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J Pediatr Health Care. 2014 Sep-Oct;28(5):429-37. doi: 10.1016/j.pedhc.2014.02.002. Epub 2014 Apr 13.

Six to success: improving primary care management of pediatric overweight and obesity.

Abstract

INTRODUCTION:

Despite the existence of established guidelines addressing pediatric obesity, many primary care providers fail to successfully implement recommendations. This study measured the impact of Six to Success, a weight management program based on the Chronic Care Model, on primary care provider adherence to pediatric weight management guidelines.

METHOD:

We used comprehensive pre- and postimplementation chart audits (N = 396) to conduct a quality improvement study at a hospital-based pediatric outpatient clinic. Charts of patients with a body mass index percentile at or above the 85th percentile (preimplementation, n = 90; postimplementation, n = 97) were audited for 23 identification, assessment, and prevention measures recommended in the care of the pediatric overweight/obese patient.

RESULTS:

Statistically significant improvements to clinical guideline adherence were found in the following areas: correct diagnosis, physical examination, lifestyle assessment, use of motivational interviewing, and prevention strategies.

DISCUSSION:

These findings suggest that Six to Success can be an effective method of improving primary care provider adherence to established pediatric weight management guidelines.

KEYWORDS:

Childhood obesity; chronic care model; primary care

PMID:
24725517
DOI:
10.1016/j.pedhc.2014.02.002
[Indexed for MEDLINE]

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