Attrition rate and predictors of a monitoring mHealth application in adolescents with obesity

IF 2.7 3区医学 Q1 PEDIATRICS Pediatric Obesity Pub Date : 2023-09-07 DOI:10.1111/ijpo.13071

Maurane Desmet, Alicia Fillon, David Thivel, Ann Tanghe, Caroline Braet

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Abstract

Background

Integrating mobile health (mHealth) into paediatric obesity treatment can provide opportunities for more personalized and lifetime treatment. However, high attrition rates pose a significant challenge. The current study attempts to better understand attrition by exploring (1) attrition rates of a monitoring mHealth application for usage over 14 days and (2) testing predictors of attrition in adolescents with obesity.

Methods

Participants were 69 adolescents between 12 and 16 years old who engaged in a multidisciplinary obesity treatment centre (either outpatient or inpatient) in two countries (Belgium and France). To assess the attrition rates, frequency distributions were used. To test the predictors of attrition, zero-inflated negative binomial regression was performed.

Results

Attrition rates were high, in the outpatient group, more than half of the participants (53.3%) used the app for only 0–7 days. In the inpatient group, this percentage was 24.1%. Only deficits in initiating (a component of executive functions) were a negative predictor of attrition, indicating that deficits in initiating lead to lower attrition rates.

Conclusions

This study provides evidence for high attrition rates in mHealth interventions for adolescents with obesity and was the first to investigate psychological predictors of attrition to an mHealth monitoring tool in adolescents with obesity in treatment. Findings regarding predictors of attrition should be approached with caution due to the small sample size.

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mHealth在青少年肥胖患者中应用监测的损耗率和预测因素

背景将移动健康（mHealth）纳入儿科肥胖治疗可以为更个性化和终身治疗提供机会。然而，高流失率是一个重大挑战。目前的研究试图通过探索（1）监测mHealth应用程序在14岁以上使用的流失率来更好地了解流失天和（2）测试肥胖青少年消耗的预测因素。方法参与者为69名年龄在12岁至16岁之间的青少年岁，在两个国家（比利时和法国）的多学科肥胖治疗中心（门诊或住院）工作。为了评估流失率，使用了频率分布。为了检验损耗的预测因素，进行了零膨胀负二项回归。结果消耗率很高，在门诊组中，超过一半的参与者（53.3%）使用该应用程序的时间仅为0-7 天。在住院组中，这一比例为24.1%。只有启动不足（执行功能的一个组成部分）是减员的负面预测因素，表明启动不足会降低减员率。结论本研究为肥胖青少年mHealth干预中的高消耗率提供了证据，并首次研究了在治疗中使用mHealth监测工具对肥胖青少年进行消耗的心理预测因素。由于样本量较小，应谨慎对待关于流失预测因素的研究结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.