T A Willis1, K P J Roberts2, T M Berry2, M Bryant3, M C J Rudolf4. 1. Leeds Institute of Health Sciences, University of Leeds, Leeds, LS2 9JT, UK. Electronic address: t.a.willis@leeds.ac.uk. 2. HENRY, 8 Elm Place, Old Witney Road, Oxfordshire, OX29 4BD, UK. 3. Institute of Clinical Trials Research, University of Leeds, Leeds, LS2 9JT, UK. 4. Bar-Ilan Faculty of Medicine in the Galilee, Safed, Israel.
Abstract
OBJECTIVES: One in five children in England are overweight/obese at school entry. Tackling obesity is therefore a priority. Right from the Start with HENRY is a widely-commissioned programme delivered by trained facilitators to small groups of parents over eight weekly sessions. It is designed to provide parents of infants and preschool children with the skills, knowledge and confidence required for a healthier family lifestyle. The aim of this work was to investigate programme impact using data collected routinely for quality control purposes. STUDY DESIGN: Analysis of routinely collected pre-post data from programmes delivered in the UK from January 2012 to February 2014. METHODS: Data were analysed from 144 programmes, including questionnaires relating to parenting, family eating behaviours, dietary intake, and physical activity/screen time. RESULTS: Over 24 months, 1100 parents attended programmes running in 86 locations. 788 (72%) completed >5 sessions of whom 624 (79%) provided baseline and completion questionnaires. Parents reported increases in healthiness of family lifestyle, parenting attributes, and emotional wellbeing following attendance (all P < .001). Both parents and children were reported to have increased their daily fruit/vegetable consumption, and reduced their consumption of high fat/sugar foods (both P < .001). There were also positive changes in eating behaviours, physical activity (P < .001) and children's screen time (P < .001). CONCLUSIONS: Significant changes were reported in all domains similar to those reported in a previous, smaller study in locations selected for experience and quality. The HENRY approach appears to have a beneficial impact even when delivered at scale in non-selected locations. Such changes, if maintained, may serve to protect against later obesity.
OBJECTIVES: One in five children in England are overweight/obese at school entry. Tackling obesity is therefore a priority. Right from the Start with HENRY is a widely-commissioned programme delivered by trained facilitators to small groups of parents over eight weekly sessions. It is designed to provide parents of infants and preschool children with the skills, knowledge and confidence required for a healthier family lifestyle. The aim of this work was to investigate programme impact using data collected routinely for quality control purposes. STUDY DESIGN: Analysis of routinely collected pre-post data from programmes delivered in the UK from January 2012 to February 2014. METHODS: Data were analysed from 144 programmes, including questionnaires relating to parenting, family eating behaviours, dietary intake, and physical activity/screen time. RESULTS: Over 24 months, 1100 parents attended programmes running in 86 locations. 788 (72%) completed >5 sessions of whom 624 (79%) provided baseline and completion questionnaires. Parents reported increases in healthiness of family lifestyle, parenting attributes, and emotional wellbeing following attendance (all P < .001). Both parents and children were reported to have increased their daily fruit/vegetable consumption, and reduced their consumption of high fat/sugar foods (both P < .001). There were also positive changes in eating behaviours, physical activity (P < .001) and children's screen time (P < .001). CONCLUSIONS: Significant changes were reported in all domains similar to those reported in a previous, smaller study in locations selected for experience and quality. The HENRY approach appears to have a beneficial impact even when delivered at scale in non-selected locations. Such changes, if maintained, may serve to protect against later obesity.
Authors: Maria Bryant; Wendy Burton; Bonnie Cundill; Amanda J Farrin; Jane Nixon; June Stevens; Kim Roberts; Robbie Foy; Harry Rutter; Suzanne Hartley; Sandy Tubeuf; Michelle Collinson; Julia Brown Journal: Trials Date: 2017-01-24 Impact factor: 2.279
Authors: Edward J D Webb; Elizabeth Stamp; Michelle Collinson; Amanda J Farrin; June Stevens; Wendy Burton; Harry Rutter; Holly Schofield; Maria Bryant Journal: BMC Public Health Date: 2020-10-12 Impact factor: 3.295
Authors: Neil Howlett; Kim P J Roberts; Di Swanston; Laurel D Edmunds; Thomas A Willis Journal: BMC Public Health Date: 2021-01-06 Impact factor: 3.295
Authors: S M C van der Veek; C de Graaf; J H M de Vries; G Jager; C M J L Vereijken; H Weenen; N van Winden; M S van Vliet; J M Schultink; V W T de Wild; S Janssen; J Mesman Journal: BMC Pediatr Date: 2019-08-01 Impact factor: 2.125