The First 20 Fire Academy Recruits Exercise Training Program

Overview

"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.

Full Title of Study: “The First Twenty Exercise Training Program and Fire Academy Recruits’ Fitness and Health”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: Single (Outcomes Assessor)
  • Study Primary Completion Date: May 16, 2016

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.

Interventions

  • Behavioral: The First Twenty
    • The First Twenty workouts were part of an online training program that provided resistance and endurance exercises, nutritional information, and mental performance guidance. The intervention, created by firefighters for firefighters, was a 10-week periodized program with workouts increasing in frequency and intensity each week.
  • Behavioral: Comparison
    • Documentation of having previously taken or concurrent enrollment in a 1 credit hour fitness class offered through the community college. HPER 240, Lifetime Fitness, introduced the student to basic fitness principles, physical activity and the relationship to a healthy lifestyle. The course was graded based on an initial assessment/orientation and participation; the student was required to log hours at the community college gym. This course was waived at the discretion of the Fire Academy Director if the student proved they had an active gym membership at a local gym facility.

Arms, Groups and Cohorts

  • Experimental: The First Twenty
    • TF20 group completed a structured exercise program. Once a week a trained firefighter with current CPR and First Aid certifications met with the group to assess progress and answer questions about the workouts or the program. The rest of the time, the participants completed the workouts on their own time. Workouts contained a combination of aerobic (e.g., running, rowing, jumping), body weight (e.g., air squats, pushups, situps), and weight lifting (e.g., presses, back squats, lunges) exercises with workouts designed to use equipment available in an exercise/gym facility (e.g., weight racks, benches). Sixty-minute TF20 sessions included a warm-up, workout and cool down. All sessions were able to be logged online in TF20 program.
  • Active Comparator: Comparison
    • The Comparison Group followed and documented their regular workout routine for 14 weeks. Once a week, a trained firefighter with current CPR and First Aid certifications met with the group to discuss questions. Participants were able to choose when to complete their workouts.

Clinical Trial Outcome Measures

Primary Measures

  • Change Candidate Physical Ability Test Time
    • Time Frame: Week 0 and Week 11
    • The CPAT consists of eight separate events. This test is a sequence of events that requires the candidate to progress along a predetermined path from event to event in a continuous manner. This is a pass/fail test based on a maximum total time of 10 minutes and 20 seconds.

Secondary Measures

  • Change in Body Mass Index (BMI)
    • Time Frame: Week 0 and Week 11
    • Measured height in meters and measured weight in kilograms were used to calculate BMI as kg/m2
  • Change in Body Composition
    • Time Frame: Week 0 and Week 11
    • A Tanita TBF-300 scale was used to measure changes in body fat percentage, fat mass, and fat free mass.
  • Change in Post Exercise Heart Rate
    • Time Frame: Week 0 and Week 11
    • Heart Rate in beats per minute was assessed via a heart rate monitor immediately post-exercise
  • Change in Blood Pressure
    • Time Frame: Week 0 and Week 11
    • An Omron BP785 10 series monitor will be used to assess blood pressure after the participant has been seated comfortably for at least 5 minutes.
  • Change in Estimated VO2Max
    • Time Frame: Week 0 and Week 11
    • Sub-Maximal Graded Exercise Test using a StairMaster 7000pt
  • Change in Hand Grip Strength
    • Time Frame: Week 0 and Week 11
    • A Hand Grip Dynamometer will be used to assess hand grip strength in kg
  • Change in Vertical Jump Height
    • Time Frame: Week 0 and Week 11
    • A Vertec vertical jump tester will be used to measure jump height in cm
  • Change in Push-ups
    • Time Frame: Week 0 and Week 11
    • Participants will complete as many push-ups repetitions as possible in 2 minutes
  • Change in Curl-ups
    • Time Frame: Week 0 and Week 11
    • Participants will complete the American College of Sports Medicine curl-up 12-inch test
  • Change in Agility
    • Time Frame: Week 0 and Week 11
    • Participants will complete the Agility T-Test
  • Change in Flexibility
    • Time Frame: Week 0 and Week 11
    • Participants will complete the sit-and-reach test using a Flexometer

Participating in This Clinical Trial

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.

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Kansas State University
  • Collaborator
    • National Development and Research Institutes, Inc.
  • Provider of Information About this Clinical Study
    • Principal Investigator: Katie M. Heinrich, Associate Professor – Kansas State University
  • Overall Official(s)
    • Katie M Heinrich, PhD, Principal Investigator, Kansas State University

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