scholarly journals Reach Outcomes and Costs of Different Physician Referral Strategies for a Weight Management Program Among Rural Primary Care Patients: A Type III Hybrid Effectiveness-Implementation Trial (Preprint)

10.2196/28622 ◽  
2021 ◽  
Author(s):  
Gwenndolyn Porter ◽  
Tzeyu L. Michaud ◽  
Robert J. Schwab ◽  
Jennie L. Hill ◽  
Paul A. Estabrooks
Keyword(s):  
Primary Care ◽  
Weight Management ◽  
Management Program ◽  
Weight Management Program ◽  
Physician Referral ◽  
Type Iii ◽  
Rural Primary Care ◽  
Primary Care Patients ◽  
Implementation Trial

scholarly journals Primary Care Patients’ and Providers’ Perspectives about an Online Weight Management Program: a Qualitative Study

2019 ◽  
Vol 34 (8) ◽  
pp. 1503-1521
Author(s):  
Ronen Rozenblum ◽  
Barbara A. De La Cruz ◽  
Nyryan V. Nolido ◽  
Ihorma Adighibe ◽  
Kristina Secinaro ◽  
...  
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Weight Management ◽  
Management Program ◽  
Weight Management Program ◽  
Primary Care Patients

scholarly journals Long-Term Weight-Loss Maintenance by a Meal Replacement Based Weight Management Program in Primary Care

Obesity Facts ◽  
2017 ◽  
Vol 10 (2) ◽  
pp. 76-84 ◽  
Author(s):  
Renate Kruschitz ◽  
Sandra Wallner-Liebmann ◽  
Harald Lothaller ◽  
Maria Luger ◽  
Bernhard Ludvik
Keyword(s):  
Primary Care ◽  
Weight Loss ◽  
Weight Management ◽  
Weight Loss Maintenance ◽  
Management Program ◽  
Weight Management Program ◽  
Meal Replacement

Effectiveness of a Primary Care-Based Pediatric Weight Management Program

2020 ◽  
Vol 13 (1) ◽  
pp. 9-16
Author(s):  
Uyen Le-Jenkins ◽  
Diana Cartagena ◽  
Michelle Renaud ◽  
Tina Guston
Keyword(s):  
Primary Care ◽  
Childhood Obesity ◽  
Weight Management ◽  
Fruits And Vegetables ◽  
Point Of Care ◽  
Retrospective Chart Review ◽  
Management Program ◽  
Weight Management Program ◽  
Anthropometric Measures ◽  
Sugary Beverages

BackgroundChildhood obesity is a growing epidemic of great concern for our nation, including pediatric populations treated at military treatment facilities.ObjectiveThis study aims to retrospectively evaluate the effectiveness of a primary care–based structured weight management program in a sample of pediatric patients with obesity at a military treatment facility.MethodsThis study was a retrospective chart review of patients enrolled in the All About Me Program (AAMP) from August 1, 2011, through July 10, 2012. Baseline demographics, 5-2-1-0 behavioral targets, and anthropometric measures were obtained from 54 enrollees. Pre- and post-program weight, body mass index (BMI) percentile, and 5-2-1-0 behavioral targets were compared for 20 patients who completed the program which consisted of a total of five visits over 3 months.ResultsParticipants showed a significant reduction in their BMI, improvement in daily servings of fruits and vegetables, reduction in recreational screen time from baseline, improvement in daily physical activity, and reduction in consumption of sugary beverages.ConclusionsThese preliminary findings are a promising indicator that primary care–based obesity interventions may be effective for the management and treatment of pediatric obesity.Implications for NursingThis evidence-based toolkit provides a practical point-of-care guidance on the prevention, assessment, and treatment of childhood obesity and can be easily implemented in other primary care settings.

scholarly journals Engaging Stakeholders in the Adaptation of the Connect for Health Pediatric Weight Management Program for National Implementation

2020 ◽  
Author(s):  
Meg Simione ◽  
Holly M. Frost ◽  
Rachel Cournoyer ◽  
Fernanda Neri Mini ◽  
Jackie Cassidy ◽  
...  
Keyword(s):  
Primary Care ◽  
Weight Management ◽  
Stakeholder Engagement ◽  
Quantitative Methods ◽  
Management Program ◽  
System Level ◽  
Evidence Based ◽  
Weight Management Program ◽  
National Implementation ◽  
Delivery Options

Abstract Background: Connect for Health is an evidence-based weight management program with clinical- and family-facing components for delivery in pediatric primary care for families of children ages 2 to 12 years. We used the Consolidated Framework for Implementation Research (CFIR) to guide formative work prior to national implementation. The purpose of this study was to describe the process and results of stakeholder engagement and program adaptation.Methods: We used mixed qualitative and quantitative methods to iteratively adapt and optimize the program by assessing needs and perspectives of clinicians and parents, as well as contextual barriers, facilitators and organizational readiness for the uptake of the proposed program tools and implementation strategies. We conducted interviews with primary care clinicians from four health care organizations in Boston, MA, Denver, CO, and Greenville, SC and used principles of immersion-crystallization for qualitative analyses. We also conducted surveys of parents of children with a body mass index ≥ 85th percentile.Results: We reached thematic saturation after 52 clinician interviews. Emergent themes representing the CFIR domains of intervention characteristics, outer and inner setting, and process included: (1) importance of evidence-based clinical decision support tools that integrate into the workflow and do not extend visit time; (2) developing resources that respond to family’s needs; (3) using multimodal delivery options for family resources; (4) addressing childhood obesity while balancing competing demands; (5) emphasizing patient care rather than documentation and establishing sustainability plans; and (6) offering multiple training methods that incorporate performance feedback. Of the parents surveyed (n=400), approximately 50% were Spanish-speaking and over 75% reported an annual income < $50,000. Parents affirmed the importance of addressing weight management during well-child visits, being provided with referrals and resources, and offering multiple methods for resource delivery. Decisions about program modifications were made at the program and healthcare-system level and based on stakeholder engagement findings. Modifications included cultural, geographic, and target audience adaptations, as well as varied resource delivery options. Conclusions: To ensure the fit between the Connect for Health program and national implementation settings, adaptations were systematically made through engagement of clinician and parent stakeholders to support adoption, sustainability, and health outcomes. Trial Registration: NCT04042493

Design and Reach of a Primary Care Weight Management Program

2008 ◽  
Vol 19 (1) ◽  
pp. 171-179 ◽  
Author(s):  
Daniel O. Clark ◽  
Nicole. Keith ◽  
Lisa. Chrysler ◽  
Anthony J. Perkins ◽  
Deanna. Willis
Keyword(s):  
Primary Care ◽  
Weight Management ◽  
Management Program ◽  
Weight Management Program
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