title: Acceptability and non-compliance in a family-led weight-management programme for obese Pacific children.
abstract: OBJECTIVE
  To explore factors influencing participation and attrition in a family-led weight-management programme for obese Pacific children.
  
  
  METHODS
  Qualitative study used bilingual in-depth interviews at exit and end of an 8-week weight-management programme.
  
  
  METHODS
  New Zealand.
  
  
  METHODS
  Forty-two parents/primary caregivers of obese children who were randomised in the intervention weight-management programme.
  
  
  RESULTS
  Programmatic factors that enhanced retention included: simultaneous delivery to both children and parents as participants; delivery of the programme in small group settings at local community venues; enabling trustworthy and accountable relationships; providing resources for travel to venues and regular telephone/text messaging follow-up calls reinforcing programme goals; and day and time scheduling. Suggested programme improvements included having ethnic-specific Island-language delivery and practical sessions like cooking classes and shopping expeditions at local food stores. The research found that unpredictable external life crises like extended family deaths, a change in job shift, family illnesses (both acute and those requiring chronic management) and long-term family visitations affected participation and momentum. A loss of momentum through managing life crises was often difficult to overcome for participants, leading them to drop out of the weight-management programme. Most drop-out participants preferred to defer their programme participation with hopes of re-committing to future programmes at another time.
  
  
  CONCLUSIONS
  In order for weight-management programmes to be effective, participants must be able to complete them. Identifying factors that predict participation and attrition may serve as a basis for programme improvement.
authors: 1Pacific Development Office,Academic Services Division,University of Otago,PO Box 56,Dunedin 9054,New Zealand.
authors: Tasileta
authors: T
authors: Teevale
authors: 2Pacific Health Section,School of Population Health, Faculty of Medical & Health Sciences,University of Auckland,Auckland,New Zealand.
authors: Seini
authors: S
authors: Taufa
authors: 2Pacific Health Section,School of Population Health, Faculty of Medical & Health Sciences,University of Auckland,Auckland,New Zealand.
authors: Teuila
authors: T
authors: Percival
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D055815:Young Adult; D005190:Family; D009520:New Zealand; D010290:Parents; D010349:Patient Compliance; D017060:Patient Satisfaction; D063766:Pediatric Obesity / Q000208:ethnology / Q000628:therapy; D036301:Qualitative Research; D061217:Weight Reduction Programs; D000095188:Pacific Island People
keywords: Family weight management; New Zealand; Obesity; Pacific Islanders
references: Int J Pediatr Obes. 2006;1(2):66-76
references: 17907317
references: Transl Behav Med. 2011 Jun;1(2):234-51
references: 24073048
references: J Dev Behav Pediatr. 2010 Nov-Dec;31(9):705-12
references: 21057255
references: Obes Res Clin Pract. 2012;6(4):e330-e339
references: 23181148
references: Health Psychol. 2000 Jan;19(1S):5-16
references: 10709944
references: Obesity (Silver Spring). 2013 Feb;21(2):394-7
references: 23532993
references: World Health Organ Tech Rep Ser. 2000;894:i-xii, 1-253
references: 11234459
references: Health Educ Behav. 2012 Aug;39(4):386-95
references: 21551421
references: Int J Qual Health Care. 2004 Apr;16(2):165-73
references: 15051711
references: Am J Clin Nutr. 2005 Jul;82(1 Suppl):222S-225S
references: 16002825
references: Addict Behav. 1992;17(4):367-77
references: 1502970
references: Annu Rev Public Health. 2006;27:1-28
references: 16533107
references: J Child Health Care. 2008 Dec;12(4):329-43
references: 19052190
references: Pediatrics. 2010 Feb;125(2):e396-418
references: 20083531
references: Health Educ Res. 2004 Jun;19(3):261-71
references: 15140846
references: Pediatrics. 2011 Sep;128 Suppl 2:S59-64
references: 21885646
references: World Health Organ Tech Rep Ser. 2003;916:i-viii, 1-149, backcover
references: 12768890
references: Obes Res. 2005 Jun;13(6):1089-96
references: 15976152
references: Obes Rev. 2011 May;12(5):e273-81
references: 20880126
references: Obesity (Silver Spring). 2008 Jun;16(6):1318-23
references: 18356834
references: Pediatrics. 2006 Nov;118(5):e1406-13
references: 17079542
references: Clin Pediatr (Phila). 2006 May;45(4):355-60
references: 16703159
references: Child Obes. 2011 Jun 20;7(3):185-193
references: 21966612
references: J Stud Alcohol. 1995 Sep;56(5):538-45
references: 7475034
references: Fam Med. 2003 Nov-Dec;35(10):721-5
references: 14603404
references: BMC Med Res Methodol. 2009 Dec 09;9:81
references: 20003208
references: Cochrane Database Syst Rev. 2009 Jan 21;(1):CD001872
references: 19160202
references: J Am Coll Nutr. 2005 Apr;24(2):83-92
references: 15798074
references: J Nutr Educ Behav. 2004 Jul-Aug;36(4):197-203
references: 15544728
references: Can J Diet Pract Res. 2009 Summer;70(2):89-94
references: 19515272
references: Asia Pac J Clin Nutr. 2007;16(3):448-54
references: 17704026
references: Clin Pediatr (Phila). 2010 May;49(5):457-65
references: 19487764
references: Diabetes Educ. 2007 Jun;33 Suppl 6:132S-138S
references: 17620392
references: N Z Med J. 2010 Nov 26;123(1326):26-36
references: 21326397
references: Obesity (Silver Spring). 2007 Mar;15(3):719-30
references: 17372323
references: Prev Med. 1993 Mar;22(2):167-77
references: 8483856
references: Obes Res. 2003 Jan;11(1):17-20
references: 12529480
references: Pediatrics. 2005 Jan;115(1):22-7
references: 15629977