Danieles, Prince Kevin; Ybarra, Marina; Van Hulst, Andraea; Barnett, Tracie A; Mathieu, Marie-Ève; Kakinami, Lisa; Bigras, Jean-Luc et Henderson, Melanie (2018). Determinants of Drop-Out from a Healthy Lifestyle Intervention: Experience from the Centre Pediatrique d'Intervention en Prevention et en Readaptation Cardiovasculaires ( Circuit) Program In: 2018 International Behavioural Trials Network (IBTN) Conference Abstracts, 24-26 mai 2018, Montréal, Canada.
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Background: CIRCUIT (CHU Sainte-Justine, Montréal) is a lifestyle intervention focused on increasing physical activity among youth aged 5 to18 y at risk of cardiovascular disease. Over a 2-year period, a personalized strategy is delivered by a team comprising a kinesiologist, dietician and psychologist. Obesity intervention programs typically report high attrition rates.
Objectives: Estimate the prevalence and identify the determinants of drop-out among CIRCUIT participants.
Methods: Anthropometrics and socioeconomic characteristics were collected at baseline. Drop out was defined as ceasing attendance prior to the 1-year follow-up. Differences in baseline characteristics between those who dropped out (n=261) and those who pursued (n=226) CIRCUIT were analyzed using chi-square-, Fisher’s exact-, and t-tests. Logistic regression models adjusted for age, sex, body mass index (BMI) z-score and socio-demographic characteristics.
Results: The drop-out rate for CIRCUIT was 54%. Youth who dropped out were older (mean age 12.6 vs. 11.3 y; p<0.001), less likely to live with both parents (59% vs. 69%, p=0.03), and spent less time living with their mother (69% vs 82%, p<0.001). Their mothers were also less likely to complete high school (81% vs. 89%, p=0.015). No group differences were observed for sex, ethnicity, zBMI, fathers’ education and % of time spent living with the father. In logistic regression models, only older age at initiation of the intervention (OR: 1.1, p<0.001) and lower maternal education (OR: 1.98, p=0.032) predicted drop out.
Conclusion: Although comparable to other programs, attrition was high. Promoting earlier initiation and tailoring the program to parental level of education may improve retention to CIRCUIT.
| Type de document: | Document issu d'une conférence ou d'un atelier |
|---|---|
| Informations complémentaires: | Annals of Behavioral Medicine 53(3):306-306 https://doi.org/10.1093/abm/kay086 |
| Mots-clés libres: | - |
| Centre: | Centre INRS-Institut Armand Frappier |
| Date de dépôt: | 15 juill. 2021 14:39 |
| Dernière modification: | 15 juill. 2021 14:39 |
| URI: | https://espace.inrs.ca/id/eprint/11723 |
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