Use of an orientation session may help decrease attrition in a pediatric weight management program for low-income minority adolescents
Use of an orientation session may help decrease attrition in a pediatric weight management program for low-income minority adolescents
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DOI：
10.1007/s10880-006-9015-x
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发表时间：
2006-06-01
影响因子：
2.2
通讯作者：
Rich, Barry H.
中科院分区：
文献类型：
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作者：
Germann, Julie N.;Kirschenbaum, Daniel S.;Rich, Barry H.
本研究考察了低收入少数族裔社区儿童体重控制项目的减员预测因素，以及定向会议对增加治疗时间的潜在有用性。参与者为342名儿童和青少年（M年龄=13.0岁；54%为女性；89%为非洲裔美国人；M BMI=44.2, M BMI z-score=6.0）及其照顾者，他们参加了FitMatters，这是一个多学科的认知行为项目，专注于长期参与。那些参加了定向会议的人在治疗中停留的时间明显更长，但减员不受人口统计学因素、体重状况或心理功能的影响。这些结果表明，一个明确描述项目结构和对家庭的预期态度和行为要求的定向会议可能有助于协调期望，并更有效地识别那些准备共同努力改变家庭生活方式以支持其肥胖儿童努力的家庭。
This study examined predictors of attrition from a pediatric weight-control program in a low-income minority community and the potential usefulness of an orientation session to increase length of treatment. Participants were 342 children and adolescents (M age=13.0 years old; 54% female; 89% African American; M BMI=44.2, M BMI z-score=6.0) and their caregivers who attended FitMatters, a multidisciplinary cognitive-behavioral program focused on long-term participation. Those who attended an orientation session stayed in treatment significantly longer, but attrition was not affected by demographic factors, weight status, or psychological functioning. These results indicate that an orientation session that clearly delineates the structure of a program and expected attitudinal and behavioral requirements for the families may help align expectations, as well as more effectively identify families who are ready to make concerted efforts to change the family lifestyle in support of their obese children's efforts.