TY - JOUR
T1 - Can health indicators and psychosocial characteristics predict attrition in youths with overweight and obesity seeking ambulatory treatment? Data from a retrospective longitudinal study in a paediatric clinic in Luxembourg
AU - Pit-Ten Cate, Ineke M.
AU - Samouda, Hanen
AU - Schierloh, Ulrike
AU - Jacobs, Julien
AU - Vervier, Jean Francois
AU - Stranges, Saverio
AU - Lair, Marie Lise
AU - Beaufort, Carine De
N1 - Funding Information:
4Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada Contributors IMPC conceptualised the study, carried out the literature review and data-analyses, drafted the initial manuscript and approved the final manuscript as submitted. HS conceptualised and designed the study, collated the research materialised, collected the data, reviewed the manuscript and approved the final manuscript as submitted. US conceptualised the study, collected the data, reviewed the manuscript and approved the final manuscript as submitted. JJ was involved in the conceptualisation of the study, prepared the dataset and carried out the initial data analyses, reviewed the manuscript and approved the final manuscript as submitted. JFV was involved in the conceptualisation of the study, collated the research materials, reviewed the manuscript and approved the final manuscript as submitted. SS was involved in the conceptualisation of the study, reviewed the manuscript and approved the final manuscript as submitted. MLL conceptualised and planned the study, reviewed the manuscript and approved the final manuscript as submitted. CB conceptualised and planned the study, collated research materials, collected data, reviewed the manuscript and approved the final manuscript as submitted. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work. Funding The OSPEL study (Obésité et Surcharge Pondérale de l ́ Luxembourg) was funded by the Luxembourg Institute of Health, the Ministry of Health, the Ministry of Higher Education and Research and the Fonds National de la recherché, Luxembourg. Competing interests None declared.
Publisher Copyright:
© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
PY - 2017/9/1
Y1 - 2017/9/1
N2 - Objectives The current study aimed to identify factors that could predict attrition in youths starting ambulatory treatment to control or lose weight. Design Retrospective longitudinal study. Setting Paediatric clinic: ambulatory treatment programme. Patients and measures A youth sample (n=191; 89 boys; aged 7-17 years) completed measures of demographic characteristics, and health and psychosocial traits before starting an ambulatory weight management programme. Anthropometric and biological markers related to obesity were also obtained. Tests of mean differences and regression analyses were used to investigate the relationship between these variables and attrition after 1 year. Results The 2 and t test results showed both psychosocial and health indicators differentiated between participants who continued attending the treatment programme and those who dropped out. More specifically, youths that dropped out of treatment were significantly older, had higher body mass index z scores, higher levels of insulin, triglycerides and HOMA-IR, reported poorer health, had more conduct problems and were more dissatisfied with themselves and their bodies before starting treatment. Results of regression analyses revealed that weight status (anthropometric and biological markers), age and body dissatisfaction predicted attrition (overall prediction success 73%; prediction success for continued attendance 90/91%; prediction success for dropouts 42/44%). Conclusion Attrition, but especially the continued attendance in treatment, can be successfully predicted by age, weight status and body dissatisfaction. For patients who present with one or more risk factors, careful consideration is needed to decide which (combination of) inpatient or outpatient programme may facilitate prolonged engagement of the patient and hence may be most effective in establishing weight loss.
AB - Objectives The current study aimed to identify factors that could predict attrition in youths starting ambulatory treatment to control or lose weight. Design Retrospective longitudinal study. Setting Paediatric clinic: ambulatory treatment programme. Patients and measures A youth sample (n=191; 89 boys; aged 7-17 years) completed measures of demographic characteristics, and health and psychosocial traits before starting an ambulatory weight management programme. Anthropometric and biological markers related to obesity were also obtained. Tests of mean differences and regression analyses were used to investigate the relationship between these variables and attrition after 1 year. Results The 2 and t test results showed both psychosocial and health indicators differentiated between participants who continued attending the treatment programme and those who dropped out. More specifically, youths that dropped out of treatment were significantly older, had higher body mass index z scores, higher levels of insulin, triglycerides and HOMA-IR, reported poorer health, had more conduct problems and were more dissatisfied with themselves and their bodies before starting treatment. Results of regression analyses revealed that weight status (anthropometric and biological markers), age and body dissatisfaction predicted attrition (overall prediction success 73%; prediction success for continued attendance 90/91%; prediction success for dropouts 42/44%). Conclusion Attrition, but especially the continued attendance in treatment, can be successfully predicted by age, weight status and body dissatisfaction. For patients who present with one or more risk factors, careful consideration is needed to decide which (combination of) inpatient or outpatient programme may facilitate prolonged engagement of the patient and hence may be most effective in establishing weight loss.
KW - adolescents
KW - ambulatory treatment
KW - attrition
KW - children
KW - obesity
UR - http://www.scopus.com/inward/record.url?scp=85029082774&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2016-014811
DO - 10.1136/bmjopen-2016-014811
M3 - Article
C2 - 28871008
AN - SCOPUS:85029082774
VL - 7
JO - BMJ Open
JF - BMJ Open
SN - 2044-6055
IS - 9
M1 - e014811
ER -