Implementing routine paediatric height/length and weight screening and weight management advice by clinicians: an...

Area of Science:

• Public Health
• Pediatric Health
• Health Services Research

Background:

• Childhood obesity is a growing public health concern requiring early identification.
• Routine screening for height, weight, and related issues is crucial for timely intervention.
• Implementation strategies aim to integrate screening into routine healthcare practices.

Purpose of the Study:

• To assess health care professionals' (HCPs) views on implementing routine child weight screening in South Western Sydney Local Health District (SWSLHD).
• To evaluate the effectiveness of strategies used to increase height/length and weight screening, advice, and referral.
• To explore the prevalence of weight bias among HCPs.

Main Methods:

• A questionnaire survey was distributed to 840 HCPs trained in screening between December 2018 and June 2020.
• Data collected included experiences with screening, effectiveness of implementation strategies, and weight bias assessment.
• Electronic medical record data on screening performance in SWSLHD were also analyzed.

Main Results:

• A 38% response rate (285/753) was achieved, with 53% of respondents being nurses.
• Most HCPs supported routine screening, finding education, training, and resources helpful.
• Barriers included lack of time, equipment, suitable settings, and HCPs' perceptions; confidence was lower in discussing weight with families.

Conclusions:

• Routine screening is vital for identifying children at risk of overweight and obesity.
• HCPs face challenges in integrating screening into daily practice.
• Multifaceted strategies are effective in promoting screening across various healthcare settings for timely intervention.