Small Steps for Big Changes - Healthy Cities Implementation Science

Type 2 diabetes status

Self reported HbA1c%

Change in HbA1c

Venipuncture blood collection of HbA1c% through laboratory testing in a subsample of participants

Adoption of SSBC

Proportion and representativeness of coaches and implementation support team obtained through program records

Reach of SSBC

Proportion of patients' enrolled and completing the intervention, proportion of implementation staff trained and retained. Demographics of the patients and staff

Change in body weight

Measured in pounds

Change in cardiorespiratory fitness

Distance walked in the six minute walk test will be conducted at sites with access to a walking track.

Change in physical activity behaviour using the Godin Leisure Time Physical Activity Questionnaire

The Godin Leisure Time Physical Activity Questionnaire will be used to examine physical activity behaviour. Respondents report the frequency of strenuous, moderate, and mild physical activity for bouts of 15 or more minutes during a 7-day period. The scores are multiplied by weigths and summed into an overall score reports in metabolic equivalents of task (METs)/minutes of physical activity per week.

Changes in physical activity using the 2-item Physical Activity Vital Signs measure

The 2-item Physical Activity Vital Signs measure will be used to collect information on physical activity behaviour. Two questions are self-reported: 1) "How many days during the past week have you performed physical activity where your heart beats faster and your breathing is harder than normal for 30 minutes or more?" and 2) "How many days in a typical week do you perform activity such as this?" The responses are reported as days during the past week over days in a typical week, with scores ranging from 0 to 7 for each question.

Organizational readiness

Organizational readiness for change measured by the Organizational Readiness for Implementing Change (Shea et al., 2014)

Change in 24-hour movement

Change in 24-hour movement will be examined using a 4-item measure to collect information on time spent in activity, sitting and sleeping in hours and minutes

Change in waist circumference

Measured at level of Iliac crest in centimetres by the coach

Baseline self-compassion

Patients' self-compassion will be assessed at baseline using the short form self-compassion scale (Raes et al., 2011). This 12-item measure has participants rate the extent to which they engage in certain behaviours on a 5-point response scale from 1 (almost never) to 5 (almost always). Sub scales can be computed by adding item scores. A total self-compassion score is computed.