Healthy Dads, Healthy Kids UK, a weight management programme for fathers: feasibility RCT
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 co...
Saved in:
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2019-12-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/12/e033534.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850106535600979968 |
|---|---|
| author | Laura Jones Clare Collins Miranda Pallan Peymane Adab Amanda Daley Tania Griffin Yongzhong Sun Adrienne Burgess Andrew Entwistle Kiya Hurley Eleanor McGee Myles Young Philip Morgan |
| author_facet | Laura Jones Clare Collins Miranda Pallan Peymane Adab Amanda Daley Tania Griffin Yongzhong Sun Adrienne Burgess Andrew Entwistle Kiya Hurley Eleanor McGee Myles Young Philip Morgan |
| author_sort | Laura Jones |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-06ce96bb081f43cbb64a177af9840767 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-06ce96bb081f43cbb64a177af98407672025-08-20T02:38:48ZengBMJ Publishing GroupBMJ Open2044-60552019-12-0191210.1136/bmjopen-2019-033534Healthy Dads, Healthy Kids UK, a weight management programme for fathers: feasibility RCTLaura Jones0Clare Collins1Miranda Pallan2Peymane Adab3Amanda Daley4Tania Griffin5Yongzhong Sun6Adrienne Burgess7Andrew Entwistle8Kiya Hurley9Eleanor McGee10Myles Young11Philip Morgan12Institute of Applied Health Research, University of Birmingham, Birmingham, UK6 School of Health Sciences, University of Newcastle, Callaghan, New South Wales, AustraliaInstitute of Applied Health Research, University of Birmingham, Birmingham, UK2 Institute of Applied Health Research, The University of Birmingham, Birmingham, UK7 School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UKDepartment for Health, University of Bath, Bath, UK2 Birmingham Clinical Trials Unit (BCTU), University of Birmingham, Birmingham, UK5 Fatherhood Institute, Marlborough, Wiltshire, UK8 Public member, Leamington Spa, Warwickshire, UK10 Cancer Research UK Clinical Trials Unit, University of Birmingham, Birmingham, UK11 Birmingham Community Healthcare NHS Trust, Aston, Birmingham, UK12 School of Education, University of Newcastle, Callaghan, New South Wales, Australia12 School of Education, University of Newcastle, Callaghan, New South Wales, AustraliaObjective 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.https://bmjopen.bmj.com/content/9/12/e033534.full |
| spellingShingle | Laura Jones Clare Collins Miranda Pallan Peymane Adab Amanda Daley Tania Griffin Yongzhong Sun Adrienne Burgess Andrew Entwistle Kiya Hurley Eleanor McGee Myles Young Philip Morgan Healthy Dads, Healthy Kids UK, a weight management programme for fathers: feasibility RCT BMJ Open |
| title | Healthy Dads, Healthy Kids UK, a weight management programme for fathers: feasibility RCT |
| title_full | Healthy Dads, Healthy Kids UK, a weight management programme for fathers: feasibility RCT |
| title_fullStr | Healthy Dads, Healthy Kids UK, a weight management programme for fathers: feasibility RCT |
| title_full_unstemmed | Healthy Dads, Healthy Kids UK, a weight management programme for fathers: feasibility RCT |
| title_short | Healthy Dads, Healthy Kids UK, a weight management programme for fathers: feasibility RCT |
| title_sort | healthy dads healthy kids uk a weight management programme for fathers feasibility rct |
| url | https://bmjopen.bmj.com/content/9/12/e033534.full |
| work_keys_str_mv | AT laurajones healthydadshealthykidsukaweightmanagementprogrammeforfathersfeasibilityrct AT clarecollins healthydadshealthykidsukaweightmanagementprogrammeforfathersfeasibilityrct AT mirandapallan healthydadshealthykidsukaweightmanagementprogrammeforfathersfeasibilityrct AT peymaneadab healthydadshealthykidsukaweightmanagementprogrammeforfathersfeasibilityrct AT amandadaley healthydadshealthykidsukaweightmanagementprogrammeforfathersfeasibilityrct AT taniagriffin healthydadshealthykidsukaweightmanagementprogrammeforfathersfeasibilityrct AT yongzhongsun healthydadshealthykidsukaweightmanagementprogrammeforfathersfeasibilityrct AT adrienneburgess healthydadshealthykidsukaweightmanagementprogrammeforfathersfeasibilityrct AT andrewentwistle healthydadshealthykidsukaweightmanagementprogrammeforfathersfeasibilityrct AT kiyahurley healthydadshealthykidsukaweightmanagementprogrammeforfathersfeasibilityrct AT eleanormcgee healthydadshealthykidsukaweightmanagementprogrammeforfathersfeasibilityrct AT mylesyoung healthydadshealthykidsukaweightmanagementprogrammeforfathersfeasibilityrct AT philipmorgan healthydadshealthykidsukaweightmanagementprogrammeforfathersfeasibilityrct |