Over the past decade, there has been an increased emphasis on tailoring men's health promotion programs. To optimize outcomes, participatory action research that involves and elicits feedback from end-users has been highlighted as important to creating gender-responsive interventions. In this scoping review, we examine (a) how participatory action research has been used to design health promotion interventions for men and (b) what constitutes a gender-responsive intervention design. Following a comprehensive search, 53 articles were included in the review, reporting on 35 men's health promotion programs. Our findings suggest that participatory action methods harness varying degrees of end-user involvement, with a large majority limited to post-intervention evaluations rather than co-design and consumer collaboration. In addition, there are inconsistencies for applying gender-responsive approaches within programs, particularly regarding how interventions are targeted, tailored, and promoted to men. We conclude that participatory action research methods translate to varying degrees of gender responsiveness in men's health promotion programs. That said, involving end-users at various stages of intervention design, implementation, and evaluation may increase the likelihood that programs are more attuned to masculinities and better engage participants in promoting healthy behavior change. Efforts to advance gender-responsive designs can benefit from inductively deriving and incorporating men's masculine values.

Work plays a central role in many men's lives and can be a major contributor to mental health. The current study aim was to examine the prevalence and nature of Canadian men's mental health challenges at work, including diverse indicators of mental health and workplace characteristics. Participants (N = 451) were men (M = 49.97 years; SD = 14.99) employed in British Columbia, Canada, who were recruited via a market research online panel. Questionnaires were used to collect men's mental health data (e.g. depression, loneliness), work-related health (e.g. burnout, bullying), and workplace performance (e.g. presentism, absenteeism). Findings revealed high rates of hazardous drinking (36%), depression (22%), suicidal/self-injury ideation (18%), and anxiety (14%). Many participants reported that they frequently experienced occupational burnout, and 18% reported that personal problems significantly impaired their work. Of concern, approximately 53% indicated that they keep feelings to themselves and 45% reported that they would prefer not to talk about their problems. Important factors related to mental health symptoms were identified (e.g. age, distress concealment, male-dominated workplace). These findings highlight the need for policy makers and employers to take immediate action to address men's mental health challenges by developing initiatives that promote men's mental health in the workplace.

Background:Health promotion(HP)interventions delivered through sports clubs have demonstrated promising outcomes among men,but less is known about which aspects of the interventions work,for whom,and under what circumstances.This rapid realist review aimed to understand the contexts,mechanisms,and outcomes of HP interventions for men delivered through sports clubs. Methods:A systematic literature search was conducted in February 2023 for studies published after 2013 in MEDLINE,Embase,and SPORT-Discus databases.Included studies:(a)were delivered by or in collaboration with sports clubs,(b)targeted men aged 18+years,and(c)reported 1 or more HP outcomes.A grey literature search was also performed.Studies were included in a realist synthesis based on richness and rigor.Hereafter,context-mechanism-outcome(CMO)configurations were developed. Results:We identified and screened 3358 studies,finally including 59 studies describing 22 interventions.Most HP interventions were delivered in high income countries,included Caucasian men aged 35-65 years with overweight/obesity,and used professional sports clubs(mostly football)for recruitment and facilities.Quantitative HP outcomes were reported across 19 interventions.Of these 19 interventions,the majority reported on weight(n=18),physical activity(n=12),mental health(n=10),and diet(n=9).We identified 13 CMOs related to how HP interventions affected men's recruitment,engagement,and health behavior maintenance. Conclusion:Our findings show that using sports clubs for HP interventions is effective for engaging men.Recruitment was facilitated by leveraging sports clubs'identity,addressing masculinity-related barriers,improving accessibility,and building trust.Engagement was enhanced through shared identity experiences,safe spaces,inclusive competition,and self-efficacy.However,there's limited evidence on behavior mainte-nance post-intervention,though involving community stakeholders seemed vital.In general,considerations should be made to avoid perpetuating traditional masculine norms,which may exclude some men and reinforce unhealthy behaviors.These findings can guide intervention develop-ment,emphasizing the need to harness men's perspectives in the process.

The understanding of rowing performance has been predominantly gained through quantitative sports science-based research. In combination with this objective information, coaches' experiences may provide important contextual information for how this quantitative evidence is implemented into training programmes. The aims of this study were to (1) explore coaches' perspectives of performance indicators for competitive rowing in junior rowers, and (2) identify coaches' recommendations for developing effective technique and movement competency among junior rowers who have the potential to transition to elite competition. Twenty-seven semi-structured interviews were conducted with experienced rowing coaches through purposive sampling of an accredited coaching network. Participants' coaching experience ranged from 5 to 46 (M = 22, SD = 10) years. Data were analysed using thematic analysis. Three overarching themes were identified including, (1) getting the basics right, (2) targeting types of talent, and (3) complexities of performance. Based on these findings, sequence and boat feel, supported through the movement competency provided by hip flexibility and the trunk musculature, were considered critical for executing correct technique. Developing talent and understanding successful performance are both complex concepts when considering the individual athlete. Coaches' perspectives provided insight into key components of performance to enhance our understanding of how to better develop junior rowers.

AIM:Social support and resilient coping can aid mental health. The aim of this study was to examine age effects of social support on men's resilient coping for psychological distress.METHODS:The sample consisted of 434 help-seeking Canadian men who completed standardized measures. Regression analyses tested a moderated moderation model, controlling for COVID-19 pandemic impact.RESULTS:Greater resilient coping was associated with lower psychological distress and this relationship was moderated by social support. Higher levels of social support had a significant positive effect on men's resilient coping for psychological distress. Findings indicated that younger men (18-24 years) were most positively buffered by social support.CONCLUSIONS:Social support appears to be particularly important for young men's coping response to psychological distress. This is an important finding in the context of the COVID-19 pandemic, where social support networks have been challenged. Community-based and clinical programs and initiatives that proactively target young men's development of social connections and robust supportive networks, while bolstering their individual resilient coping skills, are likely to provide protections from psychological distress.

Suicide is a major public health concern and leading cause of death among men in Canada. This study reports the feasibility and acceptability of Buddy Up, a peer-based suicide prevention campaign for men. A mixed-methods approach was used to analyze respondent survey questionnaires (n = 48) and individual participant interviews (n = 19) collected from campaign users. Survey respondents reported that they enjoyed their involvement in the campaign (92%), were more confident to talk with men about mental health and suicide (95%), and would recommend Buddy Up to others (95%). Qualitative interviews were thematically analyzed to develop three inductively derived themes: (a) Engaging men with relatable masculine content and design: "Buddy Up really spoke to them in their language," highlighting the importance of understanding and working with gendered practices and motivations to legitimize and motivate involvement in suicide prevention; (b) Leveraging campaign participation to initiate conversations and promote mental health: "It gives men language and license to start asking questions," revealing ways in which participants utilized Buddy Up to negotiate and norm checking-in to promote men's mental health; and (c) Driving new masculine cultures: "We start every meeting with a mental health moment," identifying how participants fostered healthy milieus for disclosing mental health challenges with teamwork and preventive action under the banner of Buddy Up. The study findings support the feasibility of Buddy Up and highlight the acceptability of peer-based approaches to mental health promotion. The findings can also empirically guide future efforts for systematically building men's peer-based suicide prevention programs.

Men often experience mental health issues in silence. This Comment considers the many manifestations of silence in men’s mental illness, which serve to reduce subjective wellbeing and social/occupational functioning amid elevating suicide risk.

Regular physical activity supports children's physical and psychological health and wellbeing, and provides opportunities to build social and emotional skills such as resilience, confidence, and self-efficacy. Research has demonstrated that mass participant sporting events can serve as important social and environmental correlates of physical activity. This study sought to explore parents and children's perceived motivations and perspectives of participation in the Australian Sanitarium Weet-Bix Kids TRYathlon (a non-competitive triathlon series), on children's health and well-being. An exploratory qualitative design utilizing seven focus groups were conducted with 27 family units including 31 parents and 61 children (age 7-15 years old). Data were recorded, professionally transcribed and then analyzed using thematic analysis. Three overarching themes were identified, including (1) motivations for event and physical activity participation, revealing social interaction, peer support and friendly competition as motivators for participation as well as parents' interest in supporting the development of healthy habits; (2) Perceived physical activity, fitness, and developmental benefits, detailing changes to the types of physical activity children performed as well as opportunities for children to develop physical skills and competencies; and (3) Perceived psychosocial benefits of participation, highlighting opportunities for children to develop and demonstrate independence and autonomy through event participation. Notably, parents and children identified benefits beyond immediate participation including increased family engagement and social support. Mass participant events hold the potential to elicit a range of benefits for children and their families; however, further efforts may be needed to engage less active or disengaged families.

For men, significant risks associated with partner-initiated break-ups include domestic violence, mental health challenges and difficultly with life transition. This narrative analysis study shares three storylines drawn from interviews with 25 men who experienced a partner-initiated break-up. Ill equipped to stay or to initiate leaving narratives positioned participants as conflict averse, lacking agency and withdrawing emotionally from the partnership and its demise. Victims of circumstance narratives included men who engaged in cyclic arguments and ongoing power struggles with partners, a pattern that often amplified conflict after the break-up. Transitioning these two impasse narratives were some participants whose Accountability and growth storylines highlighted their introspective self-work, aided by resources including professional help to deconstruct, understand, and adjust their behaviours. Making connections to masculinities theory, these findings suggest that tailored interventions, including narrative therapy, might usefully interrupt impasse narratives to aid men's development and healthful transitions through partner-initiated break-ups.

Background: Men’s mental health promotion presents unique challenges and opportunities that demand novel approaches to prevention, treatment, and management. Community-based lifestyle interventions targeted at healthy behaviour change (e.g., physical activity) have been identified as a promising avenue to engage men in mental health promotion as these settings may reduce barriers to help-seeking. However, research is needed to identify strategies for designing and delivering relevant intervention content that supports men’s mental health. The aim of this study was to develop intervention content and distil recommendations for the development of gender-tailored interventions that engage men in mental health promotion. Methods: This study included an iterative multi-phase participatory design process with Australian men (18+ years) and stakeholders with frontline experience working in men’s health. In Phase 1, five focus groups (n=43 men; 16 stakeholders) were conducted as part of a pre-design consultation process to examine men’s experiences and perspectives of mental health promotion, and the role that physical activity may play. In Phase 2, a sub-sample of participants (n=4 men; 2 stakeholders) attended a generative design workshop where ideas, insights and concepts identified during Phase 1 were further explored to inform intervention design and development. In Phase 3, intervention content and activities were developed and a sample of men (n=21) who registered to participate in a lifestyle intervention were invited to provide feedback on the prototypes during a one-on-one semi-structured telephone interview. Results: Inductive thematic analysis identified two overarching themes and related subthemes from the participatory design process; (1) Communicating mental health and well-being, revealing acceptable language and approaches for discussing mental health with men including the use of colloquial masculine language, analogy and association, and strength-based calls-to-action, and (2) Intervention content and activities, detailing participant generated intervention content and activities designed to create buy-in and foster spaces for open frank discussions, target multiple behaviours (e.g., physical activity and mental health) through action-oriented approaches, and include opportunities for personalisation and autonomy. Discussion: As emergent programs and services are developed to augment traditional clinical services, it is imperative that evidence-based strategies are utilised that engage and retain men in mental health promotion. Findings provide vital clues for how men’s interest in sport and physical activity can be leveraged to directly and indirectly engage men in mental health promotion. These findings have direct relevance to community programming and may be embedded within existing interventions or used to inform new mental health promotion programs for men. Conflict of interest statement: My co-authors and I acknowledge that we have no conflict of interest of relevance to the submission of this abstract.

Introduction: Health promotion interventions have struggled to engage men, with men being on average only 1/3 of intervention participants. Gender-sensitised programs aim to tailor interventions to the needs of men, however, to be effective men need to be involved in the design and delivery of these programs. Participatory engagement provides an opportunity for men and relevant stakeholders to be involved in the design and delivery of health programs. Increasing the use of participatory engagement aligns with recommendations from knowledge translation and implementation science to improve uptake of research in practice. How participatory methods are being used to tailor health programs for men has yet to be explored. The aim of this study was to understand how participatory methods are being used to tailor health programs to men.Methods: A systematic literature search with no date restrictions was conducted across four databases. Included studies targeted adult (≥18 years) men's health-related behavioural change including physical activity, nutritional behaviour, smoking cessation, and/or alcohol reduction. Studies utilised both randomised and non-randomised designs. Risk of bias was assessed for randomised (ROB2 tool) and non-randomised (ROBINS-I tool) control trials. A qualitative analysis of study outcomes and the use of participatory methods was conducted with study variables being collected under 5 categories: study design, intervention, retention, engagement, results. Participatory engagement was mapped using the IAP2 Spectrum of Public Participation. This review adheres to the PRISMA guidelines, the AMSTAR-2 tool, and has been prospectively registered in PROSPERO (CRD42021257719).Results: Database searches yielded 5025 articles, with 60 studies of 55 discrete interventions meeting the inclusion criteria. Most of the included interventions were theoretically grounded (65%) and the majority targeted a combination of physical activity and nutrition behaviours (67%) followed by physical activity interventions (11%), smoking interventions (9%), alcohol interventions (7%), nutrition interventions (4%) and smoking and alcohol interventions (2%). Of the included studies 65% utilised a randomised control design, 50% indicated that the intervention was tailored to men, and 53% studies indicated some type of participatory engagement with either men (end-users) or stakeholders. Based on the IAP2, participatory engagement methods utilized within studies included consultation (18%; e.g. interviews), involvement (2%; e.g. co-design), collaboration (27%; e.g. community-based facilitators) and empowerment (5%; e.g. community champions).Discussion: While 50% of included studies reported that they were tailored to men, only 1 in 3 studies reported going beyond consultation to develop and deliver their health program with the men or relevant stakeholders. Further research is needed to understand how health researchers are engaging with end-users and stakeholders. This will help to develop an understanding of participatory engagement's contribution to successful implementation and sustainability of interventions.Impact and application to the field: Findings from this research may be used to inform the use of participatory engagement methods in men's health promotion to improve engagement, implementation, and scalability of behaviour change interventions.Conflict of interest statement: My co-authors and I acknowledge that we have no conflict of interest of relevance in submitting this abstract. Introduction: Health promotion interventions have struggled to engage men, with men being on average only 1/3 of intervention participants. Gender-sensitised programs aim to tailor interventions to the needs of men, however, to be effective men need to be involved in the design and delivery of these programs. Participatory engagement provides an opportunity for men and relevant stakeholders to be involved in the design and delivery of health programs. Increasing the use of participatory engagement aligns with recommendations from knowledge translation and implementation science to improve uptake of research in practice. How participatory methods are being used to tailor health programs for men has yet to be explored. The aim of this study was to understand how participatory methods are being used to tailor health programs to men. Methods: A systematic literature search with no date restrictions was conducted across four databases. Included studies targeted adult (≥18 years) men's health-related behavioural change including physical activity, nutritional behaviour, smoking cessation, and/or alcohol reduction. Studies utilised both randomised and non-randomised designs. Risk of bias was assessed for randomised (ROB2 tool) and non-randomised (ROBINS-I tool) control trials. A qualitative analysis of study outcomes and the use of participatory methods was conducted with study variables being collected under 5 categories: study design, intervention, retention, engagement, results. Participatory engagement was mapped using the IAP2 Spectrum of Public Participation. This review adheres to the PRISMA guidelines, the AMSTAR-2 tool, and has been prospectively registered in PROSPERO (CRD42021257719). Results: Database searches yielded 5025 articles, with 60 studies of 55 discrete interventions meeting the inclusion criteria. Most of the included interventions were theoretically grounded (65%) and the majority targeted a combination of physical activity and nutrition behaviours (67%) followed by physical activity interventions (11%), smoking interventions (9%), alcohol interventions (7%), nutrition interventions (4%) and smoking and alcohol interventions (2%). Of the included studies 65% utilised a randomised control design, 50% indicated that the intervention was tailored to men, and 53% studies indicated some type of participatory engagement with either men (end-users) or stakeholders. Based on the IAP2, participatory engagement methods utilized within studies included consultation (18%; e.g. interviews), involvement (2%; e.g. co-design), collaboration (27%; e.g. community-based facilitators) and empowerment (5%; e.g. community champions). Discussion: While 50% of included studies reported that they were tailored to men, only 1 in 3 studies reported going beyond consultation to develop and deliver their health program with the men or relevant stakeholders. Further research is needed to understand how health researchers are engaging with end-users and stakeholders. This will help to develop an understanding of participatory engagement's contribution to successful implementation and sustainability of interventions. Impact and application to the field: Findings from this research may be used to inform the use of participatory engagement methods in men's health promotion to improve engagement, implementation, and scalability of behaviour change interventions. Conflict of interest statement: My co-authors and I acknowledge that we have no conflict of interest of relevance in submitting this abstract.

ISSUE ADDRESSED:Firefighting is physically and mentally taxing and recruits are expected to have optimal health and fitness. However, physical fitness tends to decline following initial training, placing firefighters at an increased risk for stress and injury. Efforts are needed to engage and support firefighters in maintaining adequate health and fitness to withstand the rigorous demands of their occupation. This study examined the feasibility of TARP, a pragmatic strength and conditioning intervention for metropolitan-based firefighters, delivered in collaboration with a professional National Rugby League club.METHODS:A mixed-methods approach was utilised to examine program implementation, recruitment and sample characteristics, intervention satisfaction and acceptability, and participants' response to the intervention. Evaluation measures included field notes taken during steering committee meetings, participant flow data, baseline and follow-up outcome measures, self-report questionnaires, and telephone interviews with a sample of participants.RESULTS:Participants (N = 113) were predominantly men (82%) with a mean age of 43 ± 9.3 years and BMI of 26.6 ± 2.9 kg/m2 . Program satisfaction was high (95% very satisfied or somewhat satisfied) among program completers (42% retention). Key strengths of the program included delivery through the professional sports club, quality of facilities and equipment, and scheduling flexibility. Future programs should consider incorporating education or training to support behaviour change maintenance and strategies to retain participants at follow-up.CONCLUSIONS:Results provide valuable insights into the design and delivery of interventions for firefighters and demonstrate the importance of strong partnerships between community stakeholders.

Background: Men have been shown to seek less support to improve their health and have historically been an under-represented population in health promotion interventions. “Gender-sensitised” programs aim to tailor interventions to the needs of men, however, to do this effectively, men need to be involved in the design and delivery of these programs. Participatory methods and approaches provide an opportunity for men and relevant stakeholders to be involved in the design and delivery of health programs. The increased use of participatory methods aligns with recommendations from the fields of knowledge translation and implementation science to improve uptake of research in practice. The way in which participatory methods are being used to tailor health programs for men is yet to be explored. This review will identify studies targeting physical activity, nutritional behaviour, smoking cessation, and alcohol reduction behaviours in men that have utilised participatory methods and approaches in their design and delivery. The primary aim of this study is to understand how participatory methods are being used to tailor health programs to men. Methods: This review will adhere to the PRISMA guidelines, comply with the AMSTAR-2 tool and has been prospectively registered in PROSPERO (CRD42021257719). A systematic literature search with no date restrictions will be conducted across four databases. Studies targeting adult men (≥18) that intended to elicit individual behavioural change in at least one of, or a combination of the following behaviours will be included: physical activity, nutritional behaviour, smoking cessation, and alcohol reduction behaviour. Studies that utilise both randomised and non-randomised design are to be evaluated. For studies that meet the eligibility criteria, risk of bias is to be assessed. Risk of bias will be assessed using Cochrane tools for randomised (ROB2) and non-randomised (ROBINS-I) control trials. A qualitative analysis of study outcomes and the use of participatory methods will be conducted. Discussion: This review will present studies of men’s physical activity, nutritional behaviour, smoking cessation, and alcohol reduction programs and identify how participatory methods and approaches are being used in these interventions. These studies will be analysed in conjunction with current literature on participatory approaches in health, knowledge translation and implementation science. Conflict of interest statement: My co-authors and I acknowledge that we have no conflict of interest of relevance to the submission of this abstract.

Purpose: To estimate program effectiveness regarding physical activity (PA), diet, and social connectedness as part of a feasibility study. Design: Pre-post quasi-experimental. Setting: HAT TRICK was delivered in collaboration with a Canadian semi-professional ice hockey team and offered at the arena where they trained and played games. Participants: Participants (N = 62) at baseline were overweight (BMI >25kg/m2) and inactive (<150 minutes of MVPA/week) men age 35+ years. Intervention: Gender-sensitized 12-week intervention for men targeting PA, healthy eating and social connectedness. Method: Baseline, post-intervention (12 weeks) and 9-month follow-up self-report and accelerometer data were collected. Multi-level modeling assessed growth trajectories of outcome measures across time. Results: Accelerometer measured weekly/min. of moderate PA showed significant linear trends (95%CI: 42.9 – 175.3) from baseline (147.0 ± 104.6), 12-week (237.7 ± 135.5) and 9-month follow-up (204.89 ± 137.7) qualified with a quadratic trend. Self-reported weekly/min of moderate and vigorous PA showed significant linear trends (95%CI: 94.1, 264.1; 95%CI: 35.1, 109.6) from baseline (52.6 ± 83.8, 22.42 ± 44.9), 12 week (160.1 ± 157.4, 66.6 ± 74.4) and 9-month follow-up (118.6 ± 104.6, 52.2 ± 59.2) qualified with quadratic trends. DINE measured fat score rating showed linear trends over time (95%CI -14.24, -6.8), qualified with a quadratic trend. DINE fibre score and social connectedness showed no trends. Conclusion: Findings yield valuable information about the implementation of gender-sensitized lifestyle interventions for men and demonstrate the importance of male-specific strategies for reaching and engaging overweight, physically inactive men.

Introduction: HAT TRICK is a gender-sensitised lifestyle intervention for men focused on physical activity, healthy eating and social connectedness, and delivered in collaboration with a semi-professional Canadian ice hockey team. The overarching aim of the HAT TRICK study was to assess feasibility, as well as determine an estimate of intervention effectiveness concerning PA, healthy eating, social support, depression risk, and anthropometric measures. This presentation will report preliminary findings from HAT TRICK, specifically focused on PA, Quality of life (QoL), and depression risk.

Translating effective research into community practice is critical for improving breast cancer (BC) survivor health. The purpose of this study is to utilize the RE-AIM framework to evaluate the translational potential of Project MOVE, an innovative intervention focused on increasing physical activity (PA) in BC survivors. A mixed-methods design, including a self-report questionnaire, accelerometry, focus groups, and interviews, was used to inform each RE-AIM dimension. Reach was evaluated by the representativeness of participants. Effectiveness was reflected by change in PA levels and perceptions of satisfaction and acceptability. Adoption was examined using participants' perceived barriers/facilitators to program uptake. Implementation was examined by participants' perceived barriers/facilitators to implementing the program. Maintenance was assessed by participant retention. Assessments occurred at baseline and 6-months. Mixed analysis of variance and content analysis were used to analyze the data. A total of 87 participants participated in Project MOVE and were demographically comparable to similar studies (Reach). Participants indicated high levels of program satisfaction (88%) and previously inactive survivors' significantly increased PA levels from baseline to 6-month follow-up (Effectiveness). Participants reported that a program focused on PA rather than disease helped them overcome barriers to PA (Adoption) and having leaders with BC and exercise expertise was essential to accommodate population specific barriers (Implementation). At 6-months, participant retention was 83% (Maintenance). Project MOVE is an acceptable, practical, and effective program for engaging BC survivors in PA and has the potential to be highly transferable to other populations and regions.

Introduction Physical activity, healthy eating and maintaining a healthy weight are associated with reduced risk of cardiovascular disease, type 2 diabetes and cancer and with improved mental health. Despite these benefits, many men do not meet recommended physical activity guidelines and have poor eating behaviours. Many health promotion programmes hold little appeal to men and consequently fail to influence men’s health practices. HAT TRICK was designed as a 12-week face-to-face, gender-sensitised intervention for overweight and inactive men focusing on physical activity, healthy eating and social connectedness and was delivered in collaboration with a major junior Canadian ice hockey team (age range 16–20 years). The programme was implemented and evaluated to assess its feasibility. This article describes the intervention design and study protocol of HAT TRICK. Methods and analysis HAT TRICK participants (n=60) were men age 35 years, residing in the Okanagan Region of British Columbia, who accumulate 150 min of moderate to vigorous physical activity a week, with a body mass index of >25 kg/m2 and a pant waist size of >38’. Each 90 min weekly session included targeted health education and theory-guided behavioural change techniques, as well as a progressive (ie, an increase in duration and intensity) group physical activity component. Outcome measures were collected at baseline, 12 weeks and 9 months and included the following: objectively measured anthropometrics, blood pressure, heart rate, physical activity and sedentary behaviour, as well as self-reported physical activity, sedentary behaviour, diet, smoking, alcohol consumption, sleep habits, risk of depression, health-related quality of life and social connectedness. Programme feasibility data (eg, recruitment, satisfaction, adherence, content delivery) were assessed at 12 weeks via interviews and self-report. Ethics and dissemination Ethical approval was obtained from the University of British Columbia Okanagan Behavioural Research Ethics Board (reference no H1600736). Study findings will be disseminated through academic meetings, peer-reviewed publication, web-based podcasts, social media, plain language summaries and co-delivered community presentations. Trial registration number ISRCTN43361357,Pre results

The workplace health promotion program, POWERPLAY, was developed, implemented, and comprehensively evaluated among men working in four male-dominated worksites in northern British Columbia, Canada. The purpose of this study was to explore the POWERPLAY program's acceptability and gather recommendations for program refinement. The mixed-method study included end-of-program survey data collected from 103 male POWERPLAY program participants, interviews with workplace leads, and field notes recorded during program implementation. Data analyses involved descriptive statistics for quantitative data and inductive analysis of open-ended questions and qualitative data. Among participants, 70 (69%) reported being satisfied with the program, 51 (51%) perceived the program to be tailored for northern men, 56 (62%) believed the handouts provided useful information, and 75 (74%) would recommend this program to other men. The findings also highlight program implementation experiences with respect to employee engagement, feedback, and recommendations for future delivery. The POWERPLAY program provides an acceptable approach for health promotion that can serve as a model for advancing men's health in other contexts.