Evaluation Table – BEST PRACTICES IN THE MANAGEMENT OF PEDIATRIC/ADOLESCENT OBESITY IN PRIMARY CARE CLINICS
Conceptual Framework Design/Method Sample and Setting Major Variables Studied (and Their Definitions) Measurement Data Analysis Findings Appraisal: Worth to Practice
To determine the current empirically supported approaches applied in the management of pediatric overweight and obesity. Review of previous publications Publications that are relevant to the research topic Adolescent Obesity in Primary Care Clinics. Pediatric, overweight, obesity Emerging and recurrent themes. N/A The study determines that children should be routinely screened for overweight and obesity, treatment applied at childhood, treatment should entail applying multi-component family-based behavioral intervention, behavioral treatment included along with maintenance program, medication and bariatric surgery should also be consider, along with prevention that targets early childhood. This is a useful article since it presents strategies for addressing childhood obesity.
Kuhle (2015) To review the evidence for completing each step, and to estimate the population effect of secondary prevention of childhood obesity in Canada. Literature review Data from the 2009/2010 Canadian Community Health Survey, and publications relevant to the research topic. Childhood obesity Emerging and recurrent themes. N/A Effective pediatric obesity management is best achieved through population-based primary prevention. The article is useful in noting that pediatric obesity is best managed through prevention strategies.
To (1) examine primary care provider adherence to American Academy of Pediatrics guidelines; (2) compare adherence based on patients’ weight classification, age, race, and gender; and (3) identify areas for improvement in health care delivery. A retrospective chart audit and feedback quality improvement project A stratified random sample of 175 charts of 6- to 19-year-olds seen for well-child visits. Childhood, overweigh, obesity, pediatric, primary care. Counts. Frequencies and chi-square Diagnosis based on BMI, parental history of obesity, sleep assessment, endocrine assessment, and attendance of patients at the follow-up visit identified as priorities for change in primary care provision The article is useful in identifying the focus areas for primary care provision.
Chamay-Weber (2016) To study aimed to compare the effects of a low-intensity face-to-face therapy provided by a trained paediatrician to an intensive group therapy provided by a multidisciplinary team on the BMI of adolescents with obesity.
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Longitudinal cohort study. 233 adolescents aged 11-18 years Childhood obesity, group therapy, BMI Counts Z-scores Low-intensity face-to-face therapy produced results comparable to intensive multidisciplinary group therapy The article is useful in showing that different therapy approaches produce variable outcomes.
Yabut (2017) To explore the use of electronic health records to identify, prevent, provide treatment, and manage care on children who may be at risk for obesity. Systematic review 9 articles published in CINAHL complete, PubMed, and Science Direct on the use of EHR to diagnose childhood obesity between 2011 and 2016. Childhood obesity, electronic health records Emerging and recurrent themes. N/A Electronic health records improve identification and documentation of childhood obesity to facilitate management efforts The article is useful in showing that electronic health records are important in childhood obesity management.
US Preventive Services Task Force (2017) To update the 2010 US Preventive Services Task Force (USPSTF) recommendation on screening for obesity in children 6 years and older Adolescent Obesity in Primary Care Clinics. Systematic review and meta-analysis Reviewed the evidence on screening for obesity in children and adolescents and the benefits and harms of weight management interventions. Screening childhood and adolescent obesity Emerging and recurrent themes. N/A Comprehensive intensive behavioral interventions are the best strategy for promoting weight improvement among children and adolescents 6 years of age or older. The article is useful in identifying the best strategies for addressing childhood and adolescent obesity.
Chamay-Weber, C., Farpour-Lambert, N., Saunders, G., Martin, X., Gal, C. & Maggio, A. (2016). Obesity management in adolescents: comparison of a low-intensity face-to-face therapy provided by a trained paediatrician with an intensive multidisciplinary group therapy. Obesity Facts, 9, 112-120. doi: 10.1159/000443694
Coppock, J., Ridolfi, D., Hayes, J., St. Paul, M. & Wilfley, D. (2014). Current approaches to the management of pediatric overweight and obesity. Curr Treat Options Cardiovasc Med., 16(11), 343. doi: 10.1007/s11936-014-0343-0
Kuhle, S., Doucette, R., Piccinini-Vallis, H. & Kirk, S. (2014). Successful childhood obesity management in primary care in Canada: what are the odds? Peer Journal, 3, e1327. doi: 10.7717/peerj.1327
Reed, M., Cygan, H., Lui, K. & Mullen, M. (2015). Identification, prevention, and management of childhood overweight and obesity in a pediatric primary care center. Clinical Pediatrics, 55(9), 860-866. doi: 10.1177/0009922815614350
US Preventive Services Task Force (2017). Screening for obesity in children and adolescents: US Preventive Services Task Force recommendation statement. JAMA, 317(23), 2417-2426. doi:10.1001/jama.2017.6803
Yabut, L. & Rosenblum, R. (2017). An integrative review of the use of EHR in childhood obesity identification and management. Online Journal of Nursing Informatics, 21(3). Retrieved from https://www.himss.org/library/integrative-review-use-ehr-childhood-obesity-identification-and-management Adolescent Obesity in Primary Care Clinics.
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