Defense Date


Document Type


Degree Name

Master of Science


Counseling Psychology

First Advisor

Suzanne Mazzeo Ph.D.


Childhood obesity is a serious health problem in the United States. Numerous weight management programs attempt to address this issue. However, attrition poses significant treatment efficacy challenges. Understanding attendance and attrition from childhood obesity programs is crucial for effective and appropriate resource utilization. NOURISH+ is a community-based treatment program for parents of overweight and obese children (age 5–11 years, BMI ≥ 85th percentile). The current study investigated attrition from NOURISH+ to enhance understanding of pediatric obesity treatment retention factors. NOURISH+ participants (n=70) completed a questionnaire assessing barriers to adherence and general program feedback. Data were analyzed using frequencies, descriptive statistics, correlation, regression, and qualitative analyses. Practical barriers were commonly endorsed attendance impediments. This study highlights the significant barriers parents must overcome to partake meaningfully in a group parenting obesity intervention. Results could inform the delivery, acceptability, and feasibility of parent-focused interventions for overweight or obese children in urban environments.


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