title: HENRY: development, pilot and long-term evaluation of a programme to help practitioners work more effectively with parents of babies and pre-school children to prevent childhood obesity.
abstract: BACKGROUND
  Despite epidemic numbers of obese and overweight pre-school children, professionals report a lack of confidence and self-efficacy in working with parents around lifestyle change. HENRY--Health Exercise Nutrition for the Really Young--trains health and community practitioners to work more sensitively and effectively with parents of babies and pre-school children around obesity and lifestyle concerns. Underpinned by the Family Partnership Model, reflective practice and solution-focused techniques, it offers face-to-face training and e-learning. This paper describes the development, pilot and evaluation of HENRY Sure Start Children's Centres.
  
  
  METHODS
  Twelve Children's Centres in Oxfordshire took part in the pilot involving 137 staff. Questionnaires were administered at the end of training courses. Self-reported confidence ratings were obtained before and after training. Postal questionnaires were sent to Centre managers 2-6 months later to ascertain long-term effects. Nine managers participated in in-depth interviews. A further 535 learners completed the e-learning course and online feedback.
  
  
  RESULTS
  One hundred and thirty-one staff (96%) completed the training course and valued it as a way of enhancing skills and knowledge. Mean (±SD) self-reported confidence ratings increased (4.1 ± 0.7 to 7.2 ± 0.7; P < 0.00001). An influence on personal as well as professional lives was apparent. Long-term follow-up indicated ongoing impact attributed to HENRY on both Centres and staff. All 535 e-learners successfully completed: 98% would recommend HENRY; 94% thought it enhanced their skills as well as knowledge.
  
  
  CONCLUSIONS
  HENRY is an innovative approach that offers some promise in tackling obesity through training community and health practitioners to work more effectively with parents of very young children. It appears to have an effect on participants' personal lives as well as professional work. A large-scale long-term study would be required to ascertain if there is the desired impact on young children's lifestyles and risk of obesity.
authors.affiliation: University of Leeds and Leeds PCT, Academic Unit of Paediatrics and Child Health, Leeds General Infirmary, Leeds HENRY, Prama House, Oxford, UK. mary.rudolf@leedsth.nhs.uk
authors.forename: M C J
authors.initials: MC
authors.lastname: Rudolf
authors.forename: C
authors.initials: C
authors.lastname: Hunt
authors.forename: J
authors.initials: J
authors.lastname: George
authors.forename: K
authors.initials: K
authors.lastname: Hajibagheri
authors.forename: M
authors.initials: M
authors.lastname: Blair
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002675:Child, Preschool; D003152:Community Health Nursing / Q000193:education*; D003194:Computer-Assisted Instruction / Q000379:methods; D004501:Education, Medical / Q000379:methods*; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007223:Infant; D020407:Internet; D008019:Life Style; D008297:Male; D009765:Obesity / Q000517:prevention & control*; D010290:Parents / Q000193:education / Q000523:psychology; D010865:Pilot Projects; D015397:Program Evaluation; D012307:Risk Factors; D006113:United Kingdom; D055815:Young Adult