Getting them through the door: Social and behavioral determinants of uptake and engagement in an obesity intervention

Alina Rodriguez, Katarzyna Korzeniowska, Kamila Szarejko, Hubert Borowski, Michał Brzeziński, Małgorzata Myśliwiec, Leszek Czupryniak, Per-Olof Berggren, Marcin Radziwiłł, Piotr Soszyński

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Abstract

Using data from a large-scale screening program (N = 19634), we aimed to prospectively identify factors predicting uptake (i.e. acceptance of the invitation) and engagement (i.e. participation in at least two sessions) in a multi-component-intensive-behavioral-intervention for obesity-management (MBIOM) intervention targeting adolescents (n = 2862; 12-14 years; BMI ≥90th percentile). Approximately one third of adolescents most in need of weight management declined the initial invitation to enter the MBIOM. Poor diet, sedentary behavior, and parental education predicted willingness to enter and stay in the intervention, however measured body mass index did not matter. Perceived family support, instead of initial motivation, facilitated engagement. Our results provide new insights on the importance of regional socio-geographical factors including trust in local authorities.

Original languageEnglish
JournalObesity research & clinical practice
Early online date12 Nov 2022
DOIs
Publication statusPublished online - 12 Nov 2022

Bibliographical note

Funding Information:
Data collection was funded by Jochnick Family Foundation , grant nr. 2014MR and Medicover Foundation , grant nr. 2013MRPS funded data collection and all co-authors. The funders played no role in study concept, data analysis, interpretation, or decision to submit for publication.

Funding Information:
Data collection was funded by Jochnick Family Foundation, grant nr. 2014MR and Medicover Foundation, grant nr. 2013MRPS funded data collection and all co-authors. The funders played no role in study concept, data analysis, interpretation, or decision to submit for publication.

Publisher Copyright:
© 2022 The Authors

Keywords

  • Adolescents
  • Engagement
  • Multi-component-intensive-behavioral-intervention-for- obesity-management
  • Obesity
  • Obesity management
  • Pozdro
  • Social determinants
  • Trust
  • Uptake

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