Pallan, M., Hurley, K. L., Griffin, T., Lancashire, E., Blissett, J., Frew, E., Gill, Paramjit, Hemminki, K., Jackson, L., Jolly, K., McGee, E., Parry, J., Thompson, J. L. and Adab, P. (2018) A cluster-randomised feasibility trial of a children’s weight management programme : the Child weigHt mANaGement for Ethnically diverse communities (CHANGE) study. Pilot and Feasibility Studies, 4 . 175. doi:10.1186/s40814-018-0373-6 ISSN 2055-5784.
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Abstract
Background: Community-based programmes for children with excess weight are widely available but few have been developed to meet the needs of culturally diverse populations. We adapted an existing children’s weight management programme, focusing on Pakistani and Bangladeshi communities. We report the evaluation of this programme to assess feasibility of programme delivery, acceptability of the programme to participants from diverse communities, and feasibility of methods to inform a future trial.
Methods: A cluster-randomised feasibility trial was undertaken in a large UK city. Children’s weight management programmes (n=24) were randomised to be delivered as the adapted or the standard programme (2:1 ratio). Routine data on participant attendance (n=243) at the sessions were used to estimate the proportion of families completing the adapted and standard programmes (to indicate programme acceptability). Families planning to attend the programmes were recruited to participate in the feasibility study (n=92). Outcome data were collected from children and parents at baseline, end of programme and 6 months post-programme. A subsample (n=24) of those attending the adapted programme participated in interviews to gain their views of the content and delivery and assess programme acceptability. Feasibility of programme delivery was assessed through observation and consultation with facilitators, and data on costs were collected.
Results: The proportion of Pakistani and Bangladeshi families and families of all ethnicities completing the adapted programme was similar: 78.8% (95% CI: 64.8-88.2%) and 76.3% (95% CI: 67.0-83.6%) respectively. OR for completion of adapted vs. standard programme was 2.40 (95% CI: 1.32-4.34, p=0.004). The programme was feasible to deliver with some refinements and participant interview data showed that the programme was well received. Study participant recruitment was successful but attrition was high (35% at 6 months). Data collection was mostly feasible but participant burden was high. Data collection on cost of programme delivery was feasible but costs to families were more challenging to capture.
Conclusions: This culturally adapted programme was feasible to deliver and highly acceptable to participants, with increased completion rates compared with the standard programme. Consideration should be given to a future trial to evaluate its clinical and cost-effectiveness.
Item Type: | Journal Article |
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Subjects: | R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
Library of Congress Subject Headings (LCSH): | Obesity in children , Obesity in children -- Prevention, Overweight children , Weight loss |
Journal or Publication Title: | Pilot and Feasibility Studies |
Publisher: | BioMed Central Ltd. |
ISSN: | 2055-5784 |
Official Date: | 26 November 2018 |
Dates: | Date Event 26 November 2018 Published 14 November 2018 Accepted |
Volume: | 4 |
Article Number: | 175 |
DOI: | 10.1186/s40814-018-0373-6 |
Status: | Peer Reviewed |
Publication Status: | Published |
Access rights to Published version: | Open Access (Creative Commons open licence) |
Date of first compliant deposit: | 19 November 2018 |
Date of first compliant Open Access: | 7 January 2019 |
Funder: | Collaborations for Leadership in Applied Health Research and Care (CLAHRC) |
RIOXX Funder/Project Grant: | Project/Grant ID RIOXX Funder Name Funder ID |
Related URLs: | |
URI: | https://wrap.warwick.ac.uk/110957/ |
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