{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T14:47:16Z","timestamp":1767970036521,"version":"3.49.0"},"reference-count":15,"publisher":"Dietitians of Canada","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Canadian Journal of Dietetic Practice and Research"],"published-print":{"date-parts":[[2009,7]]},"abstract":"<jats:p>Purpose: Obesity in childhood has become a major public health concern because of increasing rates of overweight and obesity. To address this epidemic, effective dietetic interventions must be developed. We examined parent\/caregiver and\/or patient reasons for not returning for follow-up clinical care in the Alberta Health Services, Edmonton Area's Nutrition Services Pediatric Weight Management Program (NS PWMP) in Edmonton, Alberta.<\/jats:p><jats:p>Methods: A qualitative telephone survey was developed to identify reasons for non-return to the NS PWMP. Face validity was evaluated by five pediatric registered dietitians (RDs).<\/jats:p><jats:p>Results: The survey was administered to parents\/caregivers of children or adolescents aged 2.5 to 14.2 years (n=21) who attended fewer than two appointments in the NS PWMP. The major reasons for non-return included physical barriers (scheduling, parking, location), organizational barriers (clinic environment), and program educational content (type of educational tools, the focus of lifestyle education on the individual rather than the family, physical activity interventions, and appropriateness of information for the parent or child).<\/jats:p><jats:p>Conclusions: Development and delivery of effective dietetic interventions for children and adolescents at risk of overweight and obesity may be achieved by emphasizing skill building within the child and the family. Analysis of child and family feedback on clinical RD services is critical to optimization of care in a pediatric weight management program.<\/jats:p>","DOI":"10.3148\/70.2.2009.89","type":"journal-article","created":{"date-parts":[[2009,5,16]],"date-time":"2009-05-16T01:00:54Z","timestamp":1242435654000},"page":"89-94","source":"Crossref","is-referenced-by-count":45,"title":["<i>Reasons for Non-Return to<\/i>A Pediatric Weight Management Program"],"prefix":"10.3148","volume":"70","author":[{"suffix":"BASc, RD","given":"Catherine E.","family":"Kitscha","sequence":"first","affiliation":[{"name":"Nutrition Services, Regional Nutrition and Food Services, Alberta Health Services, Edmonton Area, AB"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"MSc, RD","given":"Kim","family":"Brunet","sequence":"additional","affiliation":[{"name":"Nutrition Services, Regional Nutrition and Food Services, Alberta Health Services, Edmonton Area, AB"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"PhD, RD","given":"Anna","family":"Farmer","sequence":"additional","affiliation":[{"name":"Department of Agriculture, Food and Nutrition Sciences, University of Alberta, Edmonton, AB"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"PhD, RD","given":"Diana R.","family":"Mager","sequence":"additional","affiliation":[{"name":"Nutrition Services, Regional Nutrition and Food Services, Alberta Health Services, Edmonton Area, AB"},{"name":"Department of Agriculture, Food and Nutrition Sciences, University of Alberta, Edmonton, AB"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1715","reference":[{"key":"p_1\/p_1_1","doi-asserted-by":"crossref","first-page":"1728","DOI":"10.1001\/jama.288.14.1728","volume":"288","author":"Orden CL","year":"2002","journal-title":"JAMA."},{"key":"p_3\/p_3_1","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1177\/1524839905278626","volume":"7","author":"Sahay TB","year":"2006","journal-title":"Health Promot Pract."},{"key":"p_4\/p_4_1","doi-asserted-by":"crossref","first-page":"2519","DOI":"10.1001\/jama.1990.03450190051027","volume":"264","author":"Epstein LH","year":"1990","journal-title":"JAMA."},{"key":"p_5\/p_5_1","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1037\/0278-6133.13.5.373","volume":"13","author":"Epstein LH","year":"1994","journal-title":"Health Psychol."},{"key":"p_6\/p_6_1","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1177\/000992280604500408","volume":"45","author":"Barlow SE","year":"2006","journal-title":"Clin Pediatr (Phila)."},{"key":"p_7\/p_7_1","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1016\/j.jpeds.2003.12.031","volume":"144","author":"Zeller M","year":"2004","journal-title":"J Pediatr."},{"key":"p_9\/p_9_1","doi-asserted-by":"crossref","first-page":"22","DOI":"10.3148\/65.1.2004.22","volume":"65","author":"Dietitians","year":"2004","journal-title":"Can J Diet Prac Res."},{"key":"p_12\/p_12_1","first-page":"1","volume":"3","author":"Nowicka P","year":"2007","journal-title":"Int J Pediatr Obes."},{"key":"p_13\/p_13_1","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1542\/peds.101.S2.554","volume":"101","author":"Epstein LH","year":"1998","journal-title":"Pediatrics."},{"key":"p_14\/p_14_1","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1001\/archpedi.154.3.220","volume":"154","author":"Epstein LH","year":"2000","journal-title":"Arch Pediatr Adolesc Med."},{"key":"p_15\/p_15_1","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1093\/her\/14.3.399","volume":"14","author":"Berg-Smith SM","year":"1999","journal-title":"Health Educ Res."},{"issue":"12","key":"p_16\/p_16_1","doi-asserted-by":"crossref","first-page":"2024","DOI":"10.1016\/j.jada.2006.09.015","volume":"106","author":"Resnicow K","year":"2006","journal-title":"J Am Diet Assoc."},{"key":"p_17\/p_17_1","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1037\/0278-6133.13.1.39","volume":"13","author":"Prochaska J","year":"1994","journal-title":"Health Psychol."},{"key":"p_18\/p_18_1","first-page":"S522","volume":"20","author":"Rollnick S","year":"1996","journal-title":"Int J Obes."},{"key":"p_19\/p_19_1","doi-asserted-by":"crossref","first-page":"1414","DOI":"10.1249\/01.mss.0000174889.89600.e3","volume":"37","author":"Schofield L","year":"2005","journal-title":"Med Sci Sports Exerc."}],"container-title":["Canadian Journal of Dietetic Practice and Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dcjournal.ca\/doi\/pdf\/10.3148\/70.2.2009.89","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T05:07:15Z","timestamp":1684991235000},"score":1,"resource":{"primary":{"URL":"https:\/\/dcjournal.ca\/doi\/10.3148\/70.2.2009.89"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,7]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2009,7]]}},"alternative-id":["10.3148\/70.2.2009.89"],"URL":"https:\/\/doi.org\/10.3148\/70.2.2009.89","relation":{},"ISSN":["1486-3847","2292-9592"],"issn-type":[{"value":"1486-3847","type":"print"},{"value":"2292-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,7]]}}}