Cultural adaptation of a children's weight management programme for Bangladeshi and Pakistani families in the UK:a cluster-randomised feasibility study protocol


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/DESIGN: 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. DISCUSSION: 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. TRIAL REGISTRATION: ISRCTN81798055, registered: 13/05/2014.

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Divisions: College of Health & Life Sciences
College of Business and Social Sciences > Aston Business School > Work & Organisational Psychology
Additional Information: © 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
Uncontrolled Keywords: : Obesity,Children,Treatment,Weight management,Pakistani,Bangladeshi
Publication ISSN: 2055-5784
Last Modified: 05 Feb 2024 08:27
Date Deposited: 12 Feb 2018 10:10
PURE Output Type: Article
Published Date: 2016-08-12
Accepted Date: 2016-07-28
Authors: Pallan, Miranda
Griffin, Tania
Lancashire, Emma
Hurley, Kiya
Blissett, Jacqueline (ORCID Profile 0000-0002-0275-6413)
Frew, Emma
Gill, Paramjit
Griffith, Laura
Hemming, Karla
Jolly, Kate
McGee, Eleanor
Mulhern, Charlene
Parry, Jayne
Thompson, Janice L
Adab, Peymane



Version: Published Version

License: Creative Commons Attribution

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