Barriers to the Implementation of Pediatric Overweight and Obesity Guidelines in a School-Based Health Center
Lydia J Yeager1, Sharon M Karp2, Treasa 'Susie' Leming-Lee3
1School Based Health Program, Ryan Health, 110 W. 97th Street, New York, NY 10025, USA.
Insights
Implementing pediatric overweight and obesity guidelines in schools faces barriers. Key challenges include patient non-compliance, family lifestyle factors, and limited parental involvement in school health settings.
Area of Science:
- Pediatric health
- Public health
- Quality improvement science
Background:
- Pediatric overweight and obesity are significant public health concerns.
- Effective guideline implementation in school settings is crucial for prevention and management.
- School-based health centers (SBHCs) are vital in addressing child health issues.
Purpose of the Study:
- To identify perceived barriers to implementing pediatric overweight and obesity guidelines in school-based health centers.
- To assess challenges from both primary care and school-based perspectives.
Main Methods:
- A quality improvement design was employed.
- An electronic survey was distributed to nurse practitioners and licensed practical nurses in New York SBHCs.
Main Results:
- Primary care barriers included patient non-compliance, family lifestyle, poor dietary habits, and sedentary behaviors.
- School-based barriers involved children's limited control over home food environments and lack of parent presence during appointments.
Conclusions:
- Addressing pediatric overweight and obesity in schools requires overcoming patient, family, and systemic barriers.
- Interventions must consider the unique context of school-based health settings and family engagement.
Abstract:
This project applied a quality improvement design to assess perceived barriers to pediatric overweight and obesity guideline implementation in school-based health centers. An electronic survey was administered to nurse practitioners and licensed practical nurses working in school-based health centers in New York. The most commonly cited primary care-based barriers were lack of patient compliance, family lifestyle, and the poor dietary practices and sedentary behaviors common in America. The most commonly cited school-based barriers were that children have little control over the groceries purchased and foods cooked at home and the lack of parent presence during appointments.
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