{
  "abstract": "Background Disadvantaged men are at risk of poor health outcomes, more likely to be involved in harmful behaviours, and less likely than women to seek health advice. Working with Men’s Sheds (Sheds) and other community-led initiatives, we explored what works well in current Sheds, what aspects of Sheds lead to what outcomes and how Sheds might better support younger, working-age men, disadvantaged men.Methods A scoping review of male-targeted community interventions was performed to inform initial realist programme theories. World café events in Scottish disadvantaged communities and Sheds were held to explore and refine these theories and decide trial outcomes prioritised by men. A learning and sharing event was held with health professionals and other organisations supporting men’s health and wellbeing to confirm/refine programme theories and discuss preferred outcome measures.Results The scoping review included 23 articles on Men’s Sheds, sport-based programmes, and peer-support initiatives. Key components leading to positive health and wellbeing outcomes included access to health professionals, cultural reconnection, peer-support, and empowering leadership. The inclusion of practical activities helped men regain purpose and reduce social isolation. These findings informed initial themes for the café topic guides. World Cafés were conducted in 4 Sheds (n=43) and 9 disadvantaged communities (n=70), with 27 attendees at the learning and sharing event. Data informed six initial realist programme theories focused on emotional regulation, purpose, healthy behaviours, help-seeking, identity, and connection. Men prioritised wellbeing, health, and social connectedness as key outcomes, with WEMWBS, EQ-5D-5L, and SIRI-SCM identified as preferred measures.Conclusion Emerging programme theories indicate male-focused community interventions, such as Men’s Sheds, play an important role in supporting health and wellbeing of disadvantaged men. Further research is warranted to test these initial programme theories and inform men’s health policy, particularly in addressing gendered health disparities, reducing inequalities, and challenging the inverse care law.",
  "authors": [
    {
      "affiliations": [
        "Yunus Centre for Social Business and Health, Glasgow Caledonian University, Glasgow, UK"
      ],
      "name": "Julie Cowie"
    },
    {
      "affiliations": [
        "Yunus Centre for Social Business and Health, Glasgow Caledonian University, Glasgow, UK"
      ],
      "name": "Jack Rendall"
    },
    {
      "affiliations": [
        "Yunus Centre for Social Business and Health, Glasgow Caledonian University, Glasgow, UK"
      ],
      "name": "Danielle Hutcheon"
    },
    {
      "affiliations": [
        "Yunus Centre for Social Business and Health, Glasgow Caledonian University, Glasgow, UK"
      ],
      "name": "Artur Steiner"
    },
    {
      "affiliations": [
        "Yunus Centre for Social Business and Health, Glasgow Caledonian University, Glasgow, UK"
      ],
      "name": "Helen Mason"
    },
    {
      "affiliations": [
        "Division of Psychology, University of Stirling, Stirling, UK"
      ],
      "name": "Sinead Currie"
    },
    {
      "affiliations": [
        "Denny Community Support Centre, Denny, UK"
      ],
      "name": "Louise Hay"
    }
  ],
  "title": "P15-7 Community co-designed realist programme theories: exploring the role of men’s sheds in supporting the health and wellbeing of disadvantaged men",
  "uid": "477b4222-ecb2-5db9-9e97-32de11eeb40b"
}