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dc.contributor.authorMcEachan, R.R.C.*
dc.contributor.authorSantorelli, G.*
dc.contributor.authorBryant, M.*
dc.contributor.authorSahota, P.*
dc.contributor.authorFarrar, D.*
dc.contributor.authorSmall, Neil A.*
dc.contributor.authorAkhtar, Shaheen*
dc.contributor.authorSargent, J.*
dc.contributor.authorBarber, Sally E.*
dc.contributor.authorTaylor, N.*
dc.contributor.authorRichardson, G.*
dc.contributor.authorFarrin, A.J.*
dc.contributor.authorBhopal, R.S.*
dc.contributor.authorBingham, D.D.*
dc.contributor.authorAhern, S.M.*
dc.contributor.authorWright, J.*
dc.date.accessioned2016-10-25T15:01:09Z
dc.date.available2016-10-25T15:01:09Z
dc.date.issued2016-03-01
dc.identifier.citationMcEachan RRC, Santorelli G, Bryant M et al. (2016) The HAPPY (Healthy and Active Parenting Programmme for early Years) feasibility randomised control trial: acceptability and feasibility of an intervention to reduce infant obesity. BMC Public Health. 16: 211.en_US
dc.identifier.urihttp://hdl.handle.net/10454/10068
dc.descriptionYesen_US
dc.description.abstractprevent obesity at this age. This study tested the acceptability and feasibility of evaluating a theory-based intervention aimed at reducing risk of obesity in infants of overweight/obese women during and after pregnancy: the Healthy and Active Parenting Programme for Early Years (HAPPY). Methods: A feasibility randomised controlled trial was conducted in Bradford, England. One hundred twenty overweight/obese pregnant women (Body Mass Index [BMI] ≥25 kg/m2) were recruited between 10–26 weeks gestation. Consenting women were randomly allocated to HAPPY (6 antenatal, 6 postnatal sessions: N = 59) or usual care (N = 61). Appropriate outcome measures for a full trial were explored, including: infant’s length and weight, woman’s BMI, physical activity and dietary intake of the women and infants. Health economic data were collected. Measurement occurred before randomisation and when the infant was aged 6 months and 12 months. Feasibility outcomes were: recruitment/attrition rates, and acceptability of: randomisation, measurement, and intervention. Intra-class correlations for infant weight were calculated. Fidelity was assessed through observations and facilitator feedback. Focus groups and semi-structured interviews explored acceptability of methods, implementation, and intervention content. Results: Recruitment targets were met (~20 women/month) with a recruitment rate of 30 % of eligible women (120/396). There was 30 % attrition at 12 months; 66 % of recruited women failed to attend intervention sessions, but those who attended the first session were likely to continue to attend (mean 9.4/12 sessions, range 1–12). Reaction to intervention content was positive, and fidelity was high. Group clustering was minimal; an adjusted effect size of −0.25 standard deviation scores for infant weight at 12 months (95 % CI: −0.16–0.65) favouring the intervention was observed using intention to treat analyses. No adverse events were reported. Conclusions: The HAPPY intervention appeared feasible and acceptable to participants who attended and those delivering it, however attendance was low; adaptations to increase initial attendance are recommended. Whilst the study was not powered to detect a definitive effect, our results suggest a potential to reduce risk of infant obesity. The evidence reported provides valuable lessons to inform progression to a definitive trial.en_US
dc.description.sponsorshipNational Institute for Health Researchen_US
dc.language.isoenen_US
dc.relation.isreferencedbyhttp://dx.doi.org/10.1186/s12889-016-2861-zen_US
dc.rights© 2016 McEachan et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_US
dc.subjectInfant obesity; Behaviour change; Feasibility randomised controlled trial; Nutrition; Pregnancy; Ethnicityen_US
dc.titleThe HAPPY (Healthy and Active Parenting Programme for Early Years) feasability randomised control trial: acceptability and feasability of an intervention to reduce infant Obesityen_US
dc.status.refereedYesen_US
dc.date.Accepted2016-02-12
dc.typeArticleen_US
dc.type.versionPublished versionen_US
refterms.dateFOA2018-07-27T01:58:41Z


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