BACKGROUND: Given the prevalence of childhood obesity and the limited support for preventing and managing obesity in primary care settings, the Seattle Children's Hospital's Children's Obesity Action Team has partnered with Steps to Health King County to develop a pediatric obesity quality-improvement project. METHODS: Primary care clinics joined year-long quality-improvement collaboratives to integrate obesity prevention and management into the clinic setting by using the chronic-disease model. Sustainability was enhanced through integration at multiple levels by emphasizing small, consistent behavior changes and self-regulation of eating/feeding practices with children, teenagers, and families; building local community partnerships; and encouraging broader advocacy and policy change. Cultural competency and attention to disparities were integrated into quality-improvement efforts. RESULTS: . Participating clinics were able to increase BMI measurement and weight classification; integrate management of overweight/obese children and family and self-management support; and grow community collaborations. Over the course of 4 years, this project grew from a local effort involving 3 clinics to a statewide program recently adopted by the Washington State Department of Health. CONCLUSIONS: This model can be used by other states/regions to develop pediatric obesity quality-improvement programs to support the assessment, prevention, and management of childhood obesity. Furthermore, these health care efforts can be integrated into broader community-wide childhood-obesity action plans.
BACKGROUND: Given the prevalence of childhood obesity and the limited support for preventing and managing obesity in primary care settings, the Seattle Children's Hospital's Children's Obesity Action Team has partnered with Steps to Health King County to develop a pediatric obesity quality-improvement project. METHODS: Primary care clinics joined year-long quality-improvement collaboratives to integrate obesity prevention and management into the clinic setting by using the chronic-disease model. Sustainability was enhanced through integration at multiple levels by emphasizing small, consistent behavior changes and self-regulation of eating/feeding practices with children, teenagers, and families; building local community partnerships; and encouraging broader advocacy and policy change. Cultural competency and attention to disparities were integrated into quality-improvement efforts. RESULTS: . Participating clinics were able to increase BMI measurement and weight classification; integrate management of overweight/obesechildren and family and self-management support; and grow community collaborations. Over the course of 4 years, this project grew from a local effort involving 3 clinics to a statewide program recently adopted by the Washington State Department of Health. CONCLUSIONS: This model can be used by other states/regions to develop pediatric obesity quality-improvement programs to support the assessment, prevention, and management of childhood obesity. Furthermore, these health care efforts can be integrated into broader community-wide childhood-obesity action plans.
Authors: Deborah S Porterfield; Laurie W Hinnant; Heather Kane; Joseph Horne; Kelly McAleer; Amy Roussel Journal: Am J Public Health Date: 2012-06 Impact factor: 9.308
Authors: Anisha I Patel; Kristine A Madsen; Judith H Maselli; Michael D Cabana; Randall S Stafford; Adam L Hersh Journal: Acad Pediatr Date: 2010 Nov-Dec Impact factor: 3.107
Authors: Samareh G Hill; Thao-Ly T Phan; George A Datto; Jobayer Hossain; Lloyd N Werk; Diane Abatemarco Journal: J Child Health Care Date: 2018-05-23 Impact factor: 1.979
Authors: Jeanne Van Cleave; Karen A Kuhlthau; Sheila Bloom; Paul W Newacheck; Alixandra A Nozzolillo; Charles J Homer; James M Perrin Journal: Acad Pediatr Date: 2012-05-08 Impact factor: 3.107