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.
Int J Behav Nutr Phys Act. 2024 Sep 11;21(1):101. doi: 10.1186/s12966-024-01648-w.
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.
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).
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.
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.
ACTRN12617001450303 . Date registered: 12/10/2017.
父亲与女儿锻炼与自强计划（DADEE）是一项针对父亲/父亲形象的计划，旨在提高女儿的身体活动水平和幸福感。之前对 DADEE 的随机对照效果和有效性试验表明，在短期内在父亲和女儿的一系列整体结果方面均取得了有意义的改善。本研究旨在评估该计划在由经过培训的协调员在社区中进行时的长期影响（12 个月）。
从澳大利亚纽卡斯尔招募了父亲/父亲形象及其小学年龄的女儿参加单臂、非随机、前后对照研究，在基线、10 周（干预后）和 12 个月时进行评估。该 9 节课程包括每周 90 分钟的教育和实践课程，外加家庭作业。主要结果是父亲和女儿每周满足国家身体活动建议的天数（父亲每天至少 30 分钟的中等到剧烈强度的身体活动，女儿每天至少 60 分钟的中等到剧烈强度的身体活动）。次要结果包括身体活动、屏幕时间、自尊、父女关系、社会情感幸福感、育儿措施和过程结果（包括招募、出勤率、保留率和计划接受度）。
共实施了 12 个课程，有 257 位父亲（40.0±9.2 岁）和 285 位女儿（7.7±1.9 岁）参加。混合效应回归模型显示，主要结果存在显著的干预效果，与基线相比，父亲在 10 周时满足身体活动建议的天数增加了 27%（p<0.001），在 12 个月时增加了 19%（p<0.001）。同样，对于女儿来说，与基线相比，10 周时增加了 25%（p<0.001），12 个月时增加了 14%（p=0.02）。对未受 COVID-19 封锁影响的参与者（n=175 位父亲，n=192 位女儿）进行敏感性分析后，父亲在两个时间点的主要结果以及女儿在 12 个月时的主要结果都得到了加强。此外，敏感性分析显示，在父亲和女儿中，所有次要结果在方案后和 12 个月时均具有显著的干预效果。此外，招募能力、出勤率、保留率和满意度等过程结果都很高。
研究结果支持 DADEE 计划在经过培训的协调员在社区中进行时具有持续的效果。需要进一步研究以确定优化的实施过程和背景因素，以实现该计划的大规模推广。
ACTRN12617001450303。注册日期：2017 年 10 月 12 日。
