- Title
- Healthy Dads, Healthy Kids UK, a weight management programme for fathers: feasibility RCT
- Creator
- Griffin, Tania; Sun, Yongzhong; Sidhu, Manbinder; Adab, Peymane; Burgess, Adrienne; Collins, Clare; Daley, Amanda; Entwistle, Andrew; Frew, Emma; Hardy, Pollyanna; Hurley, Kiya; Jones, Laura; McGee, Eleanor; Pallan, Miranda; Young, Myles; Morgan, Philip; Jolly, Kate
- Relation
- BMJ Open Vol. 9, Issue 12, no. e033534
- Publisher Link
- http://dx.doi.org/10.1136/bmjopen-2019-033534
- Publisher
- BMJ Group
- Resource Type
- journal article
- Date
- 2019
- Description
- Objective: To assess (1) the feasibility of delivering a culturally adapted weight management programme, Healthy Dads, Healthy Kids United Kingdom (HDHK-UK), for fathers with overweight or obesity and their primary school-aged children, and (2) the feasibility of conducting a definitive randomised controlled trial (RCT). Design: A two-arm, randomised feasibility trial with a mixed-methods process evaluation. Setting: Socioeconomically disadvantaged, ethnically diverse localities in West Midlands, UK. Participants: Fathers with overweight or obesity and their children aged 4-11 years. Intervention: Participants were randomised in a 1:2 ratio to control (family voucher for a leisure centre) or intervention comprising 9 weekly healthy lifestyle group sessions. Outcomes: Feasibility of the intervention and RCT was assessed according to prespecified progression criteria: study recruitment, consent and follow-up, ability to deliver intervention, intervention fidelity, adherence and acceptability, weight loss, using questionnaires and measurements at baseline, 3 and 6 months, and through qualitative interviews. Results: The study recruited 43 men, 48% of the target sample size; the mean body mass index was 30.2 kg/m2 (SD 5.1); 61% were from a minority ethnic group; and 54% were from communities in the most disadvantaged quintile for socioeconomic deprivation. Recruitment was challenging. Retention at follow-up of 3 and 6 months was 63%. Identifying delivery sites and appropriately skilled and trained programme facilitators proved difficult. Four programmes were delivered in leisure centres and community venues. Of the 29 intervention participants, 20 (69%) attended the intervention at least once, of whom 75% attended =5 sessions. Sessions were delivered with high fidelity. Participants rated sessions as 'good/very good' and reported lifestyle behavioural change. Weight loss at 6 months in the intervention group (n=17) was 2.9 kg (95% CI -5.1 to -0.6). Conclusions: The intervention was well received, but there were significant challenges in recruitment, programme delivery and follow-up. The HDHK-UK study was not considered feasible for progression to a full RCT based on prespecified stop-go criteria. Trial registration number: ISRCTN16724454.
- Subject
- weight management; fathers; overweight; primary children; United Kingdom
- Identifier
- http://hdl.handle.net/1959.13/1424548
- Identifier
- uon:38102
- Identifier
- ISSN:2044-6055
- Rights
- © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
- Language
- eng
- Full Text
- Reviewed
- Hits: 7609
- Visitors: 7925
- Downloads: 336
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | ATTACHMENT02 | Publisher version (open access) | 361 KB | Adobe Acrobat PDF | View Details Download |