A cluster-randomised feasibility trial of a children's weight management programme: the Child weigHt mANaGement for Ethnically diverse communities (CHANGE) study

Miranda Pallan, Kiya L Hurley, Tania Griffin, Emma Lancashire, Jacqueline Blissett, Emma Frew, Paramjit Gill, Karla Hemming, Louise Jackson, Kate Jolly, Eleanor McGee, Jayne Parry, Janice L Thompson, Peymane Adab

Research output: Contribution to journalArticle

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.

Trial registration: ISRCTN81798055, registered: 13/05/2014.

Original languageEnglish
Article number175
JournalPilot and Feasibility Studies
Volume4
DOIs
Publication statusPublished - 26 Nov 2018

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Weights and Measures
Costs and Cost Analysis
Interviews
Program Evaluation
Family Planning Services
Feasibility Studies
Cost-Benefit Analysis
Referral and Consultation
Parents
Observation
Population

Bibliographical note

© The Author(s). 2018 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.

Cite this

Pallan, Miranda ; Hurley, Kiya L ; Griffin, Tania ; Lancashire, Emma ; Blissett, Jacqueline ; Frew, Emma ; Gill, Paramjit ; Hemming, Karla ; Jackson, Louise ; Jolly, Kate ; McGee, Eleanor ; Parry, Jayne ; Thompson, Janice L ; Adab, Peymane. / A cluster-randomised feasibility trial of a children's weight management programme : the Child weigHt mANaGement for Ethnically diverse communities (CHANGE) study. In: Pilot and Feasibility Studies. 2018 ; Vol. 4.
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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.Trial registration: ISRCTN81798055, registered: 13/05/2014.",
author = "Miranda Pallan and Hurley, {Kiya L} and Tania Griffin and Emma Lancashire and Jacqueline Blissett and Emma Frew and Paramjit Gill and Karla Hemming and Louise Jackson and Kate Jolly and Eleanor McGee and Jayne Parry and Thompson, {Janice L} and Peymane Adab",
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Pallan, M, Hurley, KL, Griffin, T, Lancashire, E, Blissett, J, Frew, E, Gill, P, Hemming, K, Jackson, L, Jolly, K, McGee, E, Parry, J, Thompson, JL & 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, vol. 4, 175. https://doi.org/10.1186/s40814-018-0373-6

A cluster-randomised feasibility trial of a children's weight management programme : the Child weigHt mANaGement for Ethnically diverse communities (CHANGE) study. / Pallan, Miranda; Hurley, Kiya L; Griffin, Tania; Lancashire, Emma; Blissett, Jacqueline; Frew, Emma; Gill, Paramjit; Hemming, Karla; Jackson, Louise; Jolly, Kate; McGee, Eleanor; Parry, Jayne; Thompson, Janice L; Adab, Peymane.

In: Pilot and Feasibility Studies, Vol. 4, 175, 26.11.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A cluster-randomised feasibility trial of a children's weight management programme

T2 - the Child weigHt mANaGement for Ethnically diverse communities (CHANGE) study

AU - Pallan, Miranda

AU - Hurley, Kiya L

AU - Griffin, Tania

AU - Lancashire, Emma

AU - Blissett, Jacqueline

AU - Frew, Emma

AU - Gill, Paramjit

AU - Hemming, Karla

AU - Jackson, Louise

AU - Jolly, Kate

AU - McGee, Eleanor

AU - Parry, Jayne

AU - Thompson, Janice L

AU - Adab, Peymane

N1 - © The Author(s). 2018 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.

PY - 2018/11/26

Y1 - 2018/11/26

N2 - 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.Trial registration: ISRCTN81798055, registered: 13/05/2014.

AB - 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.Trial registration: ISRCTN81798055, registered: 13/05/2014.

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DO - 10.1186/s40814-018-0373-6

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VL - 4

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