Paradoxically speaking about engagement in pediatric weight management

Perez, Arnaldo; Ball, Geoff D.C.

doi:10.1111/ijpo.12207

Pediatric Obesity

2017

DOI: 10.1111/ijpo.12207

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Paradoxically speaking about engagement in pediatric weight management

Arnaldo Perez

Geoff D.C. Ball

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Cited by 5 publications

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“…[15][16][17] When attrition occurs, healthcare resources are misused, clinicians are less productive, and families become discouraged and unlikely to access obesity management health services in the future. [18][19][20] Paradoxically, families that are most likely to discontinue obesity management are the ones who may benefit the most from continued support (ie, families living in more deprived areas, children with greater degrees of obesity), 21 thereby worsening existing health inequalities. 22 Literature reviews on factors related to attrition in managing paediatric obesity have revealed important insights.…”

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Strategies to reduce attrition in managing paediatric obesity: A systematic review

et al. 2020

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Summary Objective To conduct a systematic review of the literature for strategies designed to reduce attrition in managing paediatric obesity. Methods We searched Ovid Medline (1946 to May 6, 2020), Ovid Embase (1974 to May 6, 2020), EBSCO CINAHL (inception to May 6, 2020), Elsevier Scopus (inception to April 14, 2020), and ProQuest Dissertations & Theses (inception to April 14, 2020). Reports were eligible if they included any obesity management intervention, included 2 to 18 year olds with overweight or obesity (or if the mean age of participants fell within this age range), were in English, included experimental study designs, and had attrition reduction as a main outcome. Two team members screened studies, abstracted data, and appraised study quality. Results Our search yielded 5,415 original reports; six met inclusion criteria. In three studies, orientation sessions (n = 2) and motivational interviewing (MI) (n = 1) were used as attrition‐reduction strategies before treatment enrollment; in three others, text messaging (n = 2) and MI (n = 1) supplemented existing obesity management interventions. Attrition‐reduction strategies led to decreased attrition in two studies, increased in one, and no difference in three. For the two strategies that reduced attrition, (a) pre‐treatment orientation and (b) text messaging between children and intervention providers were beneficial. The quality of the six included studies varied (good [n = 4]; poor [n = 2]). Conclusion Some evidence suggests that attrition can be reduced. The heterogeneity of approaches applied and small number of studies included highlight the need for well‐designed, experimental research to test the efficacy and effectiveness of strategies to reduce attrition in managing paediatric obesity.

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Strategies to reduce attrition in managing paediatric obesity: A systematic review

et al. 2020

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The engagement pathway: A conceptual framework of engagement-related terms in weight management

Nobles

Perez

Skelton

et al. 2018

Obesity Research & Clinical Practice

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Engagement denotes the extent to which, and how, individuals participate in weight management (WM) services. Effective WM services should generate meaningful outcomes and promote high participant engagement; however, research is predominantly focused on the former. Given that engagement is a poorly understood phenomenon, and that engagement-related concepts are often used synonymously (e.g., dropout and attrition), the engagement pathway is hereby introduced. This pathway defines key concepts (e.g., recruitment, adherence, attrition) and their relationships in the enrolment, intervention, and maintenance stages of treatment. The pathway will help researchers and practitioners better understand engagement-related concepts whilst encouraging greater conceptual consistency between studies.

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Empowerment Approaches in Childhood Weight Management: A Systematic Review

et al. 2022

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Paradoxically speaking about engagement in pediatric weight management

Cited by 5 publications

References 21 publications

Strategies to reduce attrition in managing paediatric obesity: A systematic review

Strategies to reduce attrition in managing paediatric obesity: A systematic review

The engagement pathway: A conceptual framework of engagement-related terms in weight management

Empowerment Approaches in Childhood Weight Management: A Systematic Review

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