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05:10
Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Screening, referral, and participation in a weight management program implemented in five CHCs
Daniel Clark1, Lisa Chrysler, Anthony Perkins
1Indiana University, Medicine, Indianapolis, IN 46202, USA. dcclark@gorge.net
Journal of Health Care for the Poor and Underserved
|May 11, 2010
Summary
Community health centers can help manage obesity. A quality improvement program showed modest weight loss for patients with over 10 contacts, highlighting the need for better participation in weight management programs.
Area of Science:
- Public Health
- Obesity Prevention
- Health Services Research
Background:
- Community health centers (CHCs) are vital for addressing public health issues like obesity.
- Lifestyle behavior change programs are recommended for weight management.
Purpose of the Study:
- To evaluate a quality improvement program for weight management in CHCs.
- To assess patient participation and outcomes in a CHC-based obesity intervention.
Main Methods:
- Retrospective evaluation of 26,661 adult patients across five CHCs.
- Program included electronic BMI screening, provider referral, and lifestyle counseling.
- Analysis of patient contact frequency and weight change.
Main Results:
- Over 53% of screened patients were overweight or obese (BMI ≥25).
- Only 2.1% of patients had more than 10 program contacts.
- Mean weight loss of seven pounds was observed in patients with >10 contacts; no significant change for others.
Conclusions:
- CHC-based weight management programs show potential but require improved patient and provider engagement.
- Guideline-recommended interventions need higher participation rates for public health impact.
- Enhancing participation is crucial for CHC weight management success.
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