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Reaching Uninsured Overweight and Obese Children Through the FitKids Mobile Lifestyle Modification Program: Lessons
Sanghamitra M Misra1,2, Cassandra Garcia3,4, Padma Swamy3,4
1Baylor College of Medicine, 8080 North Stadium Drive, Suite 250, Houston, TX, 77054, USA. smisra@bcm.edu.
Journal of Community Health
|October 3, 2018
Summary
Childhood obesity interventions via mobile clinics show promise but face challenges. Despite program improvements, return visit rates for overweight and obese uninsured children did not significantly increase, indicating a need for further optimization.
Area of Science:
- Public Health
- Pediatrics
- Lifestyle Medicine
Background:
- Childhood obesity is a significant public health issue in the US, disproportionately affecting uninsured and Medicaid populations.
- Mobile clinics offer a potential avenue to reach underserved children with obesity.
- The FitKids Mobile Lifestyle Modification Program aimed to engage overweight and obese uninsured children.
Purpose of the Study:
- To determine the feasibility and impact of a mobile lifestyle modification program for overweight and obese uninsured children.
- To identify barriers and facilitators to program participation and retention.
Main Methods:
- A mobile clinic program enrolled 86 children (ages 8-18) in two trial periods.
- The intervention involved lifestyle modification focusing on nutrition and physical activity.
- Quality improvement measures included reducing visits and implementing reminder calls in the second trial.
Main Results:
- Parents reported positive aspects including individualized attention, increased knowledge, and motivation for activity.
- Key barriers to return visits included personal/family factors, scheduling, and travel distance.
- Despite interventions, the return rate for the third visit remained similar between Trial 1 (67.5%) and Trial 2 (62.5%).
Conclusions:
- Mobile clinics can reach underserved populations for childhood obesity interventions.
- Program modifications did not significantly improve return visit rates, highlighting persistent challenges.
- Further research is essential to optimize mobile clinic programs for sustained engagement in pediatric obesity management.
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