Feasibility and Preliminary Efficacy of the Biya Yadha Gudjagang Yadha: Healthy Dads Healthy Mob Program

IF 1.5 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Jake C. MacDonald, Nathan Towney, Kathleen J. Butler, Myles D. Young, Lee M. Ashton, Briana L. Barclay, Philip J. Morgan
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引用次数: 0

Abstract

Issue Addressed

The important link between culture, health, and wellbeing is often overlooked when providing parenting support for Aboriginal fathers. This Aboriginal-led, community co-designed study was the first programme aimed to improve the health and wellbeing of Aboriginal fathers and their children living on Darkinjung Country (Central Coast NSW, Australia).

Methods

Single arm, pre-post feasibility trial including qualitative (yarning) and quantitative (survey & anthropometry) measures assessing a 9-week health and wellbeing programme tailored for Aboriginal fathers and their primary school aged (5–12 years) children living on Darkinjung Country.

Results

Feasibility was achieved with nearly all a priori benchmarks met; fidelity 93% (benchmark ≥ 80%), attendance 79% (benchmark ≥ 70%), home-activity compliance 93% (benchmark ≥ 60%), retention 86% (benchmark ≥ 70%), satisfaction 5/5 (benchmark = 4/5). Recruitment capability (7 families, 15 participants) was not achieved (benchmark: 20 families). Regarding preliminary efficacy, large effect sizes (d ≥ 0.8) were evident for most assessed outcomes in both fathers and children. Qualitative findings indicate that Aboriginal fathers living on Darkinjung Country find the programme to be acceptable.

Conclusions

Program feasibility was confirmed with high levels of program attendance, retention, and participant satisfaction. Large effect sizes were supported by very positive qualitative feedback from participants. Future research involving Aboriginal fathers should consider these findings in the development of culturally responsive parenting support.

So What

This new health and wellbeing programme designed for Aboriginal fathers and their children achieved programme feasibility outcomes and reports promising qualitative and quantitative findings. This research could be used to inform future development of parenting programmes involving Aboriginal fathers and their children.

Trial Registration: Clinical Trials registry: ACTRN12623000901606

Abstract Image

Biya Yadha Gudjagang Yadha:健康父亲健康群体计划的可行性和初步效果
在为土著父亲提供育儿支助时,文化、健康和幸福之间的重要联系往往被忽视。这项由土著居民领导的社区共同设计的研究是第一个旨在改善居住在Darkinjung国家(澳大利亚新南威尔士州中央海岸)的土著父亲及其子女的健康和福祉的方案。方法采用单臂法,进行定性(纱线)和定量(调查)的岗前可行性试验;人体测量)措施,评估为居住在Darkinjung国家的土著父亲及其小学学龄(5-12岁)儿童量身定制的为期9周的健康和福利方案。结果基本满足所有先验基准,实现了可行性;保真度93%(基准≥80%),出勤率79%(基准≥70%),家庭活动依从性93%(基准≥60%),保留率86%(基准≥70%),满意度5/5(基准= 4/5)。未达到招募能力(7个家庭,15名参与者)(基准:20个家庭)。关于初步疗效,在父亲和儿童的大多数评估结果中,明显存在较大的效应量(d≥0.8)。定性调查结果表明,居住在Darkinjung国家的土著父亲认为该方案是可以接受的。结论:高水平的计划出勤率、保留率和参与者满意度证实了计划的可行性。参与者非常积极的定性反馈支持了大的效应量。未来涉及土著父亲的研究应考虑到这些发现,以发展对文化有反应的育儿支持。这项为土著父亲及其子女设计的新的健康和福利方案取得了方案可行性成果,并报告了令人鼓舞的定性和定量结果。这项研究可用于为涉及土著父亲及其子女的养育方案的未来发展提供信息。试验注册:临床试验注册:ACTRN12623000901606
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来源期刊
Health Promotion Journal of Australia
Health Promotion Journal of Australia PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.10
自引率
10.50%
发文量
115
期刊介绍: The purpose of the Health Promotion Journal of Australia is to facilitate communication between researchers, practitioners, and policymakers involved in health promotion activities. Preference for publication is given to practical examples of policies, theories, strategies and programs which utilise educational, organisational, economic and/or environmental approaches to health promotion. The journal also publishes brief reports discussing programs, professional viewpoints, and guidelines for practice or evaluation methodology. The journal features articles, brief reports, editorials, perspectives, "of interest", viewpoints, book reviews and letters.
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