Replicability, adaptability and long-term impact of the ‘Healthy Youngsters, Healthy Dads’ program in Newcastle, Australia

Datos Bibliográficos

ID22945658
AutoresLee M Ashton (0000-0001-7362-0137, Centre for Active Living and Learning, College of Human and Social Futures, School of Education, University of Newcastle , Awabakal Country, Callaghan, New South Wales, 2308 , Australia), Jacqueline A Grounds (0000-0002-7373-7914, Centre for Active Living and Learning, College of Human and Social Futures, School of Education, University of Newcastle , Awabakal Country, Callaghan, New South Wales, 2308 , Australia), Alyce T Barnes (0000-0003-4227-4301, College of Health, Medicine and Wellbeing, School of Medicine and Public Health, The University of Newcastle , Awabakal Country, Newcastle, New South Wales, 2308 , Australia), Emma R Pollock (0000-0003-0781-4739, College of Health, Medicine and Wellbeing, School of Medicine and Public Health, The University of Newcastle , Awabakal Country, Newcastle, New South Wales, 2308 , Australia), Myles D Young (0000-0002-3032-1759, Active Living and Learning Research Program, Hunter Medical Research Institute (HMRI) , Lot 1 Kookaburra Circuit, Awabakal Country, New Lambton Heights, New South Wales 2305 , Australia), Stevie-Lee Kennedy (Centre for Active Living and Learning, College of Human and Social Futures, School of Education, University of Newcastle , Awabakal Country, Callaghan, New South Wales, 2308 , Australia), Anna T Rayward (0000-0003-3029-9288, College of Health, Medicine and Wellbeing, School of Medicine and Public Health, The University of Newcastle , Awabakal Country, Newcastle, New South Wales, 2308 , Australia), Daniel R Lee (0000-0002-8461-6894, Centre for Active Living and Learning, College of Human and Social Futures, School of Education, University of Newcastle , Awabakal Country, Callaghan, New South Wales, 2308 , Australia), Philip J Morgan (0000-0002-5632-8529, Centre for Active Living and Learning, College of Human and Social Futures, School of Education, University of Newcastle , Awabakal Country, Callaghan, New South Wales, 2308 , Australia)
Año2024
Volumen39
Número4
Fecha de publicación2024-08-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Promotion International (JOURNAL)
Identificadores de la revistaISSN: 0957-4824 • E-ISSN: 1460-2245
EditorialOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/daae095
PMID39129343
OpenAlexW4401525918
IdiomaEN
Referencias citadas74

‘Healthy Youngsters, Healthy Dads’ (HYHD) targets fathers to improve the health of their preschool-aged children. In a previous randomized trial, fathers and children experienced meaningful improvements in physical activity and eating behaviours. The next phase is to test the replicability and adaptability of HYHD when delivered in the community by trained facilitators. Fathers/father-figures and children aged 3–5 years were recruited from Newcastle, Australia into a 9-week, non-randomized trial with assessments at baseline, 10 weeks, and 12 months. The primary outcome was achievement of pre-registered targets for recruitment (≥ 96 dyads), attendance (≥ 70%), compliance (completing ≥ 70% of home-based tasks), fidelity (≥ 80% of content delivered as intended) and program satisfaction (≥ 4/5). Secondary outcomes included physical activity, nutrition, screen time and parenting measures. Process targets were surpassed for recruitment (140 fathers, 141 children), attendance (79% for fathers-only workshops, 81% for father–child sessions), compliance (80% of home-tasks completed), fidelity (99% for education, ≥ 97% for practical) and program satisfaction (4.8/5). Mixed effects regression models revealed significant effects in fathers for moderate-to-vigorous physical activity, co-physical activity, dietary intake and parenting practises, which were maintained at 12 months. Significant effects were also established for screen time at 10 weeks only. For children, significant effects were observed for screen time and dietary intake at 10 weeks, while effects on energy-dense, nutrient-poor foods and healthy, nutrient-dense core food intake were maintained at 12 months. Findings demonstrate the replicability and adaptability of HYHD when delivered in the community by local trained facilitators. Further investigation into how to optimally scale-up HYHD is warranted.

Adaptability · Attendance · Developmental psychology · Fidelity · Physical activity · Physical therapy · Randomized controlled trial · Screen time · Child Nutrition and Feeding Issues · Infant Development and Preterm Care · Medicine · Obesity, Physical Activity, Diet · Psychology · Gerontology