Part IV – Summary of study activities
The project seeks to determine if adopting a multidisciplinary approach would improve obesity and overweight management outcomes for children and adolescents when compared to care provided solely by a primary care provider. This is based on a need to present a more efficient management approach that would guarantee the best outcomes. This need is galvanized by the fact that obesity and overweight conditions as a source of concern within the health care industry affecting emotional, social and physical health wellbeing. The need is further intensified by the fact that obesity incidence among children and adolescents has risen in recent years with prevalence reported at approximately 30% (Mameli et al., 2017). The picot question has been presented as: “Among obese or overweight child or adolescent (5 to 18-year-old) who attended a primary care pediatric setting (P), does the implementation of a multidisciplinary pediatric obesity program (I) versus care provided solely by the primary provider (C) result in greater decrease in BMI and childhood obesity (O) over a year (T)? The direct comparison unambiguously presents the effective obesity management approach for application. Adopting a Multidisciplinary Approach Essay
The study intends to apply a quantitative approach that will entail collecting data using one-group pre-test/post-test quasi-experimental design. In this case, a sample size of 20 participants will be recruited for the study. They will be recruited from among childhood obesity clinic patients receiving treatment Del Sor Centro Medico Familiar in Southeast Houston as the clinical site. The criteria for inclusion is being diagnosed as obese for which the patient is receiving treatment for more than one year, and parental consent provided by the participants parent, guardian or any other legal representative. The exclusion criteria was mental incompetence, deafness, blindness, terminal illness with an inability for self-care, and an inability to actively participate in provider-led education programs (Grove, Burns, & Gray, 2013). The study site was selected because it is a primary care clinic that handles an average of between 20 and 25 patients every day from diverse demographies. Once recruited, the study participants will be subjected to health assessments to collect information on their health status with the collected information including the participants’ blood pressure, weight, waist circumference and height, along with demographic information that includes age, gender and ethnicity. Once the basic information has been collected, the participants would then be assessed for obesity knowledge using obesity knowledge questionnaire that collects information on self-care behavior to include diet and higher vegetable/fruit intake. In addition, the participants’ physical activity will be evaluated using Child Feeding Questionnaire (CFQ). Once this information has been collected, all the participants will be subjected to a one-time individual obesity education session that runs for one hour and conducted during their routine visit to the clinic. The education sessions will offer information on what is considered childhood obesity, healthy diet, daily physical activity, and healthier living life style. The education sessions will be accompanied by pictographs that demonstrate what the education intends to achieve. During the course of the study, periodic assessments will be conducted to evaluate the patients’ obesity knowledge level and weight management outcome.
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Data for the study will be collected through four instruments based on the responses from the children with clarifications from their parents or guardians as well as primary outcome measures as presented: Adopting a Multidisciplinary Approach Essay
Demographic questionnaire administered at the start of the program to collect information on the participants’ age, ethnic background, gender, and education level.
Four 24-hour dietary recalls conducted at random intervals during the course of the program and used to evaluate the participants’ dietary intake.
Body size measures that include percentage overweight, BMI z-scores and BMI used to evaluate the participants BMU figures. The measures will be made thrice with the first one at the start of the program, at the half-way point and at the end of the program. Portable Schorr height board will be used to measure the participants’ height with the body measured in a Tanita digital scale. All measurements will be conducted in triplicate and the average recorded as the final score.
At the conclusion of the program, the participants will be subjected to an acceptability and liking survey that to determine their knowledge levels and whether the program was useful.
In addition, the participants along with their parents or guardians will attend one-time individual obesity education session based on the teaching outline for 1 hour at the start of the program.
Statistical tests will be conducted for the collected data. The demographic information will be evaluated using t-test for the continuous variables and chi-square tests for the categorical variables. The collected data will also be used to develop repeated-measures models that evaluate sustained effects of the program from baseline to the end of the program. The model will be specified for time-intervention interactions.
The recruitment procedure entails identifying all the potential participants based on the inclusion and exclusion criteria. All the potential participants were first informed about the study intentions the asked to voluntarily participate after receiving signed consent from their parents or guardians. The participants’ right to privacy will be protected by ensuring that no unique information that could identify them was collected (such as names). In addition, the raw information collected from the participants would be kept securely and only be accessible to the researcher and other authorized persons. Besides that, the collected information would only be used for the research purpose as stated in the consent form.
Part VII – Privacy procedures
b.The participants in the study will be protected by using numerical coding whereby each participant will be assigned a number as an identifier.
c.The data from this study will be placed in sealed envelopes and will be in the possession of the DNP student. Data protection will be with a password and flash drive will be used as a back-up. The sealed envelopes, research records and the flash drive will be locked in a metal file cabinet. Research records and all subjects’ identifiers will also be kept in a locked metal file cabinet. All flash drives, paper or information used during the research will be destroyed upon completion of the study or period required by the university.
The collected data will be kept in personal secure hard drives for three years. The stored information will be password protected and only accessible to the researcher or any other authorized persons who would use it for the purposes indicated in the consent form.
Part IX – Risks and benefits
The participants are minors who may not understand what the study intends to address. As such, their parents or guardians will accompany them in all interactions with the researcher to include signing the informed consent. Adopting a Multidisciplinary Approach Essay
There is minimal risk of harm to the participants.
There is minimal risk of harm to the participants. Still, they will be subjected to 5-minute breaks every 15 minutes to ensure that they remain attentive during the education session.
The study is anticipated to improve obesity knowledge levels of the participants along with improving their weight management outcomes at a faster rate. That is because the approaches applied in the study are expected to empower the participants to improve their self-care behaviors and make lifestyle changes needed to healthily improve their weight outcomes.
This project will benefit the society by contributing to evidence-based practice in childhood obesity and in the development and enhancement of childhood obesity self-care education in the primary care setting. Participating in this study will not pose risk to the safety and wellbeing of the participants. The anticipated benefits will outweigh the minor discomfort that may be encountered during the study.
Adopting a Multidisciplinary Approach Essay
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