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The 'Healthy Dads, Healthy Kids' community randomized controlled trial: a community-based healthy lifestyle program for fathers and their children

Journal Article


Abstract


  • Objective

    To evaluate the effectiveness of the ‘Healthy Dads, Healthy Kids (HDHK)’ program when delivered by trained facilitators in community settings.

    Method

    A two-arm randomized controlled trial of 93 overweight/obese fathers (mean [SD] age = 40.3 [5.3] years; BMI = 32.5 [3.8] kg/m 2) and their primary school-aged children (n = 132) from the Hunter Region, Australia. In 2010–2011, families were randomized to either: (i) HDHK intervention (n = 48 fathers, n = 72 children) or (ii) wait-list control group. The 7-week intervention included seven sessions and resources (booklets, pedometers). Assessments were held at baseline and 14-weeks with fathers' weight (kg) as the primary outcome. Secondary outcomes for fathers and children included waist, BMI, blood pressure, resting heart rate, physical activity (pedometry), and self-reported dietary intake and sedentary behaviors.

    Results

    Linear mixed models (intention-to-treat) revealed significant between-group differences for fathers' weight ( P< .001, d= 0.24), with HDHK fathers losing more weight (− 3.3 kg; 95%CI, − 4.3, − 2.4) than control fathers (0.1 kg; 95%CI, − 0.9,1.0). Significant treatment effects ( P< .05) were also found for fathers' waist ( d= 0.41), BMI ( d= 0.26), resting heart rate ( d= 0.59), energy intake ( d= 0.49) and physical activity ( d= 0.46) and for children's physical activity ( d= 0.50) and adiposity ( d= 0.07).

    Discussion

    HDHK significantly improved health outcomes and behaviors in fathers and children, providing evidence for program effectiveness when delivered in a community setting.

    Highlights

    •Effectiveness of the Healthy Dads, Healthy Kids program tested with trained facilitators.

    •Lifestyle program targeting overweight/obese fathers and their children

    •Two-arm randomized controlled trial with 93 fathers and 132 children

    •Significant intervention effects ( P< 0.05) for fathers' weight, waist, diet and activity

    •Significant intervention effects ( P< 0.05) for children's activity level and adiposity

Authors


  •   Morgan, Philip J. (external author)
  •   Collins, Clare E. (external author)
  •   Plotnikoff, Ronald (external author)
  •   Callister, Robin (external author)
  •   Burrows, Tracy L. (external author)
  •   Fletcher, R (external author)
  •   Okely, Anthony D.
  •   Young, Myles D. (external author)
  •   Miller, Drew (external author)
  •   Lloyd, Adam (external author)
  •   Cook, Alyce T. (external author)
  •   Cruickshank, J (external author)
  •   Saunders, K L. (external author)
  •   Lubans, David R. (external author)

Publication Date


  • 2014

Citation


  • Morgan, P. J., Collins, C., Plotnikoff, R. C., Callister, R., Burrows, T. L., Fletcher, R., Okely, A. D., Young, M. D., Miller, A., Lloyd, A. B., Cook, A. T., Cruickshank, J., Saunders, K. L. & Lubans, D. R. (2014). The 'Healthy Dads, Healthy Kids' community randomized controlled trial: a community-based healthy lifestyle program for fathers and their children. Preventive Medicine, 61 90-99.

Scopus Eid


  • 2-s2.0-84894128686

Ro Metadata Url


  • http://ro.uow.edu.au/sspapers/786

Has Global Citation Frequency


Number Of Pages


  • 9

Start Page


  • 90

End Page


  • 99

Volume


  • 61

Place Of Publication


  • Netherlands

Abstract


  • Objective

    To evaluate the effectiveness of the ‘Healthy Dads, Healthy Kids (HDHK)’ program when delivered by trained facilitators in community settings.

    Method

    A two-arm randomized controlled trial of 93 overweight/obese fathers (mean [SD] age = 40.3 [5.3] years; BMI = 32.5 [3.8] kg/m 2) and their primary school-aged children (n = 132) from the Hunter Region, Australia. In 2010–2011, families were randomized to either: (i) HDHK intervention (n = 48 fathers, n = 72 children) or (ii) wait-list control group. The 7-week intervention included seven sessions and resources (booklets, pedometers). Assessments were held at baseline and 14-weeks with fathers' weight (kg) as the primary outcome. Secondary outcomes for fathers and children included waist, BMI, blood pressure, resting heart rate, physical activity (pedometry), and self-reported dietary intake and sedentary behaviors.

    Results

    Linear mixed models (intention-to-treat) revealed significant between-group differences for fathers' weight ( P< .001, d= 0.24), with HDHK fathers losing more weight (− 3.3 kg; 95%CI, − 4.3, − 2.4) than control fathers (0.1 kg; 95%CI, − 0.9,1.0). Significant treatment effects ( P< .05) were also found for fathers' waist ( d= 0.41), BMI ( d= 0.26), resting heart rate ( d= 0.59), energy intake ( d= 0.49) and physical activity ( d= 0.46) and for children's physical activity ( d= 0.50) and adiposity ( d= 0.07).

    Discussion

    HDHK significantly improved health outcomes and behaviors in fathers and children, providing evidence for program effectiveness when delivered in a community setting.

    Highlights

    •Effectiveness of the Healthy Dads, Healthy Kids program tested with trained facilitators.

    •Lifestyle program targeting overweight/obese fathers and their children

    •Two-arm randomized controlled trial with 93 fathers and 132 children

    •Significant intervention effects ( P< 0.05) for fathers' weight, waist, diet and activity

    •Significant intervention effects ( P< 0.05) for children's activity level and adiposity

Authors


  •   Morgan, Philip J. (external author)
  •   Collins, Clare E. (external author)
  •   Plotnikoff, Ronald (external author)
  •   Callister, Robin (external author)
  •   Burrows, Tracy L. (external author)
  •   Fletcher, R (external author)
  •   Okely, Anthony D.
  •   Young, Myles D. (external author)
  •   Miller, Drew (external author)
  •   Lloyd, Adam (external author)
  •   Cook, Alyce T. (external author)
  •   Cruickshank, J (external author)
  •   Saunders, K L. (external author)
  •   Lubans, David R. (external author)

Publication Date


  • 2014

Citation


  • Morgan, P. J., Collins, C., Plotnikoff, R. C., Callister, R., Burrows, T. L., Fletcher, R., Okely, A. D., Young, M. D., Miller, A., Lloyd, A. B., Cook, A. T., Cruickshank, J., Saunders, K. L. & Lubans, D. R. (2014). The 'Healthy Dads, Healthy Kids' community randomized controlled trial: a community-based healthy lifestyle program for fathers and their children. Preventive Medicine, 61 90-99.

Scopus Eid


  • 2-s2.0-84894128686

Ro Metadata Url


  • http://ro.uow.edu.au/sspapers/786

Has Global Citation Frequency


Number Of Pages


  • 9

Start Page


  • 90

End Page


  • 99

Volume


  • 61

Place Of Publication


  • Netherlands