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Implementation of recommended treatment for children in weight management programs: Lessons from the stay in

Amy Fleischman1, Sarah Hampl2, Erinn T Rhodes1

  • 1Department of Pediatrics, Harvard Medical School, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, United States of America.

Preventive Medicine
|April 7, 2024
PubMed

Insights

Implementing multidisciplinary pediatric obesity care is challenging. Four US programs offered comprehensive services, but required external funding, highlighting the need for better insurance coverage for effective treatment.

Area of Science:

  • Public Health
  • Pediatric Endocrinology
  • Healthcare Management

Background:

  • Pediatric obesity is a critical public health issue in the US, worsened by the COVID-19 pandemic.
  • Implementing recommended multidisciplinary care guidelines for pediatric obesity is difficult, even in specialized weight management programs.
  • Tertiary care programs face challenges in delivering comprehensive, evidence-based interventions.

Purpose of the Study:

  • To describe the implementation of recommended multidisciplinary care guidelines.
  • To analyze the structure, offerings, and funding of four pediatric weight management programs.
  • To identify barriers and facilitators in delivering pediatric obesity treatment.

Main Methods:

  • Analysis of a convenience sample of four pediatric weight management programs in the US.
  • Programs were part of the multicenter Stay In Treatment (SIT) Study.
  • Comparison of program structure, services, and financial support.

Main Results:

  • All four programs were interdisciplinary, family-based, and offered individual/group options.
  • Interventions included nutrition, physical activity, behavioral, and psychosocial components.
  • Pharmacotherapy and bariatric surgery were available; however, no program was self-sustaining, relying on institutional/philanthropic support.

Conclusions:

  • Pediatric weight management programs require significant institutional and philanthropic support.
  • Lack of consistent insurance coverage hinders access to recommended, comprehensive care for high-risk children.
  • Advocacy for improved public and private insurance coverage is essential for effective pediatric obesity treatment.
Abstract

Keywords:
GuidelinesHealth behaviorHealthy lifestylePediatric obesityPharmacotherapyWeight management

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