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Determinants of Drop-Out from a Healthy Lifestyle Intervention: Experience from the Centre Pediatrique d'Intervention en Prevention et en Readaptation Cardiovasculaires ( Circuit) Program

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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Résumé

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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