The Cycle Nation Project (Phase 2: Feasibility)

NCT04035941 | Unknown

• 1 other identifier: 200180138
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Interventions to increase the number of people cycling regularly are likely to induce a range of health and societal benefits, including reduced incidence of heart disease, cancer and obesity, improved mental health and well-being, and reduced road congestion and air pollution. They are also likely to provide tangible financial and in-kind benefits to employers and society, through reduced workforce absenteeism, increased productivity and decreased use of NHS resources. However, increasing the number of people cycling regularly is complex and interventions undertaken to date have only been modestly successful. Thus, to induce a step-change in the number of people cycling in the United Kingdom (UK), in line with British Cycling and HSBC UK's stated aim of getting two million more people on bikes, new approaches are needed. The research team have been working with staff and management at British Cycling and HSBC to co-develop a novel, multi-component intervention for delivery at HSBC offices to increase the number of employees cycling regularly. The intervention has four main components: 1) a six (intermediate) or nine (foundation) week practical skills programme; 2) cycle provision (tune-up/loan/subsidised purchase) schemes; 3) establishment of a cycle-friendly workplace culture; 4) a cycle app. The purpose of this study is to test the feasibility of this intervention in a before-and-after study in four HSBC offices around the UK.

Conditions

Health Behavior

Keywords

physical activity; cycling

Outcome Measures

Primary Outcomes (8)

• Feasibility of intervention delivery: Investigator conducted session observations

  To measure the feasibility of delivery of all cycle training components by investigator conducted session observations.

  9 weeks

• Feasibility of intervention delivery: Investigator conducted interviews

  To measure the feasibility of delivery of all cycle training components by investigator conducted interviews with cycle champions.

  9 weeks

• Cycling behaviour

  Self reported number of people cycling regularly (both monthly and weekly) and number of cycling journeys for transport or leisure in the last month.

  Change from baseline to 13 weeks

• Participant and Cycle Champion recruitment

  Measeurement of the recruitment of participants and cycle champions.

  Conducted pre baseline

• Participant and Cycle Champion retention

  Measurement of the number of participants and cycle champions who undertake the training course to completion, as well as participant drop-out

  Change from baseline to 9 weeks

• Participant adherence to the cycle training course

  Measurement of participant attendance to training sessions

  Through study completion to 9 weeks

• Cycle Champion interviews: acceptability of cycle training course delivery

  Interview measured acceptability of all elements of intervention delivery (cycle champions)

  9 weeks

• Participant questionnaire: Likert scale of training course acceptability

  Self-reported questionnaire measured acceptability of all elements of intervention delivery

  9 weeks

Secondary Outcomes (19)

• Objectively-measured incidental physical activity

  Change from baseline to 13 weeks

• Participant questionnaire reported motivation: 15 item Likert scale

  Change from baseline to 13 weeks

• Participant questionnaire measured work-related productivity: Likert scale

  Change from baseline to 13 weeks

• Participant self-reported monthly cycling activity: number of rides and duration

  Change from baseline to 13 weeks

• Participant self-reported dietry intake: DINE questionnaire

  Change from baseline to 13 weeks

Other Outcomes (2)

• Blood pressure

  Change from baseline to 13 weeks

• Homestasis Model Estimated Insulin Resistance (HOMA-IR)

  Change from baseline to 13 weeks

Study Arms (1)

Feasibility

EXPERIMENTAL

The cycle training intervention group

Behavioral: Cycle Nation Multicomponent Intervention

Interventions

Cycle Nation Multicomponent Intervention BEHAVIORAL

This intervention group will receive 4 elements: 1. Practical skills programme: a workplace-based programme covering basic cycling skills, delivered by trained 'cycle champions' - HSBC staff members. 2. Cycle provision scheme: participants will have the opportunity to have their own bicycles serviced or obtain a loaned bike or e-bike from local bike shops before the start of the programme. 3. Cycle-friendly workplace culture: all offices taking part will have a minimum of secure bike parking facilities as part of an ongoing roll-out of cycle infrastructure across HSBC UK offices. 4. Our Cycle Hub app: an adapted version of an existing HSBC app including route planning, goal setting and practical skills videos, as well as supportive social interaction among participants.

Feasibility

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Any staff members who currently cycle less than once per month or not at all

You may not qualify if:

• Staff members who currently cycle more than once per month

Sponsors & Collaborators

• University of Glasgow: lead
• University of Edinburgh: collaborator

Study Sites (1)

University of Glasgow

Glasgow, G12 8QQ, United Kingdom

Location

Related Publications (24)

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• Schnohr P, Marott JL, Jensen JS, Jensen GB. Intensity versus duration of cycling, impact on all-cause and coronary heart disease mortality: the Copenhagen City Heart Study. Eur J Prev Cardiol. 2012 Feb;19(1):73-80. doi: 10.1177/1741826710393196. Epub 2011 Feb 21.

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  PMID: 10847255 BACKGROUND

• Oja P, Kelly P, Pedisic Z, Titze S, Bauman A, Foster C, Hamer M, Hillsdon M, Stamatakis E. Associations of specific types of sports and exercise with all-cause and cardiovascular-disease mortality: a cohort study of 80 306 British adults. Br J Sports Med. 2017 May;51(10):812-817. doi: 10.1136/bjsports-2016-096822. Epub 2016 Nov 28.

  PMID: 27895075 BACKGROUND

• Celis-Morales CA, Lyall DM, Welsh P, Anderson J, Steell L, Guo Y, Maldonado R, Mackay DF, Pell JP, Sattar N, Gill JMR. Association between active commuting and incident cardiovascular disease, cancer, and mortality: prospective cohort study. BMJ. 2017 Apr 19;357:j1456. doi: 10.1136/bmj.j1456.

  PMID: 28424154 BACKGROUND

• Blond K, Jensen MK, Rasmussen MG, Overvad K, Tjonneland A, Ostergaard L, Grontved A. Prospective Study of Bicycling and Risk of Coronary Heart Disease in Danish Men and Women. Circulation. 2016 Nov 1;134(18):1409-1411. doi: 10.1161/CIRCULATIONAHA.116.024651. No abstract available.

  PMID: 27799259 BACKGROUND

• Kubesch NJ, Therming Jorgensen J, Hoffmann B, Loft S, Nieuwenhuijsen MJ, Raaschou-Nielsen O, Pedersen M, Hertel O, Overvad K, Tjonneland A, Prescot E, Andersen ZJ. Effects of Leisure-Time and Transport-Related Physical Activities on the Risk of Incident and Recurrent Myocardial Infarction and Interaction With Traffic-Related Air Pollution: A Cohort Study. J Am Heart Assoc. 2018 Jul 18;7(15):e009554. doi: 10.1161/JAHA.118.009554.

  PMID: 30021805 BACKGROUND

• Hoevenaar-Blom MP, Wendel-Vos GC, Spijkerman AM, Kromhout D, Verschuren WM. Cycling and sports, but not walking, are associated with 10-year cardiovascular disease incidence: the MORGEN Study. Eur J Cardiovasc Prev Rehabil. 2011 Feb;18(1):41-7. doi: 10.1097/HJR.0b013e32833bfc87.

  PMID: 20543701 BACKGROUND

• Tanasescu M, Leitzmann MF, Rimm EB, Willett WC, Stampfer MJ, Hu FB. Exercise type and intensity in relation to coronary heart disease in men. JAMA. 2002 Oct 23-30;288(16):1994-2000. doi: 10.1001/jama.288.16.1994.

  PMID: 12387651 BACKGROUND

• Millett C, Agrawal S, Sullivan R, Vaz M, Kurpad A, Bharathi AV, Prabhakaran D, Reddy KS, Kinra S, Smith GD, Ebrahim S; Indian Migration Study group. Associations between active travel to work and overweight, hypertension, and diabetes in India: a cross-sectional study. PLoS Med. 2013;10(6):e1001459. doi: 10.1371/journal.pmed.1001459. Epub 2013 Jun 11.

  PMID: 23776412 BACKGROUND

• Laverty AA, Mindell JS, Webb EA, Millett C. Active travel to work and cardiovascular risk factors in the United Kingdom. Am J Prev Med. 2013 Sep;45(3):282-8. doi: 10.1016/j.amepre.2013.04.012.

  PMID: 23953354 BACKGROUND

• Rasmussen MG, Grontved A, Blond K, Overvad K, Tjonneland A, Jensen MK, Ostergaard L. Associations between Recreational and Commuter Cycling, Changes in Cycling, and Type 2 Diabetes Risk: A Cohort Study of Danish Men and Women. PLoS Med. 2016 Jul 12;13(7):e1002076. doi: 10.1371/journal.pmed.1002076. eCollection 2016 Jul.

  PMID: 27403867 BACKGROUND

• Mytton OT, Ogilvie D, Griffin S, Brage S, Wareham N, Panter J. Associations of active commuting with body fat and visceral adipose tissue: A cross-sectional population based study in the UK. Prev Med. 2018 Jan;106:86-93. doi: 10.1016/j.ypmed.2017.10.017. Epub 2017 Oct 10.

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• Hollingworth M, Harper A, Hamer M. Dose-response associations between cycling activity and risk of hypertension in regular cyclists: The UK Cycling for Health Study. J Hum Hypertens. 2015 Apr;29(4):219-23. doi: 10.1038/jhh.2014.89. Epub 2014 Oct 2.

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• Rasmussen MG, Overvad K, Tjonneland A, Jensen MK, Ostergaard L, Grontved A. Changes in Cycling and Incidence of Overweight and Obesity among Danish Men and Women. Med Sci Sports Exerc. 2018 Jul;50(7):1413-1421. doi: 10.1249/MSS.0000000000001577.

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• Oja P, Titze S, Bauman A, de Geus B, Krenn P, Reger-Nash B, Kohlberger T. Health benefits of cycling: a systematic review. Scand J Med Sci Sports. 2011 Aug;21(4):496-509. doi: 10.1111/j.1600-0838.2011.01299.x. Epub 2011 Apr 18.

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• de Geus B, Van Hoof E, Aerts I, Meeusen R. Cycling to work: influence on indexes of health in untrained men and women in Flanders. Coronary heart disease and quality of life. Scand J Med Sci Sports. 2008 Aug;18(4):498-510. doi: 10.1111/j.1600-0838.2007.00729.x. Epub 2007 Dec 7.

  PMID: 18067515 BACKGROUND

• Moller NC, Ostergaard L, Gade JR, Nielsen JL, Andersen LB. The effect on cardiorespiratory fitness after an 8-week period of commuter cycling--a randomized controlled study in adults. Prev Med. 2011 Sep;53(3):172-7. doi: 10.1016/j.ypmed.2011.06.007. Epub 2011 Jun 25.

  PMID: 21708185 BACKGROUND

• Crane M, Rissel C, Standen C, Greaves S. Associations between the frequency of cycling and domains of quality of life. Health Promot J Austr. 2014 Dec;25(3):182-5. doi: 10.1071/HE14053.

  PMID: 25481703 BACKGROUND

• Mytton OT, Panter J, Ogilvie D. Longitudinal associations of active commuting with wellbeing and sickness absence. Prev Med. 2016 Mar;84:19-26. doi: 10.1016/j.ypmed.2015.12.010. Epub 2015 Dec 29.

  PMID: 26740344 BACKGROUND

• Rojas-Rueda D, de Nazelle A, Tainio M, Nieuwenhuijsen MJ. The health risks and benefits of cycling in urban environments compared with car use: health impact assessment study. BMJ. 2011 Aug 4;343:d4521. doi: 10.1136/bmj.d4521.

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• Stewart G, Anokye NK, Pokhrel S. What interventions increase commuter cycling? A systematic review. BMJ Open. 2015 Aug 14;5(8):e007945. doi: 10.1136/bmjopen-2015-007945.

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  PMID: 23477577 BACKGROUND

MeSH Terms

Conditions

Health Behavior; Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Jason MR Gill, PhD

  University of Glasgow

  PRINCIPAL INVESTIGATOR

• Cindy M Gray, PhD

  University of Glasgow

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Greig RM Logan, PhD

CONTACT

01413304377; greig.logan@glasgow.ac.uk

Jason MR Gill, PhD

CONTACT

01413302916; jason.gill@glasgow.ac.uk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Cardiometabolic Health

Model Details: Study design: A before-and-after feasibility study with follow up to six months.

Study Record Dates

• First Submitted: July 19, 2019
• First Posted: July 29, 2019
• Study Start: August 5, 2019
• Primary Completion: April 30, 2020
• Study Completion: March 31, 2021
• Last Updated: July 29, 2019

Record last verified: 2019-07

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)