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The Pediatric Obesity Initiative: development, implementation, and evaluation
Denise A Sample1, Heather L Carroll, Debra J Barksdale
1Knightdale Family Medicine, Knightdale, North Carolina.
Insights
A new toolkit and training program for pediatric obesity were developed. While useful, providers still struggle to consistently implement these evidence-based resources in primary care settings.
Area of Science:
- Public Health
- Pediatrics
- Clinical Practice
Background:
- Pediatric obesity has dramatically increased globally over the last 30 years.
- This epidemic contributes to significant health issues in children worldwide.
- Obesity affects all demographics, necessitating widespread intervention strategies.
Purpose of the Study:
- To develop a comprehensive, evidence-based toolkit and training program for pediatric obesity.
- The program aimed to support primary care providers in addressing childhood obesity locally.
- The initiative focused on a specific North Carolina county to combat the local epidemic.
Main Methods:
- The toolkit and training were based on current pediatric obesity treatment guidelines.
- Resources from Healthy Carolinians were integrated into the program.
- Motivational interviewing techniques were a key component of the training.
Main Results:
- Training was delivered to staff and providers across three pediatric practices and a local Health Department.
- A follow-up survey at three months indicated providers found the toolkit and training useful.
- However, consistent application of the guidelines and tools by providers remained a challenge.
Conclusions:
- Implementing evidence-based guidelines in primary care settings presents ongoing difficulties.
- Further research is required to enhance the adoption of these resources by healthcare providers.
- Improving the consistent use of pediatric obesity guidelines is crucial for effective public health interventions.
Purpose:
Pediatric obesity rates have nearly tripled over the past three decades contributing to increased morbidity and mortality in the United States and around the world. Pediatric obesity is most prevalent in developed countries and affects all races, ethnicities, cultures, and age groups. To combat this epidemic locally, a team of dedicated providers developed a comprehensive evidenced-based toolkit and training program for clinical practices providing primary care services to children in a North Carolina county.
Data Sources:
The toolkit and training program were developed using the most current treatment guidelines for pediatric obesity and included resources developed by Healthy Carolinians. One unique feature of the training was a demonstration of motivational interviewing with additional resources included in the toolkit.
Conclusions:
Staff and providers in three pediatric practices and the local Health Department received the training. In a 3 months follow-up survey after the training, the providers indicated that the toolkit and training program were useful but that they still did not consistently use the guidelines or tools.
Implications For Practice:
Ensuring the use of available guidelines and resources by providers remains a challenge. Further study is needed on how to improve implementation of guidelines in primary care settings.
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