Sheds for Life: An evaluation of a community- based men’s health promotion programme in the men's shed setting through the application of implementation science

ISRCTN ISRCTN79921361
DOI https://doi.org/10.1186/ISRCTN79921361
Submission date
04/03/2021
Registration date
05/03/2021
Last edited
29/08/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background study and aims
Men's sheds or community sheds are non-profit local organisations that provide a space for craftwork and social interaction.
Although there has been increasing attention on “the problem” of men’s health in recent years, men still remain disproportionately impacted by poorer health, dying younger than women. There have been calls for health promotion initiatives to recognize women and men are different in both biology and their roles in society, which means they require specific strategies that account for gender and sex differences. This is particularly true for “hard-to-reach” groups of men (i.e. those who are unemployed, socially disadvantaged, isolated and have low educational attainment) who are also least likely to engage with health. Men’s Sheds offer a unique opportunity to reach a captive audience of hard-to-reach men. However, attempts to engage Sheds in more structured health promotion programs must respect the ethos of Sheds as highly variable, autonomous, non-structured spaces. “Sheds for Life” is a men’s health intervention that seeks to engage hard-to-reach men with health in the men’s shed setting. It consists of four core pillars of a health check, physical activity, mental health and health eating with supplementary pillars such as diabetes and cancer awareness that Sheds can self-select into. Central to its effective implementation is a partnership approach between the men’s shed members, partner provider organizations, academics and the Irish Men’s Sheds Association. Sheds for Life aims to identify an appropriate model for a structured health promotion program that respects the Sheds environment and is effective in improving health and wellbeing for the men who participate. The overall aim of this research is to investigate the process and effectiveness of the SFL intervention with a focus on the key strategies involved in effective implementation and future scale-up of SFL in order to maximize engagement of hard to reach men in the Sheds setting.

Who can participate?
Members of men’s sheds who chose to participate in Sheds for Life.

What does the study involve?
Men’s shed members who chose to participate in Sheds for Life attend the 10-week program in their sheds. As part of the evaluation, we ask participants to share their health check results (BMI, blood pressure etc.). We also ask questions about their health and wellbeing such as their physical activity levels and how satisfied they feel with life at the beginning of the program, at the end of the program and again 6 and 12 months later. We ask participants in the comparison group the same questions while they are waiting for Sheds for Life to come to their Sheds. We then ask those questions again at the beginning and end of the program and again 6 and 12 months later.

What are the possible benefits and risks of participating?
This study will enable us to find out if Sheds for Life is a model that works in the men’s shed setting. Men’s Shed members are pioneers of the program who work closely with the research team to identify what the needs of the men in the sheds are in terms of health and wellbeing and how we can best meet those needs. Participating in the program will help us to understand how SFL can be most helpful to men. This will in turn help to support men’s shed members to improve their overall health and wellbeing. By demonstrating that SFL works we hope to be able to give all men’s sheds across Ireland the opportunity to participate.

The primary risk for participants is the possibility of being identified as a participant in the research. Steps have been taken to off-set these risks and have been approved by the WIT research ethics committee. All intervention content will be run under the guidance and training of the Irish Men’s Sheds Association and by qualified external partners. All SFL partners are adequately insured and qualified to run elements of SFL and engage in a screening process with participants to assess their ability to partake in the intervention for safety purposes. Screening elements of SFL will be run by registered nurses from the Irish Heart Foundation. Other practitioners working directly with participants are trained in first aid and also will complete Guidance training for working effectively within the environment of the Sheds. This training also incorporates ENGAGE training which is gender-sensitive training for front line service providers working directly with men. In the event that there are any concerns about the health of participants they will be referred to their GP or signposted to the relevant service.

Where is the study run from?
Waterford Institute of Technology (Ireland)

When is the study starting and how long is it expected to run for?
January 2019 to December 2021

Who is funding the study?
The Irish Men’s Sheds Association, The Health Service Executive, partner organizations, Slaintecare and The Irish Research Council

Who is the main contact?
Aisling McGrath (aisling.mcgrath@postgrad.wit.ie)
Edel Byrne (edel@menssheds.ie)

Contact information

Ms Aisling McGrath
Scientific

Department of Sport and Exercise Science
Waterford Institute of Technology
Cork Rd. Campus
Waterford
X91 K0EK
Ireland

ORCiD logoORCID ID 0000-0003-3731-9165
Phone +353 852163077
Email aisling.mcgrath@postgrad.wit.ie

Study information

Study designMulticenter longitudinal pragmatic controlled trial
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Community
Study typePrevention
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleThe effect of a 10-week gender-specific men's health intervention on health and wellbeing outcomes of men's shed members
Study acronymSFL
Study hypothesisTo determine whether the SFL program delivered in the men's shed setting was effective in engaging hard to reach men with health and improving health and wellbeing outcomes
Ethics approval(s)Approved 11/12/2018, Waterford Institute of Technology Research Ethics Committee (Waterford Institute of Technology, Waterford, Ireland; no telephone number provided; info@wit.ei), ref: WIT2018REC0010
ConditionPromotion of physical activity, subjective wellbeing, mental well-being and healthy diet in men's shed members
InterventionSheds for Life is a 10-week tailored and targeted intervention delivered directly in the men’s shed setting. Participants are non-randomized and Sheds self-select into the intervention. A clustered design over a representative geographical spread where the intervention is delivered to small clusters of men within the Sheds is preferable to honor the ethos and promote social capital within the familiar setting (circa 20 men in each cluster (n=20)).The intervention is designed using gender-specific strategies to engage at risk or hard-to-reach men and therefore consists of core pillars with optional components to allow each Shed to tailor the intervention to promote a sense of buy-in, autonomy and control.

The intervention comprises of four core pillars including:
1. An initial free health check [BMI, waist circumference, BP, cholesterol, glucose and carbon monoxide]
2. Structured 1 hour weekly exercise of either a) a facilitated group walking program or b) group exercise focusing on strength, balance and mobility
3. A facilitated four hour mental health workshop
4. A cooking and health eating course (2.5 hours weekly for six weeks)

The intervention consists of several other facilitated, optional workshops that Sheds can select including; CPR, suicide prevention, diabetes awareness, cancer awareness, digital literacy, bereavement, dementia awareness and oral health awareness. The core objectives of the intervention are standardised across delivery sites.

A wait-list control method will be used where two control counties with clusters (n=3) awaiting the intervention will be used a comparison group.
Intervention typeBehavioural
Primary outcome measure1. General health history, help-seeking and perception, measured using a questionnaire adapted from SLÁN 2007 [Barry et al., 2009] assessed at baseline, 3, 6 and 12 months
2. Self-rated health measured using a single question Likert scale with high reliability among older men (Lunderberg and Manderbacka, 1996) assessed at baseline, 3, 6 and 12 months
3. Changes in physical activity; The single item walking measure will be used to record days walking on an 8-point scale (0-7), average minutes walking will be recorded and the single-item PA measure will be used to record PA levels (Milton, Bull and Bauman, 2011). All assessed at baseline, 3, 6 and 12 months
4. Physical activity self-efficacy: measured with The Self-Efficacy for Exercise Scale (SEE) assessed at baseline, 3, 6 and 12 months (Resnick and Jenkins, 2000)
5. Subjective wellbeing: Life worth and satisfaction will be recorded at baseline, 3, 6 and 12 months using the Office of National Statistics subjective wellbeing 11-point scales (ONS, 2015)
6. Mental wellbeing will be measured at baseline, 3, 6 and 12 months using the Short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS) with raw to metric score conversion where a change of 2+ is considered relevant (Stewart-Brown et al., 2009)
7. Social Captial; belonging, close support and trust will be assessed at baseline, 3, 6 and 12 months adapted from the whatworkswellbeing questionnaire and Office of National Statistics (2016)
8. Dietary habits and confidence assessed at baseline, 3, 6 and 12 months from the Garcia et al., (2017) adapted questionnaire.
9. Alcohol habits, measured using a questionnaire adapted from SLÁN [Barry et al., 2009] assessed at baseline, 3, 6 and 12 months
10. Smoking habits, measured using a questionnaire adapted from SLÁN [Barry et al., 2009] assessed at baseline, 3, 6 and 12 months
Secondary outcome measures1. Cost-effectiveness measured using the SF-6D assessed at baseline, 3, 6 and 12 months (Brazier, Roberts & Deverill, 2002)
2. Assessment of implementation outcomes and process to inform sustainability and scale-up of the intervention using established implementation frameworks; The Consolidated Framework for Implementation Research (Damschroder et al., 2009), The PRACTical planning for Implementation and Scale-up guide (Koorts et al., 2018), The taxonomy of implementation outcomes (Proctor et al., 2011). Data collected through focus groups, interviews and field notes with key stakeholders (participants, service providers, host organisation)
3. Assessment of optional intervention components, tracking changes in confidence, knowledge and attitudes assessed at baseline, 3, 6 and 12 months
Overall study start date01/01/2019
Overall study end date17/12/2021

Eligibility

Participant type(s)All
Age groupAdult
SexMale
Target number of participantsA total of 600 participants will be targeted across n=30 clusters in the intervention with n=3 clusters in the wait-list control. To date the trialists have recruited 421 men in the intervention spread across n=21 clusters with a mean of 19 men per cluster
Participant inclusion criteriaAdult males in the men's shed setting
Participant exclusion criteriaNon-proficiency in the English language
Recruitment start date04/03/2019
Recruitment end date15/10/2021

Locations

Countries of recruitment

  • Ireland

Study participating centres

Irish Men's Shed Association
Irish Farm Centre
Naas Rd
Drimnagh
Dublin
D12 YXW5
Ireland
Dungarvan Men's Shed
Dungarvan
Waterford
0000
Ireland
Deise and City Sheds
Waterford City
Waterford
0000
Ireland
Waterford Estuary Men's Shed
Passage East
Waterford
0000
Ireland
Leixlip Men's Shed
Leixlip
Kildare
000
Ireland
Kilcock Men's Shed
Kilcock
Kildare
0000
Ireland
Maynooth Men's Shed
Maynooth
Kildare
0000
Ireland
Naas Men's Shed
Naas
Kildare
0000
Ireland
Cooleragh and Staplestown Men's Sheds
Cooleragh
Kildare
0000
Ireland
Kildare Town Men's Shed
Kildare
Kildare
0000
Ireland
Na Fianna and Allenwood Men's Sheds
Kildare
Kildare
0000
Ireland
Clane Men's Shed
Clane
Kildare
0000
Ireland
Kill Men's Shed
Kill
Kildare
0000
Ireland
Galbally Men's Shed
Galbally
Limerick
0000
Ireland
Croom and Adare Men's Sheds
Limerick
0000
Ireland
Cooley Men's Shed
Louth
0000
Ireland
Broomfield, Drogheda and Dundalk men's sheds
Louth
0000
Ireland
Limerick City, Mulcair, Abbeyfeale and Doon Men's Sheds
Limerick
0000
Ireland

Sponsor information

Waterford Institute of Technology
University/education

Cork Rd. Campus
Waterford
X91 K0EK
Ireland

Phone +353 51 30 2000
Email info@wit.ie
Website http://www.wit.ie/

Funders

Funder type

Research council

Irish Research Council
Government organisation / Research institutes and centers
Alternative name(s)
An Chomhairle um Thaighde in Éirinn, IrishResearch
Location
Ireland

Results and Publications

Intention to publish date02/10/2022
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planIt is envisaged there will be numerous publications arising from this research study and the following are currently under development:
1. Sheds for Life methodology: program and research design
2. A baseline profile of the men who participated in this study that will also look at the relationship between physiological and psychosocial health indicators
3. The impact of a 10-week targeted men’s health program for men in men’s sheds on health and wellbeing outcomes (Quantitative Data).
4. Implementation of gender-specific strategies that maximize engagement of hard-to-reach men
5. The implementation and scale-up of Sheds for Life – process and outcomes
6. The cost-effectiveness of Sheds for Life
7. An Interim Report of impact findings
8. A final report will be produced for the Irish Men’s Sheds Association, targeted principally at policy makers and service providers. An accessible version of the report will be produced for Shed members, and the general public to ensure knowledge exchange at all levels. This will comprise of infographic representation of findings, and video and photographic evidence
IPD sharing planThe current data sharing plans for this study are unknown and will be available at a later date.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article 26/04/2021 28/04/2021 Yes No
Results article 20/08/2022 22/08/2022 Yes No
Results article Cost-effectiveness 15/02/2022 09/07/2024 Yes No

Editorial Notes

09/07/2024: Publication reference added.
22/08/2022: Publication reference added.
03/09/2021: The following changes have been made:
1. The recruitment end date has been changed from 06/09/2021 to 15/10/2021.
2. The overall trial end date has been changed from 14/12/2021 to 17/12/2021.
28/04/2021: Publication reference added.
05/03/2021: Trial's existence confirmed by Waterford Institute of Technology