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Related Experiment Videos

Parent reasons for nonreturn to a pediatric weight management program.

Sarah E Barlow1, Chris L Ohlemeyer

  • 1Department of Pediatrics, Division of Gastroenterology and Hepatology, St. Louis University School of Medicine, St. Louis, MO 63104, USA.

Clinical Pediatrics
|May 17, 2006
PubMed
Summary
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Many families do not return to weight management programs because the program was not what they expected, citing staff or treatment dissatisfaction. Improving program fit, location, and scheduling may increase patient retention.

Area of Science:

  • Pediatric weight management
  • Health services research

Background:

  • Childhood obesity is a significant public health concern.
  • Effective weight management programs are crucial for addressing this issue.
  • Understanding barriers to program participation is essential for improving retention.

Purpose of the Study:

  • To identify parent-reported reasons for non-return to a pediatric weight management program.
  • To explore factors associated with program retention.

Main Methods:

  • A questionnaire was administered to families who attended two or fewer visits of a weight management program.
  • 43 out of 85 families completed the questionnaire.
  • Statistical analysis was performed to identify factors associated with return.

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Main Results:

  • 37% of non-returning families reported the program was not what they were looking for, citing dissatisfaction with staff or treatment focus.
  • Other significant reasons for non-return included program distance (23%), scheduling conflicts (21%), and lack of insurance coverage (21%).
  • A high body mass index z-score was associated with program return, while age, gender, race, and medical condition were not significant factors.

Conclusions:

  • Parental expectations regarding program structure, staff, and treatment focus are critical for retention.
  • Addressing logistical barriers such as program location and scheduling is vital.
  • Tailoring program offerings to parent preferences may enhance engagement and improve outcomes in pediatric weight management.