Behavioral predictors of attrition in adolescents participating in a multidisciplinary obesity treatment program: EVASYON study

Autor: P. De Miguel-Etayo, Miguel Martín-Matillas, Ascensión Marcos, Raúl López-Antón, C. Muro, Cristina Campoy, M C Azcona-San Julián, L. A. Moreno, J. M. Garagorri, Gonzalo Morandé, Amelia Marti, Javier Santabárbara
Přispěvatelé: Ministerio de Sanidad, Servicios Sociales e Igualdad (España), Gobierno de Aragón, Instituto de Salud Carlos III, Ministerio de Sanidad y Consumo (España), Diputación General de Aragón, European Commission
Rok vydání: 2016
Předmět:
Zdroj: Digital.CSIC: Repositorio Institucional del CSIC
Consejo Superior de Investigaciones Científicas (CSIC)
Digital.CSIC. Repositorio Institucional del CSIC
instname
DOI: 10.13039/501100000780
Popis: The aims of this study were to identify the cognitive and behavioral predictors of dropping out and to estimate the attrition rate during different phases of an intervention program to treat overweight and obesity in adolescents. Overweight/obese adolescents (n=156, aged: 13–16 years; 71 male and 85 female subjects) were included in a multicomponent (diet, physical activity and psychological support) family-based group treatment program. At baseline and after 2 months (intensive phase) and 13 months (extensive phase) of follow-up, we measured adolescents’ cognitive and behavioral dimensions, together with the parents’ perception of their child’s behavior. Of the 156 adolescents selected, 112 completed the full program (drop-out rate of 28.2%). The risk of dropping out during the extensive phase increased by 20% for each unit increase in the adolescent’s social insecurity score (odds ratio=1.20, 95% confidence interval=1.07–1.34, P=0.002). The adolescents who had a high interoceptive awareness showed a significant decrease of 13.0% in the probability of dropping out (odds ratio=0.87, 95% confidence interval=0.77–0.99, P=0.040). Adolescents’ social insecurity was the main predictor of drop-out in a multicomponent family-group-based obesity treatment program. To reduce attrition rates in these programs, the individual’s social insecurity level needs to be reduced, whereas the family’s awareness of eating-related behavior needs adjustment.
The study was supported by the Ministry of Health, Social Services and Equality via the Carlos III Institute of Health (FIS Grant PI051080, PI051579, PI052369). We gratefully acknowledge the enthusiasm and commitment of all the participating adolescents and their families. The EVASYON Group also acknowledges the fieldwork staff for their efforts and dedication. The EVASYON study received the award for the best applied research project in 2009 from AESAN (Spanish Agency for Food Safety and Nutrition from the Spanish Ministry of Health and Consumer Affairs). LAM, JMG, CM and PDM-E conceived and designed this study; LAM, AM, CC, JMG and JMCA-S conceived and designed the original EVASYON Study; PDM-E, JS, RL-A and CM analyzed and interpreted the data; CM, GM and PDM-E carried out measurements. All authors were involved in drafting the manuscript and had final approval of the version submitted for publication. The EVASYON Study Group provided technical and logistic support during the study. Editorial assistance was by Dr Peter R Turner of Tscimed.com. The EVASYON study received the award for the best applied research project in 2009 from AESAN (Spanish Agency for Food Safety and Nutrition from the Spanish Ministry of Health and Consumer Affairs. The study was supported by Aragon‘s Regional Government (DGA, Diputación General de Aragón) and European Regional Development Fund.
Databáze: OpenAIRE
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