Reducing obesity in pre-school children: Implementation and Effectiveness of the HENRY Programme, Luton, UK

ISRCTN ISRCTN62454430
DOI https://doi.org/10.1186/ISRCTN62454430
Secondary identifying numbers FS_HENRY
Submission date
23/02/2018
Registration date
05/03/2018
Last edited
07/06/2018
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
There is increasing concern about rates of childhood obesity in the UK. The HENRY Programme helps parents to adopt healthier family lifestyles and habits such as family mealtimes and building activities into weekly routines. It is designed for parents or carers of pre-school children who are obese or at risk of obesity. The aim of this study is to find out whether the HENRY Programme is effective for families.

Who can participate?
Parents/carers with children aged under 5 years, HENRY-trained practitioners/Family Support Workers, HENRY operational and project leads, and Local Authority commissioners

What does the study involve?
Parents/carers attend the HENRY Programme which consists of eight sessions of 2.5 hours duration. Parents are asked to evaluate their own progress in the following areas: parenting skills, emotional well-being, healthy lifestyle, healthy eating and increased activity. Interviews are also conducted with parents after the Programme has finished to find out whether they have been able to maintain the changes they have made. HENRY group facilitators, HENRY managers and local authority commissioners are interviewed regarding the implementation of the Programme.

What are the possible benefits and risks of participating?
Previous research suggests that HENRY helps people to make positive changes for themselves and their families. The interviews allow participants to give their views on the HENRY Programme. There are no anticipated risks.

Where is the study run from?
1. University of Bedfordshire (UK)
2. Flying Start Luton (UK)

When is the study starting and how long is it expected to run for?
February 2016 to November 2018

Who is funding the study?
1. University of Bedfordshire (UK)
2. Flying Start Luton (UK)

Who is the main contact?
Dr Rosemary Davidson
rosemary.davidson@beds.ac.uk

Contact information

Dr Rosemary Davidson
Scientific

Institute for Health Research
University of Bedfordshire
University Square
Luton
LU1 3JU
United Kingdom

ORCiD logoORCID ID 0000-0002-0010-4809
Phone +44 (0)7966676974
Email rosemary.davidson@beds.ac.uk
Prof Gurch Randhawa
Scientific

Institute for Health Research
University of Bedfordshire
Putteridge Bury Campus
Hitchin Road
Luton
LU2 8LE
United Kingdom

ORCiD logoORCID ID 0000-0002-2289-5859
Email gurch.randhawa@beds.ac.uk

Study information

Study designProcess and outcome evaluation of a single-centre targeted intervention versus national database of matched behavioural outcomes
Primary study designInterventional
Secondary study designProcess study
Study setting(s)Community
Study typePrevention
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet
Scientific titleReducing levels of obesity in pre-school children: A Process and Outcome Evaluation of the HENRY Programme, Luton, UK
Study acronymHENRY
Study hypothesisThe HENRY Programme uses behaviour change and self management approaches to support parents to adopt healthier family lifestyles thus reducing levels of childhood obesity.
Ethics approval(s)University Research Ethics Committee, University of Bedfordshire, 10/04/2017, ref: UREC103
ConditionChildhood obesity
InterventionThe HENRY Programme trains Early Years Practitioners (suitable for Health Visitors, Midwives, Children’s Centre workers, Nutritionists, Dieticians and Childminders) usually based in Children’s Centres to facilitate groups with families and carers of 0 to 5 year olds. The eight week programme (2.5 hours per week) builds upon mutual support and praise, with families and facilitators working together to focus on factors known to be associated with later obesity. The approach is based on behaviour change and self management techniques.

The study design is a process and outcome evaluation using a mixed method approach. The process evaluation aims to understand how and why the intervention was adopted, drivers and barriers to implementation and the role of context. With respect to HENRY this will involve semi-structured interviews with families, staff and stakeholders at agreed time points throughout the delivery of the HENRY Programme, and observations of staff training and HENRY sessions and settings.

The outcome evaluation will measure the progress of families who attend the HENRY Programme. The study will monitor specific HENRY outcomes: parenting skills, emotional well-being, healthy lifestyle, healthy eating, and increased physical activity.
Intervention typeBehavioural
Primary outcome measureSelf-reported measures pre and post HENRY (8 weeks) and 12 weeks post Programme:
1. Parenting skills (self rated confidence; cooperation and setting limits)
2. Emotional well-being (stress levels)
3. Healthy lifestyle (types of activity, screen time)
4. Healthy eating (eating patterns, cooking)
5. Increased activity (duration)
6. Parent attendance, documented over the 8 week duration of the course and reasons for absence (family issues, illness, change of job, uncomfortable with course or faciliator etc.) coded where possible
Secondary outcome measures1. What went well, less well, what they would do differently, group dynamics, any parents appearing uncomfortable, reviewed by Group Facilitators each session
2. Overall impressions of HENRY including changes observed in parents and any challenges identified, reviewed by facilitators at the end of the Programme
3. Parents' level of enjoyment rated on a likert scale and further comments, collected using an anonymous appraisal at the end of the Programme
Overall study start date01/02/2016
Overall study end date01/11/2018

Eligibility

Participant type(s)Mixed
Age groupMixed
SexBoth
Target number of participants200
Participant inclusion criteria1. Parents/carers with children under 5 years
2. HENRY trained practitioners/Family Support Workers
3. HENRY operational and project leads
4. Local Authority commissioners
Participant exclusion criteria1. Persons with no experience of HENRY
2. Persons with no experience of working in the early years sector
Recruitment start date01/05/2017
Recruitment end date01/06/2018

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centres

Institute for Health Research
University of Bedfordshire
University Square
Luton
LU1 3JU
United Kingdom
Flying Start Luton
The TOKKO Building
7 Gordon Street
Luton
LU1 2PQ
United Kingdom

Sponsor information

Institute for Health Research
University/education

University of Bedfordshire
University Square
Luton
LU1 3JU
England
United Kingdom

Website https://www.beds.ac.uk/research-ref/ihr/contactus
Flying Start Luton
Government

The TOKKO Building
7 Gordon Street
Luton
LU1 2QP
United Kingdom

Website https://www.flyingstartluton.com
National Institute for Health Research
Government

Funders

Funder type

University/education

University of Bedfordshire
Private sector organisation / Universities (academic only)
Location
United Kingdom
Flying Start Luton

No information available

Results and Publications

Intention to publish date01/06/2018
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planStudy protocol is available on request. One outcome and one process evaluation article are planned. The outcome article will report on the pre- and post behavioural measures collected from participants. The process evaluation article will report on implementation and progress of the HENRY Programme.
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Dr Rosemary Davidson (rosemary.davidson@beds.ac.uk). Process and outcome data will be available from November 2018 for three years post evaluation. Any data requests will be subject to HENRY approval for post hoc analyses. All data is anonymised. Consent has been obtained from participants for their anonymised data to be used.

Editorial Notes

07/06/2018: Prof Gurch Randhawa has been added as a scientific contact