Unmet Social Needs and Adherence to Pediatric Weight Management Interventions
Massachusetts, 2017–2019
Bibliographic Data
Objectives. To examine effects of unmet social needs on adherence to pediatric weight management intervention (PWMI). Methods. We examined individual associations of positive screens for parental stress, parental depression, food insecurity, and housing insecurity with intervention adherence, and associations of 0, 1 or 2, and 3 or 4 unmet social needs with adherence, among children enrolled in a 2017–2019 comparative effectiveness trial for 2 high-intensity PWMIs in Massachusetts. Models were adjusted for child age, body mass index (BMI), parent BMI, and intervention arm. Results. Families with versus without housing insecurity received a mean of 5.3 (SD = 8.0) versus 8.3 (SD = 10.9) contact hours (P Conclusions. Adherence to PWMIs was lower among children with housing insecurity and in families with 3 or 4 unmet social needs. Addressing social needs should be a priority of PWMIs to improve intervention adherence and reduce disparities in childhood obesity. Trial Registration: ClinicalTrials.gov identifier: NCT03012126
Body mass index · Confidence interval · Depression (economics) · Food insecurity · Food security · Intervention (counseling) · Obesity · Psychiatry · Psychological intervention · Social support · Weight loss · Weight management · Demography · Food Security and Health in Diverse Populations · Internal Medicine · Medicine · Obesity and Health Practices · Obesity, Physical Activity, Diet · Psychology · Gerontology
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