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- Title
Twelve-month outcomes of a community-based, father-daughter physical activity program delivered by trained facilitators.
- Authors
Ashton, Lee M.; Rayward, Anna T.; Pollock, Emma R.; Kennedy, Stevie-Lee; Young, Myles D.; Eather, Narelle; Barnes, Alyce T.; Lee, Daniel R.; Morgan, Philip J.
- Abstract
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.
- Subjects
NEW South Wales; PATIENT selection; RESEARCH funding; PSYCHOLOGY of fathers; SATISFACTION; EVALUATION of human services programs; CLINICAL trials; HEALTH; HUMAN research subjects; FATHER-child relationship; DESCRIPTIVE statistics; SCREEN time; PARENTING; EXERCISE intensity; PRE-tests &; post-tests; EXPERIMENTAL design; STAY-at-home orders; FATHERS; HEALTH behavior; DAUGHTERS; HEALTH promotion; COMPARATIVE studies; COMMUNITY-based social services; PHYSICAL activity; SELF-perception; PATIENT participation; REGRESSION analysis; PSYCHOSOCIAL factors; COVID-19 pandemic
- Publication
International Journal of Behavioral Nutrition & Physical Activity, 2024, Vol 21, Issue 1, p1
- ISSN
1479-5868
- Publication type
Article
- DOI
10.1186/s12966-024-01648-w