Feasibility, Acceptability, and Preliminary Outcomes of a Father-Focused Childhood Obesity Prevention Program for Low-Income Families with Preschool-Age Children
- 1 January 2023
- journal article
- research article
- Published by Mary Ann Liebert Inc in Childhood Obesity
- Vol. 19 (1), 13-24
- https://doi.org/10.1089/chi.2021.0225
Abstract
Background: Few childhood obesity prevention interventions have focused exclusively on fathers, particularly in low-income families. The objectives of this study were to determine feasibility, acceptability, and preliminary outcomes of a father-focused childhood obesity prevention program for low-income families with preschool children (ages 3–5 years old). Methods: Father-child pairs (n = 45) enrolled in a community-based intervention in a Northeastern US state and were assigned within groups to intervention (n = 31) or a delayed comparison group (n = 14). The 8-week (2 h/week) program included nutrition, cooking, and parent education. Feasibility (enrollment, retention, and attendance) and acceptability (quality and value of program) of the program were assessed. Pre/Post measures included the Meals in our Household, Comprehensive Feeding Practices, Healthy Kids, and the Cooking Matters questionnaires. T-tests were conducted and Hedge's g was calculated to estimate effect sizes. Significance was set at p ≤ 0.10. Results: Results indicated feasibility and acceptability of the program for intervention fathers, but recruitment and retention of comparison fathers proved challenging. Small to medium effect sizes were detected for improvements in fathers' feeding pressure (g = 0.48, p = 0.005), confidence in cooking skills (g = 0.25, p = 0.09), ability to cook healthy foods on a budget (g = 0.33, p = 0.10), and frequency that fathers cooked dinner (g = 0.15, p = 0.06). There was a large effect size detected in the increase of green salad consumption (g = 0.75, p = 0.01) by fathers and a small effect size for frequency of children eating vegetables (g = 0.13, p = 0.07). Conclusions: While results are promising, further research should evaluate impact of a larger scale father-focused intervention on diet and obesity risk. The project was registered on ClinicalTrials.gov as NCT03071419.Keywords
This publication has 44 references indexed in Scilit:
- Recruiting fathers to parenting programs: Advice from dads and fatherhood program providersChildren and Youth Services Review, 2013
- Publishing pilot and feasibility evaluations of behavioural interventions: Implications for Preventive MedicinePreventive Medicine, 2012
- Meals in Our Household: Reliability and Initial Validation of a Questionnaire to Assess Child Mealtime Behaviors and Family Mealtime EnvironmentsJournal of the Academy of Nutrition and Dietetics, 2012
- Parenting Style and Child Feeding Practices: Potential Mitigating Factors in the Etiology of Childhood ObesityJournal of the American Dietetic Association, 2011
- General parenting, childhood overweight and obesity-inducing behaviors: a reviewPediatric Obesity, 2011
- The ‘Healthy Dads, Healthy Kids’ randomized controlled trial: efficacy of a healthy lifestyle program for overweight fathers and their childrenInternational Journal of Obesity, 2010
- Familial Approach To The Treatment Of Childhood Obesity: Conceptual ModelJournal of Nutrition Education, 2001
- Comparison of Multiple-Pass 24-Hour Recall Estimates of Energy Intake With Total Energy Expenditure Determined By the Doubly Labeled Water Method in Young ChildrenJournal of the American Dietetic Association, 1996
- Adapting Parent Education Programs to Meet the Needs of Fathers: An Ecological PerspectiveFamily Relations, 1993
- Computerized collection and analysis of dietary intake informationComputer Methods and Programs in Biomedicine, 1989