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    Randomised controlled trial and economic evaluation of the 'Families for Health' programme to reduce obesity in children

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    Author
    Robertson, W; Fleming, J; Kamal, A; Hamborg, T; Khan, KA; Griffiths, F; Stewart-Brown, S; Stallard, N; Petrou, S; Simkiss, D; ...
    Date
    2017-05-01
    Source Title
    Archives of Disease in Childhood
    Publisher
    BMJ PUBLISHING GROUP
    University of Melbourne Author/s
    Griffiths, Frances
    Affiliation
    General Practice
    Metadata
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    Document Type
    Journal Article
    Citations
    Robertson, W., Fleming, J., Kamal, A., Hamborg, T., Khan, K. A., Griffiths, F., Stewart-Brown, S., Stallard, N., Petrou, S., Simkiss, D., Harrison, E., Kim, S. W. & Thorogood, M. (2017). Randomised controlled trial and economic evaluation of the 'Families for Health' programme to reduce obesity in children. ARCHIVES OF DISEASE IN CHILDHOOD, 102 (5), pp.416-426. https://doi.org/10.1136/archdischild-2016-311514.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/257123
    DOI
    10.1136/archdischild-2016-311514
    Abstract
    OBJECTIVE: Evaluating effectiveness and cost-effectiveness of 'Families for Health V2' (FFH) compared with usual care (UC). DESIGN: Multicentre randomised controlled trial (RCT) (investigators blinded, families unblinded) and economic evaluation. Stratified randomisation by family; target of 120 families. SETTING: Three National Health Service Primary Care Trusts in West Midlands, England. PARTICIPANTS: Overweight or obese (≥91st or ≥98th centile body mass index (BMI)) children aged 6-11 years and their parents/carers, recruited March 2012-February 2014. INTERVENTIONS: FFH; a 10-week community-based family programme addressing parenting, lifestyle change and social and emotional development. UC; usual support for childhood obesity at each site. MAIN OUTCOME MEASURES: Primary outcomes were 12-months change in children's BMI z-score and incremental cost per quality-adjusted life-year gained (QALY). Secondary outcomes included changes in children's physical activity, fruit and vegetable consumption and quality of life, parents' BMI and mental well-being, family eating/activity, parent-child relationships and parenting style. RESULTS: 115 families (128 children) were randomised to FFH (n=56) or UC (n=59). There was no significant difference in BMI z-score 12-months change (0.114, 95% CI -0.001 to 0.229, p=0.053; p=0.026 in favour of UC with missing value multiple imputation). One secondary outcome, change in children's waist z-score, was significantly different between groups in favour of UC (0.15, 95% CI 0.00 to 0.29). Economic evaluation showed that mean costs were significantly higher for FFH than UC (£998 vs £548, p<0.001). Mean incremental cost-effectiveness of FFH was estimated at £552 175 per QALY. CONCLUSIONS: FFH was neither effective nor cost-effective for the management of obesity compared with UC. TRIAL REGISTRATION NUMBER: ISRCTN45032201.

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