Tasileta Teevale1, Seini Taufa2, Teuila Percival2. 1. 1Pacific Development Office,Academic Services Division,University of Otago,PO Box 56,Dunedin 9054,New Zealand. 2. 2Pacific Health Section,School of Population Health, Faculty of Medical & Health Sciences,University of Auckland,Auckland,New Zealand.
Abstract
OBJECTIVE: To explore factors influencing participation and attrition in a family-led weight-management programme for obese Pacific children. DESIGN: Qualitative study used bilingual in-depth interviews at exit and end of an 8-week weight-management programme. SETTING: New Zealand. SUBJECTS:Forty-two parents/primary caregivers of obese children who were randomised in the intervention weight-management programme. RESULTS: Programmatic factors that enhanced retention included: simultaneous delivery to both children and parents as participants; delivery of the programme in small group settings at local community venues; enabling trustworthy and accountable relationships; providing resources for travel to venues and regular telephone/text messaging follow-up calls reinforcing programme goals; and day and time scheduling. Suggested programme improvements included having ethnic-specific Island-language delivery and practical sessions like cooking classes and shopping expeditions at local food stores. The research found that unpredictable external life crises like extended family deaths, a change in job shift, family illnesses (both acute and those requiring chronic management) and long-term family visitations affected participation and momentum. A loss of momentum through managing life crises was often difficult to overcome for participants, leading them to drop out of the weight-management programme. Most drop-out participants preferred to defer their programme participation with hopes of re-committing to future programmes at another time. CONCLUSIONS: In order for weight-management programmes to be effective, participants must be able to complete them. Identifying factors that predict participation and attrition may serve as a basis for programme improvement.
RCT Entities:
OBJECTIVE: To explore factors influencing participation and attrition in a family-led weight-management programme for obese Pacific children. DESIGN: Qualitative study used bilingual in-depth interviews at exit and end of an 8-week weight-management programme. SETTING: New Zealand. SUBJECTS: Forty-two parents/primary caregivers of obesechildren who were randomised in the intervention weight-management programme. RESULTS: Programmatic factors that enhanced retention included: simultaneous delivery to both children and parents as participants; delivery of the programme in small group settings at local community venues; enabling trustworthy and accountable relationships; providing resources for travel to venues and regular telephone/text messaging follow-up calls reinforcing programme goals; and day and time scheduling. Suggested programme improvements included having ethnic-specific Island-language delivery and practical sessions like cooking classes and shopping expeditions at local food stores. The research found that unpredictable external life crises like extended family deaths, a change in job shift, family illnesses (both acute and those requiring chronic management) and long-term family visitations affected participation and momentum. A loss of momentum through managing life crises was often difficult to overcome for participants, leading them to drop out of the weight-management programme. Most drop-out participants preferred to defer their programme participation with hopes of re-committing to future programmes at another time. CONCLUSIONS: In order for weight-management programmes to be effective, participants must be able to complete them. Identifying factors that predict participation and attrition may serve as a basis for programme improvement.
Entities:
Keywords:
Family weight management; New Zealand; Obesity; Pacific Islanders
Authors: N Gentile; T K Kaufman; J Maxson; D M Klein; S Merten; M Price; L Swenson; A L Weaver; J Brewer; T Rajjo; C Narr; S Ziebarth; B A Lynch Journal: J Community Med Health Educ Date: 2018-02-23
Authors: Yvonne C Anderson; Gerard M S Dolan; Lisa E Wynter; Katharine F Treves; Trecia A Wouldes; Cameron C Grant; Tami L Cave; Anna J Smiley; José G B Derraik; Wayne S Cutfield; Paul L Hofman Journal: BMJ Open Date: 2019-03-27 Impact factor: 2.692
Authors: Emma Mead; Tamara Brown; Karen Rees; Liane B Azevedo; Victoria Whittaker; Dan Jones; Joan Olajide; Giulia M Mainardi; Eva Corpeleijn; Claire O'Malley; Elizabeth Beardsmore; Lena Al-Khudairy; Louise Baur; Maria-Inti Metzendorf; Alessandro Demaio; Louisa J Ells Journal: Cochrane Database Syst Rev Date: 2017-06-22