Priority Research Center for Physical Activity and Nutrition, University of Newcastle, New South Wales, Australia.
Faculty of Education and Arts, University of Newcastle, New South Wales, Australia.
Ann Behav Med. 2019 Jan 1;53(1):39-52. doi: 10.1093/abm/kay015.
Existing strategies to increase girls' physical activity levels have seen limited success. Fathers may influence their children's physical activity, but often spend more time with their sons and rarely participate in family-based programs.
To test a novel program designed to increase the physical activity levels of fathers and their daughters.
In a two-arm RCT, 115 fathers (29-53 years) and 153 daughters (4-12 years) were randomized to (i) the "Dads And Daughters Exercising and Empowered" (DADEE) program, or (ii) a wait-list control. The 8-week program included weekly educational and practical sessions plus home tasks. Assessments were at baseline, 2 months (postintervention), and 9 months. The primary outcomes were father-daughter physical activity levels (pedometry). Secondary outcomes included screen-time, daughters' fundamental movement skill proficiency (FMS: perceived and objective), and fathers' physical activity parenting practices.
Primary outcome data were obtained from 88% of daughters and 90% of fathers at 9 months. Intention-to-treat analyses revealed favorable group-by-time effects for physical activity in daughters (p = .02, d = 0.4) and fathers (p < .001, d = 0.7) at postintervention, which were maintained at 9 months. At postintervention and follow-up, significant effects (p < .05) were also identified for daughters' FMS competence (objective: d = 1.1-1.2; perceived: d = 0.4-0.6), a range of fathers' physical activity parenting practices (d = 0.3-0.8), and screen-time for daughters (d = 0.5-0.8) and fathers (d = 0.4-0.6, postintervention only). Program satisfaction and attendance were very high.
This study provided the first experimental evidence that efforts to increase physical activity behavior in preadolescent girls would benefit from a meaningful engagement of fathers. Clinical Trial information: Australian New Zealand Clinical Trials Registry: ACTRN12615000022561.
现有的提高女孩身体活动水平的策略收效甚微。父亲可能会影响孩子的身体活动，但他们通常与儿子在一起的时间更多，很少参与基于家庭的项目。
测试一种新的方案，以提高父亲及其女儿的身体活动水平。
在一项双臂 RCT 中，将 115 名父亲（29-53 岁）和 153 名女儿（4-12 岁）随机分为（i）“父亲与女儿锻炼与赋权”（DADEE）方案组，或（ii）候补名单对照组。该 8 周方案包括每周的教育和实践课程，外加家庭作业。评估在基线、2 个月（干预后）和 9 个月时进行。主要结果是父亲-女儿的身体活动水平（计步器）。次要结果包括屏幕时间、女儿基本运动技能熟练程度（FMS：感知和客观）和父亲的身体活动育儿实践。
9 个月时，88%的女儿和 90%的父亲获得了主要结局数据。意向治疗分析显示，干预后女儿（p=0.02，d=0.4）和父亲（p<0.001，d=0.7）的身体活动均有良好的组间-时间效应，该效应在 9 个月时仍保持不变。在干预后和随访时，女儿的 FMS 能力（客观：d=1.1-1.2；感知：d=0.4-0.6）、父亲的一系列身体活动育儿实践（d=0.3-0.8）以及女儿（d=0.5-0.8）和父亲（d=0.4-0.6，仅在干预后）的屏幕时间也有显著影响（p<0.05）。方案满意度和出勤率非常高。
这项研究首次提供了实验证据，表明在青少年前女孩中增加身体活动行为的努力将受益于父亲的积极参与。
澳大利亚新西兰临床试验注册中心：ACTRN12615000022561。
