Date of Award


Document Type


Degree Name

Master of Science (MS)



First Advisor

Jennifer S. Laurent

Second Advisor

Connie Tompkins


The aim of this study was to determine the relationship between HRQOL and

adherence to an adolescent weight management program and identify variables predictive of increased adherence which are critical to motivating engagement in weight

management. This study was a non-experimental, retrospective secondary analysis from

aggregate data collected as part of the REWARD Teens program, a weight management

program for overweight and obese adolescents. Data from 37 subjects were included in

this study. Subject adherence to the program was the primary outcome variable. There

was no significant relationship between baseline adolescent or parent-proxy sub-scale or total HRQOL scores with program adherence. A significant positive relationship for

improved adherence was found only when change in BMI (p=.023), change of parent-proxy total PedsQL (p=.014), and change in child total PedsQL (p=.007) were present in

the regression model. Body mass index and changes in both parent-proxy and child total

HRQOL significantly affected attendance. Our findings suggest that baseline HRQOL

does not affect program adherence. However, we identified a potentially novel interplay

between variables predictive of program adherence. Future studies should focus on

elucidating the mechanism by which these factors gained significance in the relationship

with adherence when combined, perhaps as mediators or moderators, in order to identify

interactions which may function as barriers or facilitators to adherence.



Number of Pages

87 p.

Included in

Nursing Commons