title: The impact of HENRY on parenting and family lifestyle: A national service evaluation of a preschool obesity prevention programme.
abstract: OBJECTIVE
  One in five children in England are overweight/obese at school entry. Tackling obesity is therefore a priority. Right from the Start with HENRY is a widely-commissioned programme delivered by trained facilitators to small groups of parents over eight weekly sessions. It is designed to provide parents of infants and preschool children with the skills, knowledge and confidence required for a healthier family lifestyle. The aim of this work was to investigate programme impact using data collected routinely for quality control purposes.
  
  
  METHODS
  Analysis of routinely collected pre-post data from programmes delivered in the UK from January 2012 to February 2014.
  
  
  METHODS
  Data were analysed from 144 programmes, including questionnaires relating to parenting, family eating behaviours, dietary intake, and physical activity/screen time.
  
  
  RESULTS
  Over 24 months, 1100 parents attended programmes running in 86 locations. 788 (72%) completed >5 sessions of whom 624 (79%) provided baseline and completion questionnaires. Parents reported increases in healthiness of family lifestyle, parenting attributes, and emotional wellbeing following attendance (all P < .001). Both parents and children were reported to have increased their daily fruit/vegetable consumption, and reduced their consumption of high fat/sugar foods (both P < .001). There were also positive changes in eating behaviours, physical activity (P < .001) and children's screen time (P < .001).
  
  
  CONCLUSIONS
  Significant changes were reported in all domains similar to those reported in a previous, smaller study in locations selected for experience and quality. The HENRY approach appears to have a beneficial impact even when delivered at scale in non-selected locations. Such changes, if maintained, may serve to protect against later obesity.
authors.affiliation: Leeds Institute of Health Sciences, University of Leeds, Leeds, LS2 9JT, UK. Electronic address: t.a.willis@leeds.ac.uk.
authors.forename: T A
authors.initials: TA
authors.lastname: Willis
authors.affiliation: HENRY, 8 Elm Place, Old Witney Road, Oxfordshire, OX29 4BD, UK.
authors.forename: K P J
authors.initials: KP
authors.lastname: Roberts
authors.affiliation: HENRY, 8 Elm Place, Old Witney Road, Oxfordshire, OX29 4BD, UK.
authors.forename: T M
authors.initials: TM
authors.lastname: Berry
authors.affiliation: Institute of Clinical Trials Research, University of Leeds, Leeds, LS2 9JT, UK.
authors.forename: M
authors.initials: M
authors.lastname: Bryant
authors.affiliation: Bar-Ilan Faculty of Medicine in the Galilee, Safed, Israel.
authors.forename: M C J
authors.initials: MC
authors.lastname: Rudolf
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002675:Child, Preschool; D003201:Computers / Q000706:statistics & numerical data; D004032:Diet / Q000523:psychology / Q000706:statistics & numerical data; D015444:Exercise / Q000523:psychology; D005190:Family / Q000523:psychology*; D005260:Female; D005638:Fruit; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008019:Life Style; D008297:Male; D008875:Middle Aged; D016487:Parenting / Q000523:psychology*; D010290:Parents / Q000193:education* / Q000523:psychology*; D063766:Pediatric Obesity / Q000517:prevention & control*; D015397:Program Evaluation; D012572:School Health Services; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D013690:Television / Q000706:statistics & numerical data; D006113:United Kingdom; D014675:Vegetables; D055815:Young Adult
keywords: Childhood obesity; Infants and preschool children; Lifestyle; Obesity prevention; Parental self-efficacy