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- Date2021-02-23 15:49
- Update2021-02-23 15:49
- CountersignatureDivision of Research Planning
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
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.
- DOI: https://doi.org/10.1016/j.orcp.2020.09.002
- ISBN or ISSN: 1871-403X
- 본 연구는 질병관리본부 연구개발과제연구비를 지원받아 수행되었습니다.
- This research was supported by a fund by Research of Korea Centers for Disease Control and Prevention.