title: Cultural adaptation of a children's weight management programme for Bangladeshi and Pakistani families in the UK: a cluster-randomised feasibility study protocol.
abstract: BACKGROUND
  Group-based children's weight management programmes are widely available in the UK and evidence shows that these are effective in the short-term. No programmes have been specifically developed to meet the cultural requirements of UK minority ethnic communities. South Asian children are a high-risk group for obesity and its consequences; therefore, the study aim is to adapt an existing weight management programme for children aged 4-11 years and their families to ensure cultural relevance to Pakistani and Bangladeshi communities, and undertake a feasibility study of the adapted programme.
  
  
  METHODS
  Pakistani and Bangladeshi families of overweight children who have been offered the existing children's weight management programme in Birmingham, UK, will be invited to interviews and focus groups to explore their experiences and views of the programme. These data, together with existing literature and service provider information, will inform adaptation of the programme to be more culturally relevant to these families. The feasibility study will employ a cluster-randomised design, and will assess success of programme adaptation and feasibility of programme delivery. Planned programmes will be randomised to be delivered as the adapted programme (intervention) or the standard programme (comparator) with a 2:1 ratio. The primary outcome will be the proportion of Pakistani and Bangladeshi families completing the adapted programme. To assess recruitment, retention and data collection methods to inform a future trial, we aim to recruit 80 participants. A range of assessments will be undertaken with participants pre-, post- and 6-months post-intervention.
  
  
  CONCLUSIONS
  This study addresses the identified need to provide children's weight management programmes that are suitable for minority ethnic communities. Whilst the focus of the intervention adaptation is on Pakistani and Bangladeshi communities, the programme will be developed to be flexibly delivered to meet the cultural needs of communities of all ethnic compositions. The feasibility study will directly compare the adapted and existing weight management programmes, and will enable a comprehensive evaluation of the success of the adaptation. Essential information will also be gathered to inform the design and sample size calculation of a future trial to evaluate intervention effectiveness.
  
  
  BACKGROUND
  ISRCTN81798055, registered: 13/05/2014.
authors.affiliation: Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK.
authors.forename: Miranda
authors.initials: M
authors.lastname: Pallan
authors.affiliation: Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK.
authors.forename: Tania
authors.initials: T
authors.lastname: Griffin
authors.affiliation: Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK.
authors.forename: Emma
authors.initials: E
authors.lastname: Lancashire
authors.affiliation: Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK.
authors.forename: Kiya
authors.initials: K
authors.lastname: Hurley
authors.affiliation: School of Psychology, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK.
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Blissett
authors.affiliation: Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK.
authors.forename: Emma
authors.initials: E
authors.lastname: Frew
authors.affiliation: Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK.
authors.forename: Paramjit
authors.initials: P
authors.lastname: Gill
authors.affiliation: School of Social Policy, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK.
authors.forename: Laura
authors.initials: L
authors.lastname: Griffith
authors.affiliation: Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK.
authors.forename: Karla
authors.initials: K
authors.lastname: Hemming
authors.affiliation: Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK.
authors.forename: Kate
authors.initials: K
authors.lastname: Jolly
authors.affiliation: Birmingham Community Healthcare NHS Trust, St. Patrick's Centre, Frank St, Birmingham, B12 0YA UK.
authors.forename: Eleanor
authors.initials: E
authors.lastname: McGee
authors.affiliation: Birmingham Public Health, Birmingham City Council, 10 Woodcock St, Birmingham, B7 4BL UK.
authors.forename: Charlene
authors.initials: C
authors.lastname: Mulhern
authors.affiliation: Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK.
authors.forename: Jayne
authors.initials: J
authors.lastname: Parry
authors.affiliation: School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK.
authors.forename: Janice L
authors.initials: JL
authors.lastname: Thompson
authors.affiliation: Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK.
authors.forename: Peymane
authors.initials: P
authors.lastname: Adab
keywords: Bangladeshi; Children; Obesity; Pakistani; Treatment; Weight management