Predictors of attrition from a pediatric weight management program
Predictors of attrition from a pediatric weight management program
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DOI：
10.1016/j.jpeds.2003.12.031
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发表时间：
2004-04-01
影响因子：
5.1
通讯作者：
Daniels, S
中科院分区：
文献类型：
--
作者：
Zeller, M;Kirk, S;Daniels, S
目的本研究探讨了对肥胖儿童/青少年进行体重管理治疗并提前退出的家庭的特征。研究设计参与者（体重指数大于或等于第95百分位数）被纳入儿科跨学科体重管理诊所。回顾性病历审查显示，未完成者（n = 116）完成了≥ 1次访视，但在完成初始4个月治疗期之前退出。完成者（n = 96）完成了初始治疗阶段。完成者和未完成者在基线人口统计学、心理学、临床和实验室指标上进行比较。回归分析评估的程度，这些因素预测attration.Results 55%的患者提前退出治疗。Noncompleters更有可能是医疗补助受助人，黑人，老年人，和自我报告更大的抑郁symptomatology和较低的self-concept.Conclusions这些数据有影响的儿科体重管理干预模式，提高完成率为经济困难和少数民族青年的设计。筛查抑郁症可能会识别出有治疗退出风险的患者，这些患者可能会成为增加支持和保留策略的目标。
Objective The current study examined characteristics of families who initiated weight management treatment for their obese child/adolescent and withdrew prematurely.Study design Participants (body mass index greater than or equal to95(th) percentile) were enrolled in a pediatric interdisciplinary weight management clinic. Retrospective chart review revealed noncompleters (n = 116) completed greater than or equal to1 visit(s) but withdrew before completion of the initial 4-month treatment phase. Completers (n = 96) completed the initial treatment phase. Completers and noncompleters were compared on baseline demographic, psychological, clinical, and laboratory measures. Regression analyses assessed the degree to which these factors predicted attrition.Results Fifty-five percent of patients withdrew prematurely from treatment. Noncompleters were more likely to be Medicaid recipients, black, older, and self-report greater depressive svmptomatology and lower self-concept.Conclusions These data have implications for the design of pediatric weight management intervention models that improve the rate of completion for economically disadvantaged and minority youth. Screening for depressive symptomatology may identify patients at risk for treatment dropout who could be targeted for increased support and retention strategies.