Qualitative Comparative Analysis of Program and Participant Factors That Explain Success in a Micropolitan Pediatric Weight Management Intervention.
Qualitative Comparative Analysis of Program and Participant Factors That Explain Success in a Micropolitan Pediatric Weight Management Intervention.
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对解释小城市儿童体重管理干预措施成功的计划和参与者因素进行定性比较分析。
DOI：
10.1089/chi.2021.0160
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Estabrooks,PaulA
中科院分区：
文献类型：
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作者：
Golden,CaitlinA;Heelan,KateA;Hill,JennieL;Bartee,RTodd;Abbey,BryceM;Estabrooks,PaulA
背景：建立健康家庭（BHF）是通过社区-学术合作伙伴关系开发的，提供了一个为期12周的以家庭为基础的肥胖治疗计划。2009年至2016年期间，在多个小城市环境中提供了9个BHF队列，但参与者结局各不相同。本研究旨在探讨BHF结果的变化，以确定与较大的12周减少BMI Z-scores.Methods的必要和充分的条件：一个定性的比较分析，以确定潜在的因果关系条件或组合的条件与较大的BMI Z-score减少。75名有12周结局数据的参与者被排序为10名最成功的参与者（BMI z评分降低最大; m ± std =-0.64 ± 0.18）和10名最不成功的参与者（BMI z评分降低最小或增加; m ± std = 0.02 ± 0.04）。根据理论和交付团队实施压边力的经验，确定了选择用于分析的条件。在所有非常成功的参与者中存在，但也有一些不太成功的参与者），包括高出勤率和自我调节的儿童，至少一个高出勤率和自我调节的成年人，一个在计划期间体重减轻并达到临床意义的体重减轻的母亲。充分条件（即，只有非常成功的参与者中存在）包括自我调节得分>45%（范围46.7%-98.2%）的母亲，以及高出勤率（72%-100%）和自我调节得分≥45%（45%-92.7%）的儿童。
Background:Building Healthy Families (BHF) was developed through a community–academic partnership to provide a 12-week family-based obesity treatment program. Nine cohorts of BHF have been delivered in multiple micropolitan settings between 2009 and 2016, but participant outcomes have varied. This study sought to explore the variation in BHF outcomes to identify the necessary and sufficient conditions that are associated with larger 12-week reductions in BMI z-scores.Methods:A qualitative comparative analysis was used to determine potential causal conditions or combination of conditions associated with larger reductions in BMI z-score. Seventy-five participants with 12-week outcome data were rank ordered as the 10 most successful participants (largest reductions in BMI z-score; m ± std = −0.64 ± 0.18) and the 10 least successful participants (smallest reductions or an increase in BMI z-score; m ± std = 0.02 ± 0.04). The conditions selected for analysis were identified based on theory and the delivery team's experience with implementing BHF.Results:Necessary conditions (i.e., present in all highly successful participants, but also some less successful participants) included children with high attendance and self-regulation, at least one adult with high attendance and self-regulation, a mother who lost weight during the program and achieved clinically meaningful weight loss. Sufficient conditions (i.e., present in only the highly successful participants) included mothers with self-regulation scores >45% (range 46.7%–98.2%), and children with a combination of high attendance (72%–100%) and self-regulation scores ≥45% (45%–92.7%).Conclusion:Program implementers should continue to focus on encouraging high attendance and emphasize the necessity of enacting self-regulation strategies at both the child and parent level.
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影响因子：
4.2
作者：
Epstein, Leonard H.;Paluch, Rocco A.;Beecher, Meghan D.
通讯作者：
Beecher, Meghan D.
影响因子：
--
作者：
Wrotniak, BH;Epstein, LH;Roemmich, JN
通讯作者：
Roemmich, JN
影响因子：
4.9
作者：
Findholt, Nancy E.;Davis, Melinda M.;Michael, Yvonne L.
通讯作者：
Michael, Yvonne L.
影响因子：
3.6
作者：
Lim, Crystal S.;Follansbee-Junger, Katherine W.;Janicke, David M.
通讯作者：
Janicke, David M.
影响因子：
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作者：
Burke LE;Wang J;Sevick MA
通讯作者：
Sevick MA