Use of an Orientation Session May Help Decrease Attrition in a Pediatric Weight Management Program for Low-Income Minority Adolescents

Germann, Julie N.; Kirschenbaum, Daniel S.; Rich, Barry H.

doi:10.1007/s10880-006-9015-x

Cited by 22 publications

(48 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Child age, gender, BMI, and psychological adjustment do not appear to be meaningful in the prediction of program attendance. Regarding child psychological adjustment, although externalizing behavior problems have not been found to affect attendance rates in other pediatric weight management programs 11,15 , the lack of association between internalizing symptoms and attendance is in stark contrast to the adult obesity literature as well as some studies that have examined this influence in relation to attendance in programs targeting children. 11 One explanation for this unexpected finding is that we asked parent to report on their child’s symptoms, rather than obtaining child self-reports.…”

Section: Discussionmentioning

confidence: 90%

See 1 more Smart Citation

Risk Factors for Poor Attendance in a Family-Based Pediatric Obesity Intervention Program for Young Children

Williams¹,

Coday²,

Somes³

et al. 2010

Journal of Developmental &Amp; Behavioral Pediatrics

View full text Add to dashboard Cite

Objective This study examined the role of demographic characteristics, psychological factors, and family functioning on attendance in a randomized controlled trial of a family-based pediatric obesity program. Method Participants included 155 children between the ages of 4 and 7 years (M age = 5.77, 57.4% female, 73.6% African-American, M BMI = 25.5) and their primary caregivers who were randomized to the treatment group. Three groups of participants were created based on their patterns of attendance during the program: 1) noncompleters, 2) partial completers, and 3) completers. Results Results indicated no differences among the attendance groups in child gender, child BMI, or child psychological functioning. Significant group differences were found with respect to race/ethnicity, parent marital status, and family income, such that noncompleters were more likely to be racial/ethnic minorities, to living in single parent households, and to have lower incomes than partial completers and completers. After controlling for the effects these socio-demographic risk factors, noncompleters and partial completers reported more family dysfunction characterized by high levels of disengagement than completers. Conclusion Adapting existing weight management programs to include a focus on family engagement in the early stages of treatment may help to improve participation in family-based obesity interventions targeting high risk, socio-economically disadvantaged youth.

show abstract

Section: Discussionmentioning

confidence: 90%

“…12,13 However, these demographic variables, as well as child psychological factors, have failed to differentiate between treatment completers and noncompleters in other studies. 14,15 …”

mentioning

confidence: 99%

Risk Factors for Poor Attendance in a Family-Based Pediatric Obesity Intervention Program for Young Children

Williams¹,

Coday²,

Somes³

et al. 2010

Journal of Developmental &Amp; Behavioral Pediatrics

View full text Add to dashboard Cite

show abstract

“…Further studies are needed to indicate empirically validated retention strategies. In order to enhance study commitment and decrease attrition, the study by Germann et al [31] used an orientation session to give information about achievable and healthy weight loss. We agree that this might be helpful in decreasing the number of unsuccessful weight loss attempts, but it also excludes many individuals with weight problems and focuses only on highly motivated patients.…”

Section: Discussionmentioning

confidence: 99%

Loss to follow-up in a randomized controlled trial study for pediatric weight management (EPOC)

Warschburger

Kröller

2016

BMC Pediatr

View full text Add to dashboard Cite

BackgroundAttrition is a serious problem in intervention studies. The current study analyzed the attrition rate during follow-up in a randomized controlled pediatric weight management program (EPOC study) within a tertiary care setting.MethodsFive hundred twenty-three parents and their 7–13-year-old children with obesity participated in the randomized controlled intervention trial. Follow-up data were assessed 6 and 12 months after the end of treatment. Attrition was defined as providing no objective weight data. Demographic and psychological baseline characteristics were used to predict attrition at 6- and 12-month follow-up using multivariate logistic regression analyses.ResultsObjective weight data were available for 49.6 (67.0) % of the children 6 (12) months after the end of treatment. Completers and non-completers at the 6- and 12-month follow-up differed in the amount of weight loss during their inpatient stay, their initial BMI-SDS, educational level of the parents, and child’s quality of life and well-being. Additionally, completers supported their child more than non-completers, and at the 12-month follow-up, families with a more structured eating environment were less likely to drop out. On a multivariate level, only educational background and structure of the eating environment remained significant.ConclusionsThe minor differences between the completers and the non-completers suggest that our retention strategies were successful. Further research should focus on prevention of attrition in families with a lower educational background.Trial registrationCurrent Controlled Trials ISRCTN24655766. Registered 06 September 2008, updated 16 May 2012.

show abstract

“…Individuals who drop-out of treatment tend to have poorer outcomes than those who complete treatment [9] including poorer weight loss [2,[29][30][31][32] and poorer weight-loss maintenance [4]. Early termination often means the necessary skills and strategies required for weight loss and maintenance are not developed [21,33].…”

Section: The Impact Of Attritionmentioning

confidence: 99%

Measuring and reporting attrition from obesity treatment programs: A call to action!

Miller

Brennan

2015

Obesity Research & Clinical Practice

View full text Add to dashboard Cite

Use of an Orientation Session May Help Decrease Attrition in a Pediatric Weight Management Program for Low-Income Minority Adolescents

Cited by 22 publications

References 46 publications

Risk Factors for Poor Attendance in a Family-Based Pediatric Obesity Intervention Program for Young Children

Risk Factors for Poor Attendance in a Family-Based Pediatric Obesity Intervention Program for Young Children

Loss to follow-up in a randomized controlled trial study for pediatric weight management (EPOC)

Measuring and reporting attrition from obesity treatment programs: A call to action!

Contact Info

Product

Resources

About