title: Translating an evidence-based intervention for pediatric overweight to a primary care setting.
abstract: The objective of this study was to train pediatric providers to address weight, body mass index (BMI), diet, and physical activity with parents. Children aged 8 to 12 years with BMI of >or=85th percentile were eligible if accompanied by a parent. The intervention was a family-based, 11-session behavioral program focusing on healthy eating and physical activity. Outcome measures were weight and BMI. Seventy-three child-parent dyads enrolled. Children who attended at least 6 of 8 intervention sessions and 1 of 3 follow-up sessions (completers) lost an average of 2.84 lb; change in BMI z scores was statistically significant at 5 months (P < .001). Primary care providers can acquire skills to increase their confidence in approaching children and parents regarding weight and BMI. Parents and children will attend an intervention targeting healthy weight in the pediatric practice. Professional office staff can be trained to provide an evidence-informed intervention that promotes healthy weight.
authors.affiliation: Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA 15317, USA. ewinglj@upmc.edu
authors.forename: Linda J
authors.initials: LJ
authors.lastname: Ewing
authors.forename: Patricia
authors.initials: P
authors.lastname: Cluss
authors.forename: Sheri
authors.initials: S
authors.lastname: Goldstrohm
authors.forename: Richard
authors.initials: R
authors.lastname: Ulrich
authors.forename: Kathleen
authors.initials: K
authors.lastname: Colborn
authors.forename: Lynne
authors.initials: L
authors.lastname: Cipriani
authors.forename: Ellen R
authors.initials: ER
authors.lastname: Wald
mesh_terms: D001521:Behavior Therapy / Q000193:education* / Q000379:methods; D015992:Body Mass Index; D001835:Body Weight; D002648:Child; D003376:Counseling / Q000193:education; D004502:Education, Medical, Continuing; D019317:Evidence-Based Medicine; D015444:Exercise; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D050177:Overweight / Q000628:therapy*; D010290:Parents / Q000193:education; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic / Q000379:methods*; D010372:Pediatrics / Q000193:education / Q000379:methods; D010865:Pilot Projects; D011320:Primary Health Care / Q000379:methods*; D011368:Professional-Family Relations; D016896:Treatment Outcome