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Why consistent completion criterion are required in childhood weight management programmes.

J Nobles1, C Griffiths2, A Pringle2

  • 1Institute of Sport, Physical Activity and Leisure, Centre of Active Lifestyles, Leeds Beckett University, Headingley Campus, Leeds, LS6 3QS, UK; MoreLife (UK) Ltd., Churchwood Hall, Leeds Beckett University, Headingley Campus, Leeds, LS6 3QJ, UK.

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PubMed
Summary
This summary is machine-generated.

Defining childhood weight management program completion is crucial. Stricter criteria increase BMI SDS reduction but decrease completer numbers, highlighting the need for standardized engagement metrics.

Keywords:
CompletionEngagementHealth improvement programmesStandardised reporting

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Area of Science:

  • Pediatric Endocrinology
  • Public Health Interventions
  • Behavioral Medicine

Background:

  • Childhood weight management (WM) research faces challenges due to inconsistent definitions of program completion and engagement.
  • Lack of standardized criteria hinders the synthesis of evidence on intervention effectiveness.
  • This variability impacts the ability to draw conclusive findings from existing WM studies.

Purpose of the Study:

  • To quantify the impact of varying completion criteria on WM program outcomes.
  • To analyze how different criteria affect the percentage of WM completers.
  • To assess the influence of completion criteria on standardized body mass index (BMI SDS) reduction and predictors of completion.

Main Methods:

  • A methodological sensitivity analysis was performed using secondary data from 2948 children in a WM program.
  • Completion criteria were incrementally adjusted (10% increments) to calculate the percentage of completers and change in BMI SDS.
  • Predictors of completion were examined against alternative study criteria and a previous study (≥70% attendance).

Main Results:

  • A linear decrease in the volume of program completers was observed as completion criteria became more stringent (70-100% attendance).
  • Conversely, the change in BMI SDS incrementally increased with stricter criteria.
  • The strength, direction, and significance of predictors were highly dependent on the chosen completion criterion, with significant variation noted.

Conclusions:

  • Inconsistent completion criteria significantly limit the synthesis of WM program effectiveness.
  • This inconsistency also explains variability observed in engagement predictors.
  • Standardized criteria for engagement-related terminology in childhood WM are urgently needed.