Predictors of Attrition From a Clinical Pediatric Obesity Treatment Program
Predictors of Attrition From a Clinical Pediatric Obesity Treatment Program
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DOI：
10.1177/0009922812458355
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发表时间：
2012-12-01
影响因子：
1.6
通讯作者：
Ostbye, Truls
中科院分区：
文献类型：
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作者：
Dolinsky, Diana H.;Armstrong, Sarah C.;Ostbye, Truls
Objective.评估临床儿科肥胖治疗项目中的损耗预测因素。方法.我们评估了2006年10月至2008年12月在杜克大学健康生活方式项目首次就诊的2至20岁患者。我们评估了早期脱落（1年内未返回接受任何随访访视）和未完成（入组后1年内未参加至少6次访视）的预测因素。结果样本包括983名患者。在校正分析中，非白色非西班牙裔儿童比白色非西班牙裔儿童更有可能早期脱落（比值比[OR] = 1.46，95%置信区间[CI] = 1.03-2.07）。与非西班牙裔白色白人（OR = 1.56，95% CI = 1.03-2.36）和西班牙裔儿童（OR = 2.56，95% CI = 1.34-4.90）相比，非西班牙裔非白色白人儿童更有可能成为未完成者。结论.人种/种族可预测患者流失。需要对这种关联进行调查并修改程序，以减少某些种族/民族群体的流失。
Objective. To assess the predictors of attrition from a clinical pediatric obesity treatment program. Methods. We evaluated 2- through 20-year-old patients first seen at the Duke University Healthy Lifestyles Program between October 2006 and December 2008. We assessed the predictors of early dropout (not returning for any follow-up visits within 1 year) and of noncompletion (not attending at least 6 visits within 1 year after entry). Results. The sample included 983 patients. In adjusted analyses, non-white non-Hispanic children were more likely to be early dropouts than white non-Hispanic children (odds ratio [OR] = 1.46, 95% confidence interval [CI] = 1.03-2.07). Non-white non-Hispanic children were more likely to be noncompleters than white non-Hispanic (OR = 1.56, 95% CI = 1.03-2.36) and Hispanic children (OR = 2.56, 95% CI = 1.34-4.90). Conclusions. Race/ethnicity predicted patient attrition. Investigation into this association and program modification are needed to reduce attrition in certain racial/ethnic groups.