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Parent perspectives on attrition from tertiary care pediatric weight management programs

Sarah Hampl1, Michelle Demeule, Ihuoma Eneli

  • 1Children's Mercy Hospitals and Clinics and Center for Children's Healthy Lifestyles and Nutrition, Kansas City, MO 64108, USA. shampl@cmh.edu

Clinical Pediatrics
|March 30, 2013
PubMed

Insights

Parents often leave pediatric weight management programs due to scheduling conflicts, implementation barriers, and transportation issues. Addressing these factors and family expectations is key to improving retention in weight management interventions.

Area of Science:

  • Pediatric obesity
  • Healthcare management
  • Patient retention

Background:

  • Tertiary care weight management programs aim to address childhood obesity.
  • High attrition rates can hinder program effectiveness and patient outcomes.

Purpose of the Study:

  • To identify and describe parent/caregiver reasons for discontinuing participation in tertiary care weight management programs.

Main Methods:

  • A telephone survey was conducted with 147 parents/caregivers enrolled in weight management programs.
  • Participants were part of the FOCUS on a Fitter Future II collaborative.

Main Results:

  • Over 50% of parents cited scheduling, implementation barriers, and transportation as major reasons for attrition.
  • Family motivation and mismatched expectations influenced over one-third of parents.
  • Mismatched expectations showed correlation with patient demographics and program characteristics.

Conclusions:

  • Geographically diverse weight management programs experience similar attrition reasons among parents.
  • Future interventions should consider flexible scheduling, diverse treatment options, financial/transportation aid, and managing family expectations.
Abstract

Keywords:
implementation barriersmismatched expectationsreasonsschedulingsurveytransportation

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