scholarly journals Waitlist management in a pediatric weight management clinic: implementing an orientation session

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Webb A. Smith ◽  
Emily Gray ◽  
Tamekia L. Jones ◽  
Joan C. Han ◽  
E. Thomaseo Burton
Keyword(s):  
Weight Management ◽  
Healthy Lifestyle ◽  
Clinic Visit ◽  
Clinical Settings ◽  
Clinic Appointment ◽  
Orientation Session ◽  
Lifestyle Recommendations ◽  
Pediatric Weight Management ◽  
Interest And Motivation ◽  
Patient Referrals

Abstract Background This study evaluates implementation of an orientation session to address a waitlist of more than 2000 referrals to a pediatric weight management clinic in the Mid-South United States. Methods An hour-long group-based orientation to the pediatric weight management clinic was implemented to provide information about the structure and expectations of the clinic as well as education on healthy lifestyle recommendations. Families were contacted from the waitlist by telephone and invited to attend an orientation session prior to scheduling a clinic appointment. Results Of 2251 patients contacted from the waitlist, 768 scheduled an orientation session, of which 264 (34 %) attended. Of the 264 orientation participants, 246 (93 %) scheduled a clinic appointment. Of those, 193 (79 %) completed a clinic visit. Waitlist times decreased from 297.8 ± 219.4 days prior to implementation of orientation sessions to 104.1 ± 219.4 days after. Conclusions Orientation has been an effective and efficient way to triage patient referrals while maximizing attendance in limited clinic slots for patients and families demonstrating interest and motivation. Elements of this approach are likely generalizable to other pediatric clinical settings that must strategically manage a large volume of patient referrals.

A patient-centredness improvement study for efficacy of behaviour change for healthy lifestyle and weight loss in a student-run free clinic

2020 ◽  
Author(s):  
Spencer Lessans ◽  
Xamil Vega ◽  
Brandon Foley ◽  
Alexia Bossan ◽  
Alexandra Baker ◽  
...  
Keyword(s):  
Primary Care ◽  
Needs Assessment ◽  
Weight Management ◽  
Behaviour Change ◽  
Response Rate ◽  
Healthy Lifestyle ◽  
Clinic Visit ◽  
Free Clinic ◽  
Behaviour Change Interventions ◽  
Patient Responsiveness

Abstract Background Primary care is the ideal place to implement behaviour change interventions for weight management. However, most primary care physicians are not managing patient weight as a standard of care due to lack of knowledge, skills and reimbursement. Generating more physicians who are familiar and comfortable with providing weight management is essential in leveraging a global change. In our university free clinic, medical students provide healthy lifestyle counselling using shared decision making to each patient at every clinic visit. Objective Improve the efficacy of behaviour change interventions via increased patient responsiveness and adherence. Methods The needs assessment demonstrated a subpar patient response rate to check-ins regarding behavioural change goals. In the first and second interventions, check-in message structure and contact schedule were varied to maximize patient responsiveness and goal achievement. Results In the needs assessment, 58% of patients responded to follow-ups and 58% of patients accomplished their goal. The first intervention cycle resulted in an improvement of responsiveness to 70% and accomplishment of goals to 59%. The second intervention cycle resulted in an improvement of responsiveness to 78% and accomplishment of goals to 74%. Conclusions Messages that were frequent, unique, succinct and delivered within 4 weeks after the clinic visit resulted in the highest response rate and goal attainment. Other primary care clinics can use these interventions to increase patient completion of implemented behaviour changes for a healthier lifestyle.

UPAYA PENINGKATAN MUTU PENDIDIKAN DI PONDOK PESANTREN HJ. HANIAH MAROS SULAWESI SELATAN

2012 ◽  
Vol 10 (2) ◽  
Author(s):  
Abdul Muin
Keyword(s):  
Qualitative Method ◽  
Healthy Lifestyle ◽  
Boarding School ◽  
Education Quality ◽  
Quality Of Education ◽  
The People ◽  
Interest And Motivation

AbstractThe purpose of this paper is to reveal how the quality of education in this Islamic boarding school is, particularly related to education facilities, curriculum and strategies of education quality improve­ments. This study used the qualitative method. Findings of this study are: first, education infrastructure and facilities are relatively complete and adequate, which are supported by the atmosphere of the Islamic boarding school that is full of simplicity and modesty by habituation in implementing clean and healthy lifestyle. Second, the tafaqquh fi-al din (understanding of religion)-based curriculum compiled by the Islamic boarding school occupies the same degree (equal) to the curriculum prepared by the Ministry of Religious Affairs, so that both tafaqquh fi-al din (understanding of religion) studies and general studi­es have high electability, which is able to increase the quality of education and also generates interest and motivation of the people (parents) to put their children to the Islamic boarding school. Third, education in the Islamic boarding school has a strong independency because it is supported by substantial financial resources.AbstrakTujuan tulisan ini untuk mengungkapkan bagaimana mutu pendidikan di pondok pesantren ini, khususnya berkaitan dengan sarana pendidikan, kurikulum dan sterategi peningkatan mutu pendidik­an. Penelitian ini menggunakan metode kualitatif. Hasil temuan studi ini adalah: Pertama, sarana dan fasilitas pendidikan relatif lengkap dan memadai, ini didukung oleh suasana kehidupan pondok pesan­tren yang penuh kesederhanaan dan kebersahajaan dengan pembiasaan menerapkan pola hidup bersih dan sehat. Kedua, kurikulum yang berbasis tafaqquh fi-al din yang disusun oleh pondok pesantren ini menempati derajat yang sama (equal) dengan kurikulum yang disusun Kementerian Agama, sehinga baik kajian tafaqquh fi al-din maupun pelajaran umum memiliki electabilitas yang tinggi, hal ini mampu meningkatkan mutu pendidikan dan sekaligus membangkitkan animo dan motivasi masyarakat (orangtua) untuk memasukkan anaknya ke pesantren ini. Ketiga, penyelenggaraan pendidikan di pon­dok pesantren ini memiliki kemandirian yang kuat, karena didukung oleh sumber dana yang besar.

scholarly journals Stay in treatment: Predicting dropout from pediatric weight management study protocol

2021 ◽  
pp. 100799
Author(s):  
Diane C. Berry ◽  
Erinn T. Rhodes ◽  
Sarah Hampl ◽  
Caroline Blackwell Young ◽  
Gail Cohen ◽  
...  
Keyword(s):  
Weight Management ◽  
Study Protocol ◽  
Management Study ◽  
Pediatric Weight Management

The Adherence to Healthy Lifestyle Among Arab Patients With Cardiovascular Disease: Mixed-Method Review

2021 ◽  
pp. 104365962110351
Author(s):  
Albara Alomari ◽  
Ibrahim Alananzeh ◽  
Heidi Lord ◽  
Ritin Fernandez
Keyword(s):  
Cardiovascular Disease ◽  
Mixed Method ◽  
Healthy Lifestyle ◽  
Cochrane Central Register ◽  
Active Involvement ◽  
Central Register ◽  
Quantitative Results ◽  
Lifestyle Recommendations ◽  
Arab People ◽  
Meta Analyses

Introduction Cardiovascular disease (CVD) accounts for 25% to 45% of deaths among Arab people. The purpose of this review was to investigate the level, predictors, motivators, and barriers to adherence to lifestyle recommendations among Arab patients with CVD. Method A systematic search of the literature was conducted and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. MEDLINE, EMCARE, CINAHL, Scopus, and the Cochrane Central Register of Controlled Trials were searched. Studies that explored adherence to a healthy lifestyle among Arab adult patients with CVD were included. Results Twelve studies were included. Quantitative results showed low adherence among Arab people with CVD. Qualitative synthesized results revealed that internal motivators, personal desire as well as structural drivers impact the patient’s ability to adhere to a healthy lifestyle. Discussion Multidimensional solutions that consider religion and culture and include active involvement of families are required to improve adherence.

Adherence to Lifestyle Recommendations of Overweight Children in a Structured Weight Management Program

2010 ◽  
Vol 6 (5) ◽  
pp. 263-269
Author(s):  
D. Pauline Williams ◽  
Nedra K. Christensen ◽  
Catherine M. McDonald ◽  
Margaret A. Braae ◽  
Amelia B. McBride ◽  
...  
Keyword(s):  
Weight Management ◽  
Management Program ◽  
Weight Management Program ◽  
Overweight Children ◽  
Lifestyle Recommendations

Predictors of successful weight loss in children treated at a community hospital–based tertiary care pediatric weight management program

2021 ◽  
pp. 136749352110375
Author(s):  
Zina C Mc Sweeney ◽  
Morgan D McSweeney ◽  
Shirley H Huang ◽  
Samareh G Hill
Keyword(s):  
Body Mass Index ◽  
Weight Management ◽  
Body Mass ◽  
Community Hospital ◽  
Linear Regression Analysis ◽  
Management Program ◽  
Health Concern ◽  
Weight Management Program ◽  
Pediatric Weight Management ◽  
Weight Management Programs

Childhood obesity is a major public health concern. However, predictors of successful outcomes for patients treated at multidisciplinary community hospital–based pediatric weight management programs remain poorly understood. We conducted a retrospective analysis to evaluate 633 pediatric patients from ages 2 to 18 at a tertiary pediatric weight management program in 2018. Predictors were evaluated in univariate comparisons, and significant variables were included in a linear regression analysis to identify factors associated with improvements in body mass index relative to the age- and sex-specific 95th percentile body mass index (%BMIp95). We found that male sex and increased number of clinical visits were independently and significantly associated with reductions in %BMIp95. Baseline %BMIp95, age, preferred language, and insurance status were not significant predictors of outcomes. A total of 398 (63%) patients experienced a decrease in %BMIp95 from baseline to follow-up. One quarter (24.8%) of patients experienced a decrease in %BMIp95 of at least 5%, a threshold associated with cardiometabolic improvements. Further, we observed significant improvements in cholesterol, triglycerides, alanine aminotransferase, aspartate aminotransferase, HbA1c, and waist circumference. These findings support a potential need for sex- and gender-tailored care as well as the benefits of increased access to pediatric weight management programs.

Clinician and healthcare managers’ perspectives on the delivery of secondary and tertiary pediatric weight management services

2021 ◽  
pp. 136749352110521
Author(s):  
Jennifer Cohen ◽  
Shirley Alexander ◽  
Christina Signorelli ◽  
Kathryn Williams ◽  
Kyra A Sim ◽  
...  
Keyword(s):  
Weight Management ◽  
Holistic Approach ◽  
Models Of Care ◽  
Public Hospitals ◽  
High Risk Population ◽  
Management Service ◽  
Structured Interviews ◽  
Optimal Care ◽  
Pediatric Weight Management ◽  
Management Services

Clinician and healthcare managers' (HCMs) views on weight management service delivery are imperative for informing the nature of future services to treat children with obesity. This qualitative study used semi-structured focus groups and one-on-one semi-structured interviews. Participants were 27 clinicians (medical, nursing, or allied health) and nine HCMs (senior executives in the hospital) who worked in six secondary or tertiary pediatric weight management clinics across five public hospitals in New South Wales, Australia. Clinicians reported that using a combination of group and individual sessions improved engagement with families and reduced attrition rates. Clinicians and HCMs recommended integrating clinics into community centers and providing specific programs for sub-groups, such as children from culturally and linguistically diverse communities or children with developmental delay. Many clinicians and HCMs stressed the importance of pediatric weight clinics using a holistic approach to treatment. To improve the likelihood of future funding for pediatric weight management clinics and to optimize models of care, centers must embed research into their practice. Addressing common barriers to current pediatric weight management services and designing future models of care based on key stakeholders’ preferences is critical to achieving optimal care provision for this high-risk population.

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