Twelve-month outcomes of a community-based, father-daughter physical activity program delivered by trained facilitators.

Autor: Ashton LM; Centre for Active Living and Learning, College of Human and Social Futures, School of Education, University of Newcastle, University Drive, Awabakal Country, Callaghan, NSW, 2308, Australia.; Active Living and Learning Research Program, Hunter Medical Research Institute (HMRI), Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia., Rayward AT; School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia.; The National Centre of Implementation Science (NCOIS), The University of Newcastle, Newcastle, NSW, Australia.; Population Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.; Hunter New England Population Health, Hunter New England Local Health District, Newcastle, NSW, Australia., Pollock ER; School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia.; The National Centre of Implementation Science (NCOIS), The University of Newcastle, Newcastle, NSW, Australia.; Population Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.; Hunter New England Population Health, Hunter New England Local Health District, Newcastle, NSW, Australia., Kennedy SL; School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia.; The National Centre of Implementation Science (NCOIS), The University of Newcastle, Newcastle, NSW, Australia.; Population Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.; Hunter New England Population Health, Hunter New England Local Health District, Newcastle, NSW, Australia., Young MD; Active Living and Learning Research Program, Hunter Medical Research Institute (HMRI), Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia.; College of Engineering, Science and Environment, School of Psychology, University of Newcastle, Callaghan, NSW, Australia., Eather N; Centre for Active Living and Learning, College of Human and Social Futures, School of Education, University of Newcastle, University Drive, Awabakal Country, Callaghan, NSW, 2308, Australia.; Active Living and Learning Research Program, Hunter Medical Research Institute (HMRI), Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia., Barnes AT; School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia.; The National Centre of Implementation Science (NCOIS), The University of Newcastle, Newcastle, NSW, Australia.; Population Health Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia.; Hunter New England Population Health, Hunter New England Local Health District, Newcastle, NSW, Australia., Lee DR; Centre for Active Living and Learning, College of Human and Social Futures, School of Education, University of Newcastle, University Drive, Awabakal Country, Callaghan, NSW, 2308, Australia.; Active Living and Learning Research Program, Hunter Medical Research Institute (HMRI), Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia., Morgan PJ; Centre for Active Living and Learning, College of Human and Social Futures, School of Education, University of Newcastle, University Drive, Awabakal Country, Callaghan, NSW, 2308, Australia. philip.morgan@newcastle.edu.au.; Active Living and Learning Research Program, Hunter Medical Research Institute (HMRI), Lot 1 Kookaburra Circuit, New Lambton Heights, NSW, 2305, Australia. philip.morgan@newcastle.edu.au.
Jazyk: angličtina
Zdroj: The international journal of behavioral nutrition and physical activity [Int J Behav Nutr Phys Act] 2024 Sep 11; Vol. 21 (1), pp. 101. Date of Electronic Publication: 2024 Sep 11.
DOI: 10.1186/s12966-024-01648-w
Abstrakt: Background: Dads and Daughters Exercising and Empowered (DADEE) is a program targeting fathers/father-figures to improve their daughters' physical activity and well-being. Previous randomised controlled efficacy and effectiveness trials of DADEE demonstrated meaningful improvements in a range of holistic outcomes for both fathers and daughters in the short-term. This study aims to assess the long-term impact (12-months) of the program when delivered in the community by trained facilitators.
Methods: Fathers/father-figures and their primary school-aged daughters were recruited from Newcastle, Australia into a single-arm, non-randomised, pre-post study with assessments at baseline, 10-weeks (post-intervention) and 12-months. The 9-session program included weekly 90-min educational and practical sessions, plus home-based tasks. The primary outcome was fathers' and daughters' days per week meeting national physical activity recommendations (≥ 30 min/day of MVPA for fathers, ≥ 60 min/day MVPA for daughters). Secondary outcomes included physical activity, screen time, self-esteem, father-daughter relationship, social-emotional well-being, parenting measures, and process outcomes (including recruitment, attendance, retention and program acceptability).
Results: Twelve programs were delivered with 257 fathers (40.0 ± 9.2 years) and 285 daughters (7.7 ± 1.9 years). Mixed effects regression models revealed significant intervention effects for the primary outcome, with fathers increasing the days/week meeting physical activity recommendations by 27% at 10-weeks (p < 0.001) and by 19% at 12-months (p < 0.001) compared with baseline. Likewise, for daughters there was a significant increase by 25% at 10-weeks (p < 0.001) and by 14% at 12-months (p = 0.02) when compared to baseline. After conducting a sensitivity analysis with participants unaffected by COVID-19 lockdowns (n = 175 fathers, n = 192 daughters), the primary outcome results strengthened at both time-points for fathers and at 12-months for daughters. Additionally, the sensitivity analysis revealed significant intervention effects at post-program and 12-months for all secondary outcomes in both fathers and daughters. Furthermore, the process outcomes for recruitment capability, attendance, retention and satisfaction levels were high.
Conclusions: Findings provide support for a sustained effect of the DADEE program while delivered in a community setting by trained facilitators. Further investigation is required to identify optimised implementation processes and contextual factors to deliver the program at scale.
Trial Registration: ACTRN12617001450303 . Date registered: 12/10/2017.
(© 2024. The Author(s).)
Databáze: MEDLINE
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