on body composition, Framingham Risk Scores, and diet/physical
activity knowledge and behaviors among VFF with BMI >25.0kg/m2; and conduct an evaluation of
the CB-TF20 materials and technology. This innovative R34 study is a critical step in
providing a much needed intervention for VFFs and those providing their annual examinations.
The US fire service serves as the front line of defense against any domestic emergency and
volunteer firefighters comprise the majority of firefighters, often with negative
consequences for the health of personnel. While rates of overweight and obesity remain high
among firefighters and cardiovascular disease remains the leading cause of line of duty
deaths, few resources tailored to the unique culture and needs of firefighters are available
to help occupational medicine physicians who provide their fitness for duty examinations. By
engaging firefighters and occupational medicine clinicians in tailoring an internet/mobile
intervention and pilot testing the program with a sample of volunteer firefighters, the
investigators will be poised to implement a full-scale clinical trial with the developed
program.
volunteer firefighters comprise the majority of firefighters, often with negative
consequences for the health of personnel. While rates of overweight and obesity remain high
among firefighters and cardiovascular disease remains the leading cause of line of duty
deaths, few resources tailored to the unique culture and needs of firefighters are available
to help occupational medicine physicians who provide their fitness for duty examinations. By
engaging firefighters and occupational medicine clinicians in tailoring an internet/mobile
intervention and pilot testing the program with a sample of volunteer firefighters, the
investigators will be poised to implement a full-scale clinical trial with the developed
program.
Inclusion Criteria:
- Willing to complete all assessments
- Internet accessibility via computer, tablet or smartphone and ability to use devices
appropriately
- Medically cleared to participate in the program through clinicians
- ≥18 years
Exclusion Criteria:
- Not meeting inclusion criteria
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