The role of parental motivation in family-based treatment for XXXX .

@entity1 @entity353 @entity28 @entity214
This study investigated the role of parental motivation (importance, confidence and readiness) for predicting dropout and outcome from family-based behavioral treatment for @entity28 . Parent and @entity1 demographics, adherence to treatment, and @entity353 parameters were also explored as potential predictors. Eighty-four @entity28 @entity1 (BMI-standard deviation scores ( @entity214 ) >2.14) and a participating parent with each @entity1 started treatment consisting of 12 weeks of group and individual treatment sessions (24 sessions total) delivered over a period of 18 weeks. Sixty-one families (73%) completed treatment and attended follow-up at 1 year after treatment. @entity1 session attendance and completion of self-monitoring records served as measures of adherence. In regression analyses, parent reports (pretreatment) of confidence for doing well in treatment was the strongest predictor of treatment completion (P = 0.003) as well as early treatment response ( @entity353 at week 5) (P = 0.003). This variable remained a significant predictor of @entity1 @entity353 at post-treatment (P = 0.014), but was not associated with @entity1 outcome at 1-year follow-up (P > 0.05). The only significant predictor of @entity1 @entity353 at that point was @entity1 baseline weight (P = 0.001). However, pretreatment parent ratings of importance of and readiness for treatment did not predict dropout or @entity353 at any point. The results underscore the importance of addressing parental motivation, specifically parental confidence for changing lifestyle related behaviors, early in the treatment process. Doing so may reduce treatment dropout and enhance treatment outcome.
