Recruitment, Engagement, and Retention of Fathers in Nutrition Education and Obesity Research

Vollmer, Rachel L.; Adamsons, Kari; Mobley, Amy R.

doi:10.1016/j.jneb.2019.07.006

Cited by 19 publications

(40 citation statements)

References 18 publications

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“…This increased the cost of staff and programmer time but may be less costly than purchasing lists from external vendors. However, acknowledging that recruitment of underrepresented populations will likely require additional considerations for budget and time is vital to successful recruitment of diverse samples [13,31,32].…”

Section: Discussionmentioning

confidence: 99%

Using targeting to recruit men and women of color into a behavioral weight loss trial

Crane

Seburg

Levy

et al. 2020

Trials

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Background: The majority of participants in weight loss trials are non-Hispanic White women, while men and women of color are underrepresented. This study presents data obtained from non-targeted and targeted recruitment approaches in a trial of behavioral weight loss programs to (1) describe the yields from each approach and (2) compare the demographics, weight control histories, and study involvement of samples recruited by each approach. Methods: Data for this observational study include source of recruitment, demographic information, weight loss experiences (e.g., lifetime weight loss, current weight loss behaviors), and completion of the 6-month assessment visit. Results: Men comprised 14.2% of participants who responded to non-targeted recruitment efforts, while targeted efforts yielded 50.4% men. Similarly, people of color comprised 12.8% of those who responded to non-targeted approaches, whereas targeted recruitment methods yielded 47.2% people of color. Men recruited through targeted methods were younger (p = 0.01) than men recruited through non-targeted means but were otherwise similar. Women of color recruited through targeted methods reported use of fewer weight loss strategies relative to women of color recruited through non-targeted means (p = 0.006) but were otherwise similar. There were no differences by recruitment method on retention to the study. Conclusions: Using targeted recruitment methods increased the ethnic and gender diversity of the recruited sample without reducing study retention. This targeting also increased the enrollment of women with less weight loss experience who may not have otherwise sought out a weight loss program. Developing and implementing a targeted recruitment plan should be considered early in the clinical trial development process.

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Section: Discussionmentioning

confidence: 99%

Using targeting to recruit men and women of color into a behavioral weight loss trial

Crane

Seburg

Levy

et al. 2020

Trials

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“…31 Furthermore, interventions can employ fathers from the community to serve as "champions" by reaching out to fathers, validating the program's legitimacy, and ultimately leveraging social ties to bridge the gap between community needs and the delivery of health services. 30,36 Of the 40% of fathers who do not seek regular primary care, it is possible some are facing transportation barriers or avoiding seeking care. Around 14% of fathers reported they were unaware of an individual that could provide a ride to the clinic or doctor's office.…”

Section: Discussionmentioning

confidence: 99%

“…37 Thus, this is a component to regular health care access that should be considered, especially in the context of racial/ethnic minorities who are more likely to face transportation barriers, in the management of chronic disease, such as obesity or diabetes, where frequent clinic visits are necessary, 37 and in efforts to increase participation in fatherhood programs. 30,31 Few other studies have directly asked fathers to express pregnancy-related or general parenting-related health information needs. In a small qualitative study, fathers most frequently mentioned needing more information on their role as a new father, practical newborn parenting tips, and relationship changes.…”

Section: Discussionmentioning

confidence: 99%

“…43 Furthermore, fathers may be less prepared, at times excluded from their child's health care visits, 44,45 and may need more education and support to fulfill their role as a parent thus making additional resources valuable. 30,12 In line with this evidence, the AAP recommends that child health care providers ask fathers about parenting skills and information they need and encourage fathers to attend pediatric office visits. 12 Although this study provides information regarding fathers' unmet social and economic needs and health information interests in early pregnancy, there are several limitations that bear noting.…”

Section: Discussionmentioning

confidence: 99%

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Expectant Fathers’ Social Determinants of Health in Early Pregnancy

Mini

Saltzman

Simione

et al. 2020

Global Pediatric Health

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This cross-sectional, descriptive study examined unmet social and economic needs and health information requests of low-income, expecting fathers who participated in the First 1000 Days program. The First 1000 Days is a systems-level intervention aiming to prevent obesity among low-income mothers and infants across 3 community health centers in Greater Boston, MA, USA. Fathers who attended their partner’s first prenatal care visit were invited to complete a program survey during early pregnancy. Among 131 fathers surveyed, 45% were white, 21% were Hispanic/Latino, 55% were foreign-born, and 69% reported an annual income under $50 000. Fathers reported elevated levels of food insecurity (18%) and 33% were unaware of someone that could provide a $50 loan; however, over 85% of fathers knew someone that could provide non-financial social support. Fathers requested information about pregnancy, birth preparation, and fatherhood. Findings support addressing fathers’ unmet needs during pregnancy and providing father-specific perinatal information.

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“…After providing informed consent, fathers participated in semi-structured, in-depth interviews. The development of the interview guide was informed by a review of prior studies exploring early life obesity prevention strategies (4) and literature review of relevant methodological considerations regarding father engagement (13,(20)(21)(22) as well as CFIR constructs (17). The interview guide included core and probing questions to elicit discussion of relevant topics, such as fathers' information and resource needs, perceptions of their roles and experiences, and preferences for intervention content and modalities.…”

Section: Interview Proceduresmentioning

confidence: 99%

Stakeholder Engagement in Developing A Father-Inclusive Early Life Obesity Prevention Intervention: First Heroes

Silver

Whooten

Kwete

et al. 2020

Preprint

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Background: Although paternal involvement in the perinatal period is associated with benefits for maternal-child health and reduced obesity risk, fathers are seldom included in perinatal or obesity prevention efforts. Engaging community leaders and fathers as stakeholders in intervention development is a critical step in designing a father-inclusive intervention that is efficacious and responsive to their needs.Methods: We conducted a structured engagement study, including community stakeholder engagement and qualitative interviews with new fathers, to inform the development of a prospective randomized controlled trial that includes mothers and fathers as equal partners in infant obesity prevention. We interpreted stakeholder feedback through the Consolidated Framework for Implementation Research (CFIR) framework.Results: Between September 2019 and April 2020, we held a Community Engagement meeting, formed a Community Advisory Board, and conducted 16 qualitative interviews with new fathers. Stakeholder engagement revealed insights across CFIR domains including intervention characteristics (relative advantage, complexity, design quality & packaging), outer setting factors (cosmopolitanism and culture), individual characteristics (including self-efficacy, state of change, identification with the organization) and process (engagement and adaptation). Stakeholders discussed the diverse challenges and rewards of fatherhood, as well as the intrinsic paternal motivation to be a loving, supportive father and partner. Both community leaders and fathers emphasized the importance of tailoring program delivery and content to meet specific parental needs, including a focus on the social-emotional needs of new parents.Conclusions: A structured process of multidimensional stakeholder engagement was successful in improving the design of a father-inclusive perinatal obesity prevention interventions. Father engagement was instrumental in both reinforcing community ties and increasing our understanding of fathers’ needs, resulting in improvements to program values, delivery strategies, personnel, and content. This study provides a practical approach for investigators looking to involve key stakeholders in the pre-implementation phase of intervention development.Trial registration: ClinicalTrials.gov, NCT04477577. Registered 20 July 2020, https://clinicaltrials.gov/ct2/show/NCT04477577

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Recruitment, Engagement, and Retention of Fathers in Nutrition Education and Obesity Research

Cited by 19 publications

References 18 publications

Using targeting to recruit men and women of color into a behavioral weight loss trial

Using targeting to recruit men and women of color into a behavioral weight loss trial

Expectant Fathers’ Social Determinants of Health in Early Pregnancy

Stakeholder Engagement in Developing A Father-Inclusive Early Life Obesity Prevention Intervention: First Heroes

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