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Successes and Barriers for a Youth Weight-Management Program

2007/08/31 by Jeffrey Rice, David Thombs, Rick Leach +2
Health Professions · Medicine · #Child and Adolescent Health #Obesity and Health Practices #Obesity, Physical Activity, Diet

paper · doi:10.1177/0009922807306168

openalex publication_date 2007/08/31 · crossref created 2007/08/31 · crossref issued 2008/03/01 · crossref published 2008/03/01 · crossref published-online 2008/03/01 · crossref published-print 2008/03/01 · openalex created_date 2025/10/10 · crossref deposited 2026/04/28 · crossref indexed 2026/07/30 · openalex updated_date 2026/07/30

Abstract

A patient recruiting process was developed for a youth weight-management program in a metropolitan area, and the clinical effects of the program on overweight and obese children aged 7 to 17 years old were assessed. During the 12-month effort, 68 overweight children were enrolled. The program included exercise, nutrition coaching, and behavior change counseling. Clinical outcomes were measured. Patient recruiting methods were monitored and included working with physicians and schools and marketing to consumers. Program adherence was 71% attendance, 5% noncompliance, and 5% drop out rates. Clinical outcomes were excellent: 68% of participants lowered their body mass index by an average of 2.5% (mean, 24 weeks). The program was clinically successful, but patient recruitment initiatives were unsuccessful and the program was discontinued. Parents were the largest obstacle to patient recruiting efforts. For children's weight-management programs to be commercially viable, new models of patient recruiting and promotion of parental acceptance are needed.

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