Healthy Dads, Healthy Kids UK, a weight management programme for fathers: feasibility RCT
Open Access
- 10 December 2019
- Vol. 9 (12), e033534
- https://doi.org/10.1136/bmjopen-2019-033534
Abstract
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.Keywords
Funding Information
- Public Health Research Programme (14/185/13)
This publication has 32 references indexed in Scilit:
- Using the framework method for the analysis of qualitative data in multi-disciplinary health researchBMC Medical Research Methodology, 2013
- Male Inclusion in Randomized Controlled Trials of Lifestyle Weight Loss InterventionsObesity, 2012
- The Impact of a Workplace-Based Weight Loss Program on Work-Related Outcomes in Overweight Male Shift WorkersJournal of Occupational and Environmental Medicine, 2012
- Comparison of range of commercial or primary care led weight reduction programmes with minimal intervention control for weight loss in obesity: Lighten Up randomised controlled trialBMJ, 2011
- Development of a self-report measure of capability wellbeing for adults: the ICECAP-AQuality of Life Research, 2011
- Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L)Quality of Life Research, 2011
- Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studiesThe Lancet, 2009
- Development and validation of a scale to measure Latino parenting strategies related to children’s obesigenic behaviors. The parenting strategies for eating and activity scale (PEAS)Appetite, 2009
- Development and preliminary validation of a Family Nutrition and Physical Activity (FNPA) screening toolInternational Journal of Behavioral Nutrition and Physical Activity, 2009
- Familial Approach To The Treatment Of Childhood Obesity: Conceptual ModelJournal of Nutrition Education, 2001