Translating an evidence-based intervention for pediatric overweight to a primary care setting

Related Experiment Video

Updated: Jun 26, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
05:10

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Linda J Ewing1, Patricia Cluss, Sheri Goldstrohm

  • 1Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15317, USA. ewinglj@upmc.edu

Clinical Pediatrics
|January 24, 2009
PubMed

Insights

Pediatric providers can be trained to guide families on healthy weight management. This program helped children improve their body mass index (BMI) and weight through healthy eating and physical activity.

Area of Science:

  • Pediatric Health
  • Behavioral Science
  • Public Health

Background:

  • Childhood obesity is a significant public health concern.
  • Pediatric providers require effective strategies to address weight management with families.
  • Early intervention in pediatric weight management is crucial.

Purpose of the Study:

  • To train pediatric providers in addressing weight, body mass index (BMI), diet, and physical activity with parents.
  • To evaluate a family-based behavioral intervention for healthy weight in children.
  • To assess the feasibility of implementing such interventions in pediatric practices.

Main Methods:

  • A family-based, 11-session behavioral program was implemented.
  • Participants included children aged 8-12 years with BMI at or above the 85th percentile and their parents.
  • Outcome measures included weight and BMI changes.

Main Results:

  • Seventy-three child-parent dyads enrolled in the study.
  • Children who completed at least 6 intervention sessions and 1 follow-up session lost an average of 2.84 lb.
  • A statistically significant change in BMI z scores was observed at 5 months (P < .001).

Conclusions:

  • Pediatric providers can gain confidence and skills to discuss weight and BMI with children and parents.
  • A family-centered intervention delivered in a pediatric setting can promote healthy weight.
  • Professional office staff can be trained to deliver evidence-informed healthy weight interventions.

More Related Videos

Assessment of Child Anthropometry in a Large Epidemiologic Study09:36

Assessment of Child Anthropometry in a Large Epidemiologic Study

Published on: February 2, 2017

Related Concept Videos

Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Role of Communication in the Nursing Process II: Planning and Implementation01:25

Role of Communication in the Nursing Process II: Planning and Implementation

Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time for...
Nursing Interventions I: Taxonomy of Nursing Interventions01:03

Nursing Interventions I: Taxonomy of Nursing Interventions

Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome is...
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
Preventive Healthcare Services01:30

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include: