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Stakeholder engagement in developing a father-inclusive early life obesity prevention intervention: First Heroes
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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9145160/ https://www.ncbi.nlm.nih.gov/pubmed/35624421 http://dx.doi.org/10.1186/s12884-022-04759-z |
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author | Silver, Santana R. Whooten, Rachel C. Kwete, Gracia M. Farrar-Muir, Haley Cournoyer, Rachel N. Barth, Elizabeth A. Kotelchuck, Milton Taveras, Elsie M. |
author_facet | Silver, Santana R. Whooten, Rachel C. Kwete, Gracia M. Farrar-Muir, Haley Cournoyer, Rachel N. Barth, Elizabeth A. Kotelchuck, Milton Taveras, Elsie M. |
author_sort | Silver, Santana R. |
collection | PubMed |
description | 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-022-04759-z. |
format | Online Article Text |
id | pubmed-9145160 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-91451602022-05-29 Stakeholder engagement in developing a father-inclusive early life obesity prevention intervention: First Heroes Silver, Santana R. Whooten, Rachel C. Kwete, Gracia M. Farrar-Muir, Haley Cournoyer, Rachel N. Barth, Elizabeth A. Kotelchuck, Milton Taveras, Elsie M. BMC Pregnancy Childbirth Research 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-022-04759-z. BioMed Central 2022-05-27 /pmc/articles/PMC9145160/ /pubmed/35624421 http://dx.doi.org/10.1186/s12884-022-04759-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Silver, Santana R. Whooten, Rachel C. Kwete, Gracia M. Farrar-Muir, Haley Cournoyer, Rachel N. Barth, Elizabeth A. Kotelchuck, Milton Taveras, Elsie M. Stakeholder engagement in developing a father-inclusive early life obesity prevention intervention: First Heroes |
title | Stakeholder engagement in developing a father-inclusive early life obesity prevention intervention: First Heroes |
title_full | Stakeholder engagement in developing a father-inclusive early life obesity prevention intervention: First Heroes |
title_fullStr | Stakeholder engagement in developing a father-inclusive early life obesity prevention intervention: First Heroes |
title_full_unstemmed | Stakeholder engagement in developing a father-inclusive early life obesity prevention intervention: First Heroes |
title_short | Stakeholder engagement in developing a father-inclusive early life obesity prevention intervention: First Heroes |
title_sort | stakeholder engagement in developing a father-inclusive early life obesity prevention intervention: first heroes |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9145160/ https://www.ncbi.nlm.nih.gov/pubmed/35624421 http://dx.doi.org/10.1186/s12884-022-04759-z |
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