Hampl Sarah, Demeule Michelle, Eneli Ihuoma, Frank Maura, Hawkins Mary Jane, Kirk Shelley, Morris Patricia, Sallinen Bethany J, Santos Melissa, Ward Wendy L, Rhodes Erinn
Children's Mercy Hospitals and Clinics and Center for Children's Healthy Lifestyles and Nutrition, Kansas City, MO 64108, USA.
Clin Pediatr (Phila). 2013 Jun;52(6):513-9. doi: 10.1177/0009922813482515. Epub 2013 Mar 28.
To describe parent/caregiver reasons for attrition from tertiary care weight management clinics/programs.
A telephone survey was administered to 147 parents from weight management clinics/programs in the National Association of Children's Hospitals and Related Institutions' (now Children's Hospital Association's) FOCUS on a Fitter Future II collaborative.
Scheduling, barriers to recommendation implementation, and transportation issues were endorsed by more than half of parents as having a moderate to high influence on their decision not to return. Family motivation and mismatched expectations between families and clinic/program staff were mentioned as influential by more than one-third. Only mismatched expectations correlated with patient demographics and program characteristics. [corrected].
Although limited by small sample size, the study found that parents who left geographically diverse weight management clinics/programs reported similar reasons for attrition. Future efforts should include offering alternative visit times, more treatment options, and financial and transportation assistance and exploring family expectations.
描述三级医疗体重管理诊所/项目中家长/照顾者退出的原因。
对来自全国儿童医院及相关机构协会（现儿童医院协会）“关注更健康未来II”合作项目中体重管理诊所/项目的147名家长进行了电话调查。
超过半数的家长认可日程安排、推荐实施的障碍以及交通问题对他们决定不再返回有中度到高度影响。超过三分之一的家长提到家庭动力以及家庭与诊所/项目工作人员之间不匹配的期望具有影响力。只有不匹配的期望与患者人口统计学特征和项目特点相关。[已修正]
尽管受样本量小的限制，该研究发现，离开地理位置各异的体重管理诊所/项目的家长报告的退出原因相似。未来的努力应包括提供替代就诊时间、更多治疗选择、财务和交通援助以及探索家庭期望。
