Scale-up and scale-out of a gender-sensitized weight management and healthy living program delivered to overweight men via professional sports clubs : the wider implementation of Football Fans in Training (FFIT)

Hunt, Kate and Wyke, Sally and Bunn, Christopher and Donnachie, Craig and Reid, Nicky and Gray, Cindy M. (2020) Scale-up and scale-out of a gender-sensitized weight management and healthy living program delivered to overweight men via professional sports clubs : the wider implementation of Football Fans in Training (FFIT). International Journal of Environmental Research and Public Health, 17. pp. 1-32. 584. ISSN 1660-4601 (https://doi.org/10.3390/ijerph17020584)

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Abstract

Increasing prevalence of obesity poses challenges for public health. Men have been under-served by weight management programs, highlighting a need for gender-sensitized programs that can be embedded into routine practice or adapted for new settings/populations, to accelerate the process of implementing programs that are successful and cost-effective under research conditions. To address gaps in examples of how to bridge the research to practice gap, we describe the scale-up and scale-out of Football Fans in Training (FFIT), a weight management and healthy living program in relation to two implementation frameworks. The paper presents: the development, evaluation and scale-up of FFIT, mapped onto the PRACTIS guide; outcomes in scale-up deliveries; and the scale-out of FFIT through programs delivered in other contexts (other countries, professional sports, target groups, public health focus). FFIT has been scaled-up through a single-license franchise model in over 40 UK professional football clubs to 2019 (and 30 more from 2020) and scaled-out into football and other sporting contexts in Australia, Canada, New Zealand, England and other European countries. The successful scale-up and scale-out of FFIT demonstrates that, with attention to cultural constructions of masculinity, public health interventions can appeal to men and support them in sustainable lifestyle change.

ORCID iDs

Hunt, Kate, Wyke, Sally, Bunn, Christopher, Donnachie, Craig ORCID logoORCID: https://orcid.org/0000-0003-1637-3138, Reid, Nicky and Gray, Cindy M.;