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Factors associated with dropout in a lifestyle modification programfor weight management in ...
  • Date2021-02-23 15:49
  • Update2021-02-23 15:49
  • CountersignatureDivision of Research Planning
  • Tel043-719-8033

Obesity Research & Clinical Practice, 2020.14(6), 566-572, DOI: https://doi.org/10.1016/j.orcp.2020.09.002


Factors associated with dropout in a lifestyle modification programfor weight management in children and adolescents

Jane Park, Sarah Woo;Young-Su Ju;Young-Gyun Seo;Hyun-Jung Lim;Yoon-Myung Kim;Hye-Mi Noh;Hye-Ja Lee;Sang Ick Park;Kyung Hee Park


Abstract

    Background: Significant dropout rates remain a serious concern in pediatric weight control program, butfew studies have identified predictors of dropout.

    Aims: The objective of the study is to identify factors associated with dropout from a pediatric lifestylemodification weight control program at different phases.

    Methods: Data on overweight and obese participants (n = 242) aged 11–18 years in the Intervention for Childhood and Adolescent Obesity via Activity and Nutrition (ICAAN) study were collected at baseline,6-months, and 24-months through self-report and a laboratory test. Logistic regression analysis wasperformed for those who dropped out during the first 6-months, and multivariate generalized estimatingequation analysis identified longitudinal factors associated with those who dropped out after 24 months.

    Results: Lower family functioning (OR = 2.30, 95% CI [1.18−4.46]), exercise group (OR = 0.36, 95% CI[0.15−0.86]), lower initial attendance rate (OR = 6.09, 95% CI [2.94−12.6]), and non-self -referral pathways(OR = 2.35, 95% CI [1.05−5.27]) were significantly associated with 6-month dropouts. For late dropout,lower family functioning (OR = 1.71, 95% CI [1.06−2.77]) and lower initial attendance rates (OR = 2.06,95% CI [1.12−3.81]) remained significant.

    Conclusion: Family function and initial attendance rate were associated with lower dropout rates. Devel-oping a supportive family environment and focusing on the early-stage factors at the intervention’s outsetmay reduce overall dropout rates in obesity prevention intervention.



  • 본 연구는 질병관리본부 연구개발과제연구비를 지원받아 수행되었습니다.
  • This research was supported by a fund by Research of Korea Centers for Disease Control and Prevention.


This public work may be used under the terms of the public interest source This public work may be used under the terms of the public interest source
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