Clinical trial NCT03319394: The First 20 Fire Academy Recruits Exercise Training Program
Official title: The First Twenty Exercise Training Program and Fire Academy Recruits' Fitness and Health
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Physical Fitness
Keywords: Firefighters
Exercise Training
Resistance Training
Exercise Test
High-Intensity Interval Training
Lead sponsor: Kansas State University
Sponsor class: OTHER
Collaborators: name: National Development and Research Institutes, Inc.
First posted: 2017-10-24
Enrollment: 13
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: "The First Twenty (TF20) Exercise Training Program and Fire Academy Recruits' Fitness and Health" was thesis research completed in the Functional Intensity Training Laboratory (FIT Lab) at Kansas State University. The purpose was to assess the performance outcomes, acceptability, feasibility, and preliminary efficacy of an innovative 14-week Firefighter Fitness and Wellness Program. This study explored if TF20 program was a valid preparatory program for fire academy recruits training for the physical job of a firefighter compared to standard care of taking a college fitness class. It was hypothesized that TF20 group would see greater fitness improvements than the comparison group, the training program would be acceptable and feasible, and that TF20 group would report higher levels of group cohesion.

Detailed description: The First Twenty (TF20) is an innovative computer based firefighter training program that provides foundational educational principles around firefighter physical fitness, mental wellness, and nutrition and is much more cost effective than other fitness program options. The current Fire Academy at Johnson County Community College (JCCC) does little to address the physical fitness of its firefighter recruits other than the physical skills taught in class. The recruits are required to either have previously taken or be concurrently enrolled in a 1 credit hour fitness class offered through the community college. HPER 240, Lifetime Fitness, introduces the student to basic fitness principles, physical activity and the relationship to a healthy lifestyle. The course is graded based on an initial assessment/orientation and participation; the student must log so many hours at the JCCC Gym (JCCC, 2015). This course may be waived at the discretion of the Fire Academy Director if the student can prove they have an active gym membership at a local gym facility. The recruits participate in highly physically demanding tasks as they learn the job of a firefighter. Part of the class is spent indoors for lecture. The remainder of the class is spent on the drill ground learning basic firefighter skills such as donning bunker gear (personal protective equipment) and self-contained breathing apparatus (SCBA), navigating through dark search quarters, searching and removing a victim in a fire room, climbing ladders, cutting ventilation holes on flat and pitched roofs, and fighting live fire in a propane burn facility. The recruits are also required to take the Candidate Physical Ability Test (CPAT) during the Fire Academy. The CPAT is a timed physical ability test designed to assess the fitness of firefighter candidates and is used as a screening tool for hiring new firefighters. In addition to completing the current requirements for the Fire Academy, this study included a baseline assessment, 14- weeks of group exercise training, and a post-test assessment. Fire Academy recruits were required to have taken or be concurrently enrolled in a one credit hour gym class; this study took the place of that one credit hour physical requirement. Participants were randomly assigned to one of two exercise groups: TF20 or the Comparison Group (CG). TF20 group exercised five days per week for 14 weeks, similar to the requirements of the Lifetime Fitness (HPER 240) course; the Comparison Group were asked to continue their current exercise regimen (ie: HPER 240 course). Travel workout options were available for TF20 group. It was hypothesized that TF20 group would see greater fitness improvements than the comparison group, TF20 group would find the training program acceptable and feasible, and TF20 group would report higher levels of group cohesion than the comparison/control group.

Eligibility criteria: Inclusion Criteria:

* Accepted for admission into spring 2016 Johnson County Community College Fire Academy; did not answer "YES" to any of the PAR-Q questions.

Exclusion Criteria:

* Answering "YES" to any of the PAR-Q questions will require physician's clearance for participation in the study; known cardiovascular, metabolic, or respiratory disease, or having an internal pacemaker are all exclusionary criteria.

Primary outcomes:
measure: Change Candidate Physical Ability Test Time
timeFrame: Week 0 and Week 11
Secondary outcomes:
measure: Change in Body Mass Index (BMI)
timeFrame: Week 0 and Week 11
measure: Change in Body Composition
timeFrame: Week 0 and Week 11
measure: Change in Post Exercise Heart Rate
timeFrame: Week 0 and Week 11
measure: Change in Blood Pressure
timeFrame: Week 0 and Week 11
measure: Change in Estimated VO2Max
timeFrame: Week 0 and Week 11
measure: Change in Hand Grip Strength
timeFrame: Week 0 and Week 11
measure: Change in Vertical Jump Height
timeFrame: Week 0 and Week 11
measure: Change in Push-ups
timeFrame: Week 0 and Week 11
measure: Change in Curl-ups
timeFrame: Week 0 and Week 11
measure: Change in Agility
timeFrame: Week 0 and Week 11
measure: Change in Flexibility
timeFrame: Week 0 and Week 11
Other outcomes:
Locations:
city: Manhattan
country: United States
facility: Kansas State University
state: Kansas
Study officials:
affiliation: Kansas State University
name: Katie M Heinrich, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Hollerbach BS, Jahnke SA, Poston WSC, Harms CA, Heinrich KM. Examining a novel firefighter exercise training program on simulated fire ground test performance, cardiorespiratory endurance, and strength: a pilot investigation. J Occup Med Toxicol. 2019 Apr 23;14:12. doi: 10.1186/s12995-019-0232-2. eCollection 2019.