Format

Send to

Choose Destination
See comment in PubMed Commons below
Clin Pediatr (Phila). 2017 Sep 1:9922817734359. doi: 10.1177/0009922817734359. [Epub ahead of print]

Feasibility of a Clinic-Community Partnership to Treat Childhood Obesity.

Author information

1
1 Duke University, Durham, NC, USA.
2
2 University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.
3
3 Duke Clinical Research Institute, Durham, NC, USA.

Abstract

BACKGROUND:

"Bull City Fit" is a childhood obesity treatment partnership between Duke Children's pediatric weight management clinic and Durham Department of Parks and Recreation.

OBJECTIVES:

Report on feasibility and implementation, characteristics of participants, and predictors of attendance.

METHODS:

Mixed methods study consisting of (1) a retrospective cohort analysis (n = 171) reporting demographic, attendance, and clinical data and (2) structured focus groups among stakeholders to identify implementation facilitators and barriers.

RESULTS:

Higher attendance was associated with Spanish language ( P = .07), more clinic visits ( P = .03), shorter time to first attendance ( P = .06), lower child z-body mass index (BMI) at baseline ( P = .08), and lower parent BMI ( P = .02). Associations were mitigated after controlling for demographic characteristics. BMI z-score did not differ between low- and moderate/high attenders at 6 months. Family inclusion and community engagement emerged as positive themes during focus groups.

CONCLUSIONS:

Clinic-community partnerships engage diverse populations in fitness and nutrition activities, but no specific patient characteristics appear to predict greater attendance.

KEYWORDS:

childhood obesity; community health; community partnerships; parks and recreation; shared use agreements

PMID:
28969465
DOI:
10.1177/0009922817734359
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Atypon
    Loading ...
    Support Center