“The Environment Was Like They Were in the Pub But With No Alcohol” A Process Evaluation of Engagement and Sustainability in Men On The Move an Irish Community Based Physical Activity Intervention

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Steve Robertson
Paula Carroll
Alexandra Donohoe
Noel Richardson
Aisling Keohane
Liam Kelly
Harrison Michael


Men’s health and life expectancy, particularly for those men from lower socioeconomic groups, remains an issue of concern in Ireland. This concern is reflected in the recent National Men’s Health Action Plan where important priority has been placed on finding appropriate ways to garner sustained involvement in health promotion interventions for men. Physical activity (PA) has been shown to be a useful ‘hook’ to assist with such engagement. ‘Men on the Move’ (MOM) is a 12 week, community-based, gender-sensitised, PA programme established as a pragmatic controlled trial and aimed at improving the health and well-being of inactive men. The programme was co-created with Local Sports Partnerships (LSP), delivered by experienced PA Coordinators (PACs), and often supported by local community champions.

This paper reports on the process evaluation of the MOM programme using data collected from focus groups with the LSP’s and those involved in delivering MOM from all eight counties that took part. Findings highlight the importance of negotiated partnerships at and between national and local levels in terms of providing support, consistent guidance and appropriately branded materials to the LSP’s. The underpinning inclusive ethos of MOM, embodied by the PAC’s, led to the creation of a fun, inclusive and comfortable atmosphere that helped sustain men’s involvement. This was aided by the use of male familiar settings through which to deliver the programme. While PA focused, findings here suggest a much wider impact on mental well-being and social connection and that this was achieved in a very cost-effective way. Importantly, men’s health training (ENGAGE) was a key factor in programme design and implementation assisting in building capacity among service providers to work with men. Joined up service provision and drawing on existing, trusted, local community networks were vital to recruiting men into the programme. Finally, the potential for MOM to signpost and offer an aftercare plan to community support for the men beyond the 12-week programme was noted as important particularly where there is increased need of these among more marginalised groups of men.

This process evaluation provides a good example of how health promotion interventions need to recognise and exploit the fact that health and well-being are integrally linked to the communities where people live out and experience their daily lives. Ensuring that MOM was embedded within existing community structures, and supported by community champions with the requisite skills and local knowledge, underpinned programme success and sustainability.


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Robertson, S., Carroll, P., Donohoe, A., Richardson, N., Keohane, A., Kelly, L., & Michael, H. (2018). “The Environment Was Like They Were in the Pub But With No Alcohol”: A Process Evaluation of Engagement and Sustainability in Men On The Move an Irish Community Based Physical Activity Intervention. International Journal of Mens Social and Community Health, 1(1), e1-e14. https://doi.org/10.22374/ijmsch.v1i1.14


1. Baker P. Men's health: a global problem requiring global solutions. Trends Urol Men's Health 2016 May;7(3):11–4.
2. HI HI. National Men’s Health Action Plan Healthy Ireland-Men HI-M 2017-2021 Working with men in Ireland to achieve optimum health and wellbeing. 2016 Available from: HSE, Dublin.
3. White A, De Sousa B, De Visser R, et al. The State of Men’s Health in Europe Report. Bruselas, European Union, Directorate General for Health & Consumers; 2011.
4. Hickey P, Evans DS. Smoking in Ireland 2014: synopsis of key patterns. HSE February. 2015.
5. Ipsos MR. Healthy Ireland survey 2015: summary of findings. Department of Health (DoH); 2016.
6. Bellis MA, Hughes K, Nicholls J, Sheron N, Gilmore I, Jones L. The alcohol harm paradox: using a national survey to explore how alcohol may disproportionately impact health in deprived individuals. BMC Pub Health 2016 Dec;16(1):111.
7. White A, McKee M, Richardson N, et al. Europe's men need their own health strategy. BMJ (Clinical research ed). 2011 Nov 29;343:d7397.
8. Layte R, Banks J, Walsh C, McKnight G. Trends in socio-economic inequalities in mortality by sex in Ireland from the 1980s to the 2000s. Irish J Med Sci 2015 Sep 1;184(3):613–21.
9. Richardson N, Carroll P. National men's health policy 2008-2013: working with men in Ireland to achieve optimum health & wellbeing. Department of Health and Children; 2008.
10. Richardson N. Building momentum, gaining traction: Ireland’s national men’s health policy–5 years on. New Male Studies 2013;2(3):93–103.
11. Richardson N, Carroll P. It’s not rocket science: the case from Ireland for a policy focus on men’s health. International J Men’s Soc Communit Health 2018 Jun 8;1(Spec Iss 1):e23–35.
12. Carroll P, Kirwan L, and Lambe B. 2014. Engaging ‘hard to reach’men in community based health promotions. Internat J Health Promot Educ 2014;52(3):120–30.
13. Lefkowich M, Richardson N, Robertson S. If we want to get men in, then we need to ask men what they want: pathways to effective health programing for men. Am J Men's Health 2017 Sep;11(5):1512–24.
14. Zwolinsky S, McKenna J, Pringle A, et al. Optimizing lifestyles for men regarded as ‘hard-to-reach’ through top-flight football/soccer clubs. Health Educ Res 2012 Nov 27;28(3):405–13.
15. Hunt K, Wyke S, Gray CM, et al. A gender-sensitised weight loss and healthy living programme for overweight and obese men delivered by Scottish Premier League football clubs (FFIT): a pragmatic randomised controlled trial. The Lancet 2014 Apr 5;383(9924):1211–21.
16. Robertson S, Zwolinsky S, Pringle A, et al. ‘It is fun, fitness and football really’: a process evaluation of a football-based health intervention for men. Qualitat Res Sport Exer Health 2013 Nov 1;5(3):419–39.
17. Carroll P, Richardson N, Harrison M, et al. Men on the move: a community based physical activity programme for adult men in Ireland. evaluation report. Dublin: Health Service Executive. 2018. ISBN: 978-1-78602-091-8.
18. Shediac-Rizkallah MC, Bone LR. Planning for the sustainability of community-based health programs: conceptual frameworks and future directions for research, practice and policy. Health Educ Res 1998 Mar 1;13(1):87–108.
19. Andersen E, Burton NW, Anderssen SA. Physical activity levels six months after a randomised controlled physical activity intervention for Pakistani immigrant men living in Norway. International J Behav Nutrit Phys Activ 2012 Dec;9(1):47.
20. Bottorff JL, Seaton CL, Johnson ST, et al. An updated review of interventions that include promotion of physical activity for adult men. Sports Med 2015 Jun 1;45(6):775–800.
21. Lefkowich M, Richardson N, Brennan L, Lambe B, Carroll P. A process evaluation of a Training of Trainers (TOT) model of men’s health training. Health Promot Internat 2016 Jul 25;33(1):60–70.
22. Osborne A, Carroll P, Richardson N, et al. From training to practice: the impact of ENGAGE, Ireland’s national men’s health training programme. Health Promot Internat 2016 Dec 24;33(3):458–67.
23. Kelly L, Harrison M, Richardson N, et al. Reaching beyond the ‘worried well’: pre-adoption characteristics of participants in ‘Men on the Move’, a community-based physical activity programme. J Pub Health 2018 Aug 18.
24. Moore G, Audrey S, Barker M, et al. Process evaluation in complex public health intervention studies: the need for guidance. J Epidemiol Comm Health 2014 68(2):590–90.
25. Carroll P, Harrison M, Richardson N, et al. Evaluation of a gender-sensitive physical activity programme for inactive men in Ireland: Protocol paper for a pragmatic controlled trial. J Phys Activ Res 2018 Mar 17;3(1):20–7.
26. Braun V, Clarke V. Using thematic analysis in psychology. Qualitative research in psychology. 2006 Jan 1;3(2):77–101.
27. Coles R, Watkins F, Swami V, et al. What men really want: a qualitative investigation of men's health needs from the Halton and St Helens Primary Care Trust men's health promotion project. Br J Health Psychol 2010 Nov;15(4):921–39.
28. Robinson M, Robertson S. The application of social marketing to promoting men’s health: a brief critique. International J Men’s Health 2010;9(1).
29. Fleming PJ, Lee JG, Dworkin SL. “Real Men Don't”: constructions of masculinity and inadvertent harm in public health interventions. Am J Public Health 2014 Jun;104(6):1029–35.
30. Robertson S, Gough B, Hanna E, et al. Successful mental health promotion with men: the evidence from ‘tacit knowledge’. Health Promot Internat 2016 Aug 19;33(2):334–44.
31. Robertson S, Witty K, Zwolinsky S, Day R. Men's health promotion interventions: what have we learned from previous programmes? Commun Practit 2013 Nov 1;86(11).
32. Robinson M, Robertson S, McCullagh J, Hacking S. Working towards men’s health: Findings from the Sefton men’s health project. Health Educ J 2010 Jun;69(2):139–49.
33. Baker, P. Review of the National Men’s Health policy and Action Plan 2008-2013. 2015 Dublin: HSE.
34. Kierans C, Robertson S, Mair MD. Formal health services in informal settings: findings from the Preston Men's Health Project. J Men's Health Gender. 2007 Dec 3;4(4):440–7.
35. World Health Organization. Shanghai declaration on promoting health in the 2030 Agenda for Sustainable Development. Health Promot Internat 2017 Feb 1;32(1):7.