Reasons for (Non)Participating in a Telephone-Based Intervention Program for Families with Overweight Children 英文参考文献.docVIP

Reasonsfor(Non)ParticipatinginaTelephone-Based InterventionProgramforFamilieswithOverweight Children FranziskaAlff1,JanaMarkert1,2,SilkeZschaler1,RuthGausche3,WielandKiess1,2,SusannBlu¨her1,2 * 1DepartmentofWomenandChildHealth,HospitalforChildrenandAdolescents,UniversityHospitalofLeipzig,Leipzig,Germany,2IntegratedResearchandTreatment Center(IFB)AdiposityDiseases,UniversityofLeipzig,Leipzig,Germany,3CrescNetgGmbH,UniversityofLeipzig,Leipzig,Germany Abstract Objective:Willingnesstoparticipateinobesitypreventionprogramsislow;underlyingreasonsarepoorlyunderstood.We evaluatedreasonsfor(non)participatinginanoveltelephone-basedobesitypreventionprogramforoverweightchildren andtheirfamilies. Method:Overweightchildrenandadolescents(BMI.90thpercentile)aged3.5–17.4yearswerescreenedviatheCrescNet database, a representative cohort of German children, and program participation (repetitive computer aided telephone counseling) was offered by their local pediatrician. Identical questionnaires to collect baseline data on anthropometrics, lifestyle,eatinghabits,sociodemographicandpsychosocialparameterswereanalyzedfrom433families(241participants, 192 nonparticipants). Univariate analyses and binary logistic regression were used to identify factors associated with nonparticipation. Results:Thenumberofoverweightchildren(BMI.90thpercentile)washigherinnonparticipantsthanparticipants(62%vs. 41.1%,p,0.001), whereas the number of obese children (BMI.97th percentile) was higher in participants (58.9% vs.38%,p,0.001).Participatinggirlswereyoungerthanboys(8.8vs.10.4years,p,0.001).87.3%and40%ofparticipants,but only72.2%and24.7%ofnonparticipants,respectively,reportedtohaveregularbreakfasts(p=0.008)and5regulardaily meals(p=0.003).Nonparticipantshadalowerhousehold-net-income(p,0.001),buthighersubjectivephysicalwellbeing thanparticipants(p=0.018)andbelievedthatchangesinlifestylecanbemadeeasily(p=0.05). Conclusion: An important reason for nonparticipation was non-awareness of their child’s weight s