The First Twenty (TF20) for Volunteer Firefighters in a Clinic Based Setting
A Clinic and Tech-Based Diet and Fitness Intervention for Volunteer Firefighters
1 other identifier
interventional
198
1 country
2
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable obesity
Started Dec 2015
Typical duration for not_applicable obesity
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 15, 2015
CompletedFirst Submitted
Initial submission to the registry
April 29, 2016
CompletedFirst Posted
Study publicly available on registry
May 3, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 18, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
February 18, 2018
CompletedAugust 22, 2018
August 1, 2018
2.2 years
April 29, 2016
August 20, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Body Fat
Body fat as measured by foot-to-foot bio-electrical impedance
6 months
Secondary Outcomes (3)
Framingham Risk Score
6 months
Body Mass Index (BMI)
6 months
Waist circumference
6 months
Study Arms (2)
The First Twenty (TF20)
EXPERIMENTALParticipants in TF20 will be provided an online wellness program focused on fitness and nutrition tailored to firefighters. TF20 is interactive and involves health coaching.
Life Simple Seven (LS7)
PLACEBO COMPARATORParticipants assigned to the LS7 arm will be directed to a website that contains information about health and wellness from the American Heart Association that was developed for the general population. No health coaching is present and the site is not tailored for the fire service.
Interventions
TF20 is an online wellness program for firefighters focused on improving cardiovascular risk factors through behavioral changes.
LS7 is a wellness program designed and implemented by the American Heart Association focused on improving cardiovascular health.
Eligibility Criteria
You may qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
NDRI Institute of Bioebehavioral Health Research
Leawood, Kansas, 66224, United States
National Development and Research Institutes
New York, New York, 10010, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sara Jahnke, PhD
National Development & Research Institutes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 29, 2016
First Posted
May 3, 2016
Study Start
December 15, 2015
Primary Completion
February 18, 2018
Study Completion
February 18, 2018
Last Updated
August 22, 2018
Record last verified: 2018-08