title: Design and implementation of training to improve management of pediatric overweight.
abstract: BACKGROUND
  Clinicians report a low proficiency in treating overweight children and using behavioral management strategies. This paper documents the design and implementation of a training program to improve clinicians' skills in the assessment and behavioral management of pediatric overweight.
  
  
  METHODS
  Two one-hour CME trainings were designed using published guidelines, research findings, and expert committee recommendations. The trainings were provided to clinicians of a managed care pediatric department, utilizing novel screening and counseling tools, and interactive exercises. Surveys and focus groups were conducted 3 and 6 months post intervention to examine clinician attitudes and practices regarding the screening and counseling tools.
  
  
  RESULTS
  Post intervention, the majority of clinicians agreed that the clinical practice guidelines (Pediatric Obesity Practice Resource) and BMI-for-age percentile provided useful information for clinical practice. Clinicians reported an increased utilization of the recommended screening tools and changes in office practices to implement these tools. They offered suggestions to improve the ease of use of the tools and to overcome perceived clinician and/or patient barriers.
  
  
  CONCLUSIONS
  A brief, cost effective, multi-faceted training and provision of counseling tools were perceived as helpful to clinical practice. Useful lessons were learned about tool design and ways to fit tools into practice. Training the entire health care team is advantageous to the adoption of new tools and practices.
authors.affiliation: Department of Pediatrics, Kaiser Permanente of Georgia, Atlanta, GA, USA. luke.beno@kp.org
authors.forename: Luke
authors.initials: L
authors.lastname: Beno
authors.forename: Josephine
authors.initials: J
authors.lastname: Hinchman
authors.forename: Debra
authors.initials: D
authors.lastname: Kibbe
authors.forename: Frederick
authors.initials: F
authors.lastname: Trowbridge
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D003376:Counseling; D004502:Education, Medical, Continuing / Q000379:methods*; D006801:Humans; D008487:Medical History Taking / Q000379:methods; D009765:Obesity / Q000628:therapy*; D010348:Patient Care Team; D010372:Pediatrics / Q000193:education*