PDF(Pubmed)
Abstract：
\'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.
摘要：
\'健康的年轻人，健康爸爸（HYHD）的目标是父亲改善学龄前儿童的健康。在之前的随机试验中,父亲和孩子在体育活动和饮食行为方面经历了有意义的改善。下一阶段是测试HYHD在社区中由训练有素的主持人交付时的可复制性和适应性。从纽卡斯尔招募了3-5岁的父亲/父亲和孩子，澳大利亚进入9周，在基线时进行评估的非随机试验，10周,和12个月。主要结果是实现了预先登记的招募目标(≥96二元)，出勤率（≥70%），合规性(完成≥70%的家庭任务)，保真度(按预期交付的内容≥80%)和计划满意度(≥4/5)。次要结果包括体力活动，营养,屏幕时间和育儿措施。超过了招聘的过程目标(140名父亲，141个孩子），出勤率(79%为仅限父亲的研讨会，81%的父子会话)，合规性(80%的家庭任务完成)，保真度(99%用于教育，实践≥97%）和计划满意度（4.8/5）。混合效应回归模型揭示了父亲对中等至剧烈体力活动的显着影响，共同身体活动，饮食摄入和育儿实践，维持在12个月。仅在10周的筛选时间也建立了显著的效果。对于孩子们来说,屏幕时间和饮食摄入量在10周时观察到显著的影响，虽然对能量密度的影响，营养不良的食物和健康，在12个月时维持营养密集的核心食物摄入量.研究结果表明，由当地训练有素的主持人在社区中提供HYHD的可复制性和适应性。有必要进一步研究如何最佳地扩大HYHD。
