An Exploration of Factors Influencing Attrition From a Pediatric Weight Management Intervention

Obes Res Clin Pract. Mar-Apr 2017;11(2):233-240. doi: 10.1016/j.orcp.2016.08.002. Epub 2016 Aug 17.


Pediatric obesity is a public health concern. High attrition from treatment negatively impacts outcomes, particularly among lower income and ethnic minority populations. NOURISH+ is a parent-exclusive childhood weight management treatment targeting at-risk children aged 5-11 years who are overweight or obese. The current study sought to enhance understanding of attrition among at-risk families. NOURISH+ participants completed a survey assessing barriers to treatment adherence. Among low-income, racially diverse families, practical barriers are pressing concerns. The NOURISH+ parent-exclusive approach, although empirically supported, appears inconsistent with caregivers' expectations. Minimizing practical barriers and enhancing child engagement might reduce attrition and improve outcomes.

Trial registration: NCT01361243.

Keywords: Attrition; Parent; Pediatric obesity; Weight management.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Body Mass Index
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Male
  • Overweight / psychology
  • Overweight / therapy*
  • Parents
  • Patient Dropouts / psychology*
  • Pediatric Obesity / psychology
  • Pediatric Obesity / therapy*
  • Quality of Life / psychology
  • Surveys and Questionnaires
  • Weight Reduction Programs*

Associated data