DOI
https://doi.org/10.25772/7DXV-BR44
Defense Date
2015
Document Type
Dissertation
Degree Name
Doctor of Philosophy
Department
Counseling Psychology
First Advisor
Marilyn Stern
Second Advisor
Suzanne Mazzeo
Third Advisor
Melanie Bean
Fourth Advisor
Edmund Wickham
Fifth Advisor
Leroy Thacker
Abstract
Estimated rates of obesity are notably high in the United States and pose a significant public health concern. A number of deleterious physical and psychosocial conditions are associated with pediatric obesity and the cost of its treatment is considerable. Accordingly, the number of weight management treatments has increased to meet this growing public health challenge. Unfortunately, insufficient participation in weight management treatment, namely low adherence and high attrition, often impede the effectiveness of these programs. Although the barriers associated with inadequate adherence and elevated rates of attrition are documented, there is a dearth of research on the predictors of the low participation in pediatric weight management. To address this gap in the literature, the current study examined whether psychosocial (e.g., motivation, mindfulness, depression), biological (e.g., anthropometric, biochemical), and demographic variables predicted adherence and attrition. A series of backward elimination regressions were modeled to identify the biopsychosocial factors that best predicted adherence and attrition in a pediatric weight management program. The study utilized a sample of parent-adolescent dyads (N = 143) from the T.E.E.N.S. program, a multidisciplinary weight management treatment involving behavioral, nutrition, and exercise components for adolescents with obesity. Several demographic characteristics were associated with lower adherence. Parent basic psychological need fulfillment was also significantly associated with six-month attrition. This finding underscores the importance of the parents’ role in the successful completion of a pediatric weight management program. This study contributes to an increased understanding of the factors related to participation in weight management programs, and can inform the refinements of interventions, such as T.E.E.N.S. and related programs.
Rights
© The Author
Is Part Of
VCU University Archives
Is Part Of
VCU Theses and Dissertations
Date of Submission
8-6-2015