Extrait

Background and study aims Overweight and obese children are at risk of poor health both in childhood and adulthood. As well as physical ill health, being overweight or obese can also impact on a child's social and emotional wellbeing. Some South Asian children are at greater risk of becoming overweight or obese in childhood and South Asians are also more susceptible to some of the health consequences of obesity, such as heart disease and diabetes. In Birmingham (a large ethnically diverse city), a weight management programme for children and their families is available for all overweight and obese children. It has been found that Bangladeshi and Pakistani families are willing to start the programme but then drop out before they have completed it. Therefore the main aim of this study is to develop and assess the feasibility and acceptability of a weight management programme for children aged 4-11 years and their families, tailored to be culturally relevant to Bangladeshi and Pakistani communities, but also suitable for delivery to an ethnically diverse population. Who can participate? The study has two phases: development of a culturally adapted children's weight management programme and a study to test the feasibility and acceptability of the adapted programme. In the first phase, the study will recruit 40-60 Bangladeshi and Pakistani parents and carers of overweight or obese children aged 4-11 years who have been offered the local children's weight management programme. In the second phase, the study will recruit 120 overweight/obese children aged 4-11 years and families who have been referred to the Birmingham children's weight management service (60% of families will be Bangladeshi or Pakistani and 40% will be from other ethnicities). What does the study involve? In the first phase we will explore the reasons why Bangladeshi and Pakistani families do not finish the existing children's weight management programme, and make changes to try and make sure that families feel more able to continue to the end of the programme. First we will look at the results of previous research to identify what has worked well in other children's weight management programmes. Then we will find out from parents themselves what they thought by inviting them to take part in interviews or focus groups with researchers from their own communities. We will explore reasons why they did or did not attend or complete the programme, and their ideas on how it could be improved. Third we will use our previous experience, together with what is already known about adapting health promotion services for minority ethnic groups, to develop a modified children's weight management programme that is relevant to Bangladeshi and Pakistani communities, but also suitable to be delivered in a diverse population. In the second phase we will test the modified programme's feasibility to deliver and acceptability to families, and we will also test methods for use in a future study to find out the programme's effectiveness and its value for money. As the existing programme is available to all children, the new programme will be tested in children and families from all ethnic backgrounds. In this way we can explore whether the new programme is acceptable to Bangladeshi and Pakistani families, and also to families of other ethnicities. Children and families taking part in this phase will be randomly allocated to the modified or existing programme. We will calculate and compare the proportions of families completing the adapted programme and the existing programme. We will also take measurements from children and parents before they start the programme, immediately after the programme finishes, and 6 months after the programme. Measurements include measures of weight and body fat, food intake, physical activity levels, psychological assessments and assessments of parental behaviours. What are the possible benefits and risks of participating? There will be no immediate benefit to those participating in interviews or focus groups in the first phase of the study. The information resulting from the interviews and focus groups will potentially benefit future recipients of children's weight management programmes. It is anticipated that the risk of harm to these participants is minimal. All participants in the second phase study will receive a weight management programme, either the standard programme or the newly adapted programme. As the weight management programmes focus on changing lifestyle behaviours, the risk of harm to participants is very low. Psychosocial assessments will be undertaken during the study to monitor for any adverse impact on children's emotional and social wellbeing. Where is the study run from? This study is run from Birmingham Community Healthcare NHS Trust, Birmingham, UK. When is the study starting and how long is it expected to run for? The study will start in September 2014 and will run for 30 months. Who is funding the study? NIHR Health Technology Assessment Programme - HTA (UK). Who is the main contact? Dr Miranda Pallan [email protected]

Critère d'inclusion

• Childhood obesity

Liens

• ictrp
• isrctn