Background The ‘Dads And Daughters Exercising and Empowered’ (DADEE) program significantly improved physical activity levels of fathers and their daughters in an efficacy trial. However, the effectiveness of interventions when delivered in real-world settings needs to be established. Purpose To evaluate the effectiveness of the DADEE intervention when delivered in community settings by trained facilitators. Methods We conducted a two-arm RCT, (baseline and 3-months post-intervention assessments), in Newcastle, Australia. In 2016, 155 fathers (27–60 years) and 189 primary-school-aged daughters (4–12 years) (n = 344) were randomly allocated to the intervention (78 fathers, 95 daughters) or waitlist-control (77 fathers, 94 daughters) groups. Trained facilitators delivered the 9-week DADEE program (weekly sessions plus home-based tasks). Primary outcomes were fathers’ and daughters’ physical activity (steps/day). Secondary outcomes included screen-time, weight status, daughters’ fundamental movement skill (FMS) proficiency, perceived sports competence, and fathers’ parenting practices. Effects were assessed using linear mixed models. Results Primary outcome follow-up data were collected from 88% of fathers and 89% of daughters. Significant group-by-time differences in mean daily steps were found for fathers’ (adjusted difference = +1,638; 95% CI: 833, 2,443, d = 0.7) and daughters’ (adjusted difference = +1,023 steps/day; 95% CI: 259, 1,787; d = 0.4) physical activity. Significant effects were observed for daughters’ screen-time, FMS, and some parenting practices. No significant effects were identified for weight status, or fathers’screen-time or self-reported MVPA. Program attendance, satisfaction and fidelity were very high. Conclusion This study established the effectiveness of the DADEE intervention when delivered in community settings by trained facilitators. Importantly, the findings were comparable to those of the efficacy RCT delivered by the research team. To maximize public health benefits, a larger-scale dissemination of the program appears warranted. Trial Registration Australian New Zealand Clinical Trial Registry: ACTRN12616001270404 Human Research Ethics Committee: H-2014-0330

中文翻译：

---

确定基于社区的父亲和女儿体育活动计划的有效性：随机对照试验


背景 在一项功效试验中，“爸爸和女儿锻炼和赋权”(DADEE) 计划显着提高了父亲和女儿的身体活动水平。然而，需要确定在现实环境中实施干预措施的有效性。目的 评估由训练有素的辅导员在社区环境中实施 DADEE 干预措施的有效性。方法 我们在澳大利亚纽卡斯尔进行了一项双臂随机对照试验（基线和干预后 3 个月评估）。 2016 年，155 名父亲（27-60 岁）和 189 名小学适龄女儿（4-12 岁）（n = 344）被随机分配到干预组（78 名父亲，95 名女儿）或候补对照（77 名父亲） ，94个女儿）组。训练有素的辅导员提供为期 9 周的 DADEE 计划（每周课程加上家庭任务）。主要结果是父亲和女儿的身体活动（步数/天）。次要结果包括屏幕时间、体重状况、女儿的基本运动技能（FMS）熟练程度、感知的运动能力以及父亲的养育方式。使用线性混合模型评估效果。结果 主要结局随访数据收集自 88% 的父亲和 89% 的女儿。父亲（调整后的差异 = +1,638；95% CI：833, 2,443，d = 0.7）和女儿（调整后的差异 = +1,023 步/天；95%）的平均每日步数存在显着的按时间组差异CI: 259, 1,787; d = 0.4) 体力活动。我们观察到女儿的屏幕时间、FMS 和一些养育方式有显着影响。体重状况、父亲看电视的时间或自我报告的 MVPA 没有显着影响。项目出席率、满意度和忠诚度都非常高。 结论 本研究证实了由训练有素的辅导员在社区环境中实施 DADEE 干预措施的有效性。重要的是，研究结果与研究小组提供的功效随机对照试验的结果相当。为了最大限度地提高公共健康效益，似乎有必要更大规模地传播该计划。试验注册 澳大利亚新西兰临床试验注册处：ACTRN12616001270404 人类研究伦理委员会：H-2014-0330