Adherence and barriers in e‐health self‐control training for enhancing childhood multidisciplinary obesity treatment
| Autor: | Leentje Vervoort, Caroline Braet, Tiffany Naets, Ann Tanghe |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Pediatric Obesity medicine.medical_specialty Adolescent media_common.quotation_subject Overweight Social Development Health Services Accessibility Childhood obesity Self-Control law.invention Young Adult Belgium Randomized controlled trial Multidisciplinary approach law Weight loss medicine Humans Child media_common Booster (rocketry) Self-control medicine.disease Obesity Telemedicine Clinical Psychology Physical therapy Patient Compliance Female medicine.symptom Psychology |
| Zdroj: | Clinical Psychology and Psychotherapy, 27, 1, pp. 42-51 Clinical Psychology and Psychotherapy, 27, 42-51 |
| ISSN: | 1099-0879 1063-3995 |
| DOI: | 10.1002/cpp.2405 |
| Popis: | Contains fulltext : 222470.pdf (Publisher’s version ) (Closed access) Training self-control as the assumed underlying mechanism for weight loss is a promising pathway for improving long-term outcomes of childhood multidisciplinary obesity treatment (MOT). The present study is the first to analyse adherence to e-health self-control training in paediatric obesity. We hypothesized that low adherence would relate to child characteristics and to contextual treatment barriers. Participants were recruited as a part of a larger randomized controlled trial, evaluating an e-health self-control training during inpatient MOT (intensive phase) and its outpatient aftercare (booster phase). A number of 68 youngsters with severe obesity between 11 to 19 years old were included in the present study. Excellent adherence was observed in the intensive phase during inpatient MOT, but rates decreased in the booster phase. As predicted, the low adherence group had a significantly higher weight status throughout the entire study period. Differences in contextual treatment barriers did not appear. Further in-depth analysis showed that the low adherence group frequently experienced practical obstacles. The end of inpatient MOT and high weight status can be considered important risk factors for low adherence in an additional self-control training aimed at facilitating weight loss. 10 p. |
| Databáze: | OpenAIRE |
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