TY - JOUR
T1 - Healthy dads, healthy kids UK, a weight management programme for fathers
T2 - feasibility RCT
AU - Griffin, Tania
AU - Sun, Yongzhong
AU - Sidhu, Manni
AU - Adab, Peymane
AU - Burgess, Adrienne
AU - Collins, Clare
AU - Daley, Amanda
AU - Entwistle, Andrew
AU - Frew, Emma
AU - Hardy, Pollyanna
AU - Hurley, Kiya
AU - Jones, Laura
AU - Mcgee, Eleanor
AU - Pallan, Miranda
AU - Young, Myles
AU - Morgan, Philip J
AU - Jolly, Kate
PY - 2019/12/10
Y1 - 2019/12/10
N2 - 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/m 2 (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.
AB - 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/m 2 (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.
KW - Feasibility studies
KW - Fathers
KW - Weight loss
KW - Healthy lifestyle
UR - http://www.scopus.com/inward/record.url?scp=85076482179&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2019-033534
DO - 10.1136/bmjopen-2019-033534
M3 - Article
SN - 2044-6055
VL - 9
JO - British Medical Journal Open
JF - British Medical Journal Open
IS - 12
M1 - e033534
ER -