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Comparing enhancements to well-child visits in the prevention of obesity: ENCIRCLE cluster-randomized controlled

Lisa Bailey-Davis1,2, Amy M Moore3, Melissa N Poulsen4

  • 1Department of Population Health Sciences, Geisinger, 100 N Academy Ave, Danville, PA, 17822, USA. ldbaileydavis@geisinger.edu.

BMC Public Health
|December 26, 2022
PubMed

Insights

This study compares standard well-child visits (WCV) with enhanced versions for childhood obesity prevention in at-risk children. Findings will guide healthcare systems in choosing effective obesity prevention strategies.

Area of Science:

  • Pediatric Health
  • Public Health
  • Health Services Research

Background:

  • Childhood obesity disproportionately affects rural, low-income populations in the U.S.
  • Primary care is crucial for early obesity prevention, but effective delivery models require more evidence.
  • The ENCIRCLE study addresses this gap by evaluating enhanced well-child visits (WCV).

Purpose of the Study:

  • To test the comparative effectiveness of standard WCV versus two enhanced WCV models for childhood obesity prevention.
  • To identify optimal care delivery models for preventing obesity in high-risk preschool-aged children.
  • To inform healthcare systems on evidence-based strategies for pediatric obesity prevention.

Main Methods:

  • A pragmatic cluster-randomized controlled trial involving 2,025 parents and children across 24 primary care clinics.
  • Intervention arms: standard WCV, PRO WCV (adding patient-reported outcomes), and PRO WCV plus Food Care (telehealth coaching and grocery tours).
  • Primary outcome: change in child body mass index z-score (BMIz) at 12 months; secondary outcomes include obesity prevalence and behavioral factors.

Main Results:

  • This section is not available in the provided abstract.

Conclusions:

  • Study findings will guide healthcare systems in selecting effective care delivery models for childhood obesity prevention.
  • Dissemination will consider mediating, moderating, and implementation factors for broader impact.
  • Evidence generated will support targeted interventions for high-risk pediatric populations.
Abstract

Keywords:
ObesityPatient centered outcomePreschool-agePrimary careRural; low-income

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