The aim of this study was to determine the relationship between HRQOL and
adherence to an adolescent weight management program and identify variables predictive of increased adherence which are critical to motivating engagement in weight
management. This study was a non-experimental, retrospective secondary analysis from
aggregate data collected as part of the REWARD Teens program, a weight management
program for overweight and obese adolescents. Data from 37 subjects were included in
this study. Subject adherence to the program was the primary outcome variable. There
was no significant relationship between baseline adolescent or parent-proxy sub-scale or total HRQOL scores with program adherence. A significant positive relationship for
improved adherence was found only when change in BMI (p=.023), change of parent-proxy total PedsQL (p=.014), and change in child total PedsQL (p=.007) were present in
the regression model. Body mass index and changes in both parent-proxy and child total
HRQOL significantly affected attendance. Our findings suggest that baseline HRQOL
does not affect program adherence. However, we identified a potentially novel interplay
between variables predictive of program adherence. Future studies should focus on
elucidating the mechanism by which these factors gained significance in the relationship
with adherence when combined, perhaps as mediators or moderators, in order to identify
interactions which may function as barriers or facilitators to adherence.
| Identifer | oai:union.ndltd.org:uvm.edu/oai:scholarworks.uvm.edu:graddis-1435 |
| Date | 01 January 2016 |
| Creators | Hanson, Meredith Walker |
| Publisher | ScholarWorks @ UVM |
| Source Sets | University of Vermont |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | Graduate College Dissertations and Theses |
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