Clinical Pediatrics

 

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This version was published on March 1, 2008
Clinical Pediatrics, Vol. 47, No. 2, 143-147 (2008)
DOI: 10.1177/0009922807306168
© 2008 SAGE Publications

Successes and Barriers for a Youth Weight-Management Program

Jeffrey Rice, MD, JD

HealthTime, LLC, Brentwood, Tennessee, jeffrice{at}comcast.net

David Thombs, MD

HealthTime, LLC, Brentwood, Tennessee

Rick Leach

HealthTime, LLC, Brentwood, Tennessee

Richard Rehm, MD

HealthTime, LLC, Brentwood, Tennessee

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.

Key Words: childhood obesity • body mass index • weight loss • youth weight management • patient recruiting


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