Involvement of Fathers in Pediatric Obesity Treatment and Prevention Trials: A Systematic Review.

Abstract:

CONTEXT:Despite their important influence on child health, it is assumed that fathers are less likely than mothers to participate in pediatric obesity treatment and prevention research. OBJECTIVE:This review investigated the involvement of fathers in obesity treatment and prevention programs targeting children and adolescents (0-18 years). DATA SOURCES:A systematic review of English, peer-reviewed articles across 7 databases. Retrieved records included at least 1 search term from 2 groups: "participants" (eg, child*, parent*) and "outcomes": (eg, obes*, diet*). STUDY SELECTION:Randomized controlled trials (RCTs) assessing behavioral interventions to prevent or treat obesity in pediatric samples were eligible. Parents must have "actively participated" in the study. DATA EXTRACTION:Two authors independently extracted data using a predefined template. RESULTS:The search retrieved 213 eligible RCTs. Of the RCTs that limited participation to 1 parent only (n = 80), fathers represented only 6% of parents. In RCTs in which participation was open to both parents (n = 133), 92% did not report objective data on father involvement. No study characteristics moderated the level of father involvement, with fathers underrepresented across all study types. Only 4 studies (2%) suggested that a lack of fathers was a possible limitation. Two studies (1%) reported explicit attempts to increase father involvement. LIMITATIONS:The review was limited to RCTs published in English peer-reviewed journals over a 10-year period. CONCLUSIONS:Existing pediatric obesity treatment or prevention programs with parent involvement have not engaged fathers. Innovative strategies are needed to make participation more accessible and engaging for fathers.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Morgan PJ,Young MD,Lloyd AB,Wang ML,Eather N,Miller A,Murtagh EM,Barnes AT,Pagoto SL

doi

10.1542/peds.2016-2635

subject

Has Abstract

pub_date

2017-02-01 00:00:00

issue

2

eissn

0031-4005

issn

1098-4275

pii

peds.2016-2635

journal_volume

139

pub_type

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