Individual and Household Predictors of Adolescents’ Adherence to a Web-Based Intervention

Background Adherence to e-health obesity interventions is a significant challenge. Purpose We examined the individual and household predictors of adolescents’ adherence to a Web-based lifestyle intervention. Methods One hundred sixty overweight/obese adolescents and one of their parents enrolled in...

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Bibliographic Details
Published in:Annals of behavioral medicine 2015-06, Vol.49 (3), p.371-383
Main Authors: Mâsse, Louise C., Watts, Allison W., Barr, Susan I., Tu, Andrew W., Panagiotopoulos, Constadina, Geller, Josie, Chanoine, Jean-Pierre
Format: Article
Language:English
Subjects:
Adolescent
Adolescent Behavior - psychology
Adult
Behavior Therapy - methods
Child
Child psychology
Compliance
Family Medicine
Female
Follow-Up Studies
General Practice
Health behavior
Health Psychology
Humans
Life Style
Lifestyles
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity
Obesity - therapy
Original Article
Overweight - therapy
Parents
Patient Compliance - psychology
Telemedicine - methods
Treatment Outcome
Weight control
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Summary:Background Adherence to e-health obesity interventions is a significant challenge. Purpose We examined the individual and household predictors of adolescents’ adherence to a Web-based lifestyle intervention. Methods One hundred sixty overweight/obese adolescents and one of their parents enrolled in the 8-month e-health intervention. Structural equation modeling was used to examine individual factors from the theory of planned behavior and self-determination theory and household factors (food/soda availability, parenting, environment) that predict adolescents’ adherence to components of the intervention. Results We explained 10.8 to 36.9 % of the total variance in adherence to components of the intervention. Intrinsic motivation and parenting practices and styles directly predicted adherence. Relatedness and autonomy support indirectly predicted adherence via intrinsic motivation. Finally, household income modulated these effects. Conclusion Taking a self-regulatory perspective (i.e., accounting for intrinsic motivation) contributes to our understanding of intervention adherence, but the household environment may play a greater role in facilitating adolescent behavior change.
ISSN:0883-6612
1532-4796
DOI:10.1007/s12160-014-9658-z