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

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    Authors
    Morgan, Philip J.
    Young, Myles D.
    Lloyd, Adam B.
    Wang, Monica L.
    Eather, Narelle
    Miller, Andrew
    Murtagh, Elaine M.
    Barnes, Alyce T.
    Pagoto, Sherry L.
    UMass Chan Affiliations
    Prevention Research Center
    Department of Medicine, Division of Preventive and Behavioral Medicine
    Document Type
    Journal Article
    Publication Date
    2017-02-01
    Keywords
    Community Health and Preventive Medicine
    Pediatrics
    Preventive Medicine
    
    Metadata
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    Link to Full Text
    https://doi.org/10.1542/peds.2016-2635
    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.
    Source
    Pediatrics. 2017 Feb;139(2). pii: e20162635. doi: 10.1542/peds.2016-2635. Link to article on publisher's site
    DOI
    10.1542/peds.2016-2635
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/29138
    PubMed ID
    28130430
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1542/peds.2016-2635
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