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Updated: Jan 13, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
05:10

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

901

Application of a reverse consultation model for pediatric obesity care: A quality improvement initiative

Elizabeth Hegedus1, Emily Sousa1, Priya Patel1

  • 1Children's Hospital Los Angeles, Department of Pediatrics, Center for Endocrinology, Diabetes and Metabolism, Los Angeles, CA, United States.

Preventive Medicine Reports
|October 29, 2025
PubMed

Insights

The REACH-KIDS program successfully trained primary care clinicians in pediatric obesity care, improving their knowledge and confidence in prescribing anti-obesity medications. This collaborative care model shows promise for enhancing obesity management in underserved areas.

Area of Science:

  • Pediatric Endocrinology
  • Primary Care Medicine
  • Public Health

Background:

  • Pediatric obesity care integration into primary care is challenging, particularly in underserved regions.
  • The Reverse Consult Care Model for the Comprehensive Treatment of Pediatric Obesity in Primary Care (REACH-KIDS) program was developed to address this gap.
  • This initiative focuses on empowering primary care clinicians (PCCs) with education and resources for pediatric obesity management.

Purpose of the Study:

  • To describe the design of the REACH-KIDS quality improvement initiative.
  • To evaluate the early feasibility and effectiveness of the REACH-KIDS program in building PCC capacity for pediatric obesity care.
  • To assess the impact of the program on clinical practice, including the use of anti-obesity medications.

Main Methods:

  • Implementation of the REACH-KIDS model across two primary care sites.
  • Delivery of didactic mini-series sessions focused on pediatric obesity care for PCCs.
  • Evaluation of program feasibility through tracking attendance, engagement, and satisfaction; knowledge assessments and self-reported practice changes were also collected.

Main Results:

  • High attendance and satisfaction rates were observed across both sites.
  • Participants demonstrated significant improvements in knowledge of obesity treatment options.
  • Seventy-five percent of attendees reported a shift in clinical practice regarding obesity pharmacotherapy, with increased confidence in prescribing anti-obesity medications.

Conclusions:

  • The REACH-KIDS model is feasible and effective in enhancing PCCs' knowledge and confidence in pediatric obesity care.
  • Educational interventions and collaborative care models can improve obesity management within primary care settings.
  • Future research should focus on broader implementation and objective outcome measures, especially in underserved populations.
Abstract

Keywords:
Chronic care modelPediatric obesityPrimary care

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