title: Screening, referral, and participation in a weight management program implemented in five CHCs.
abstract: Community health centers have the potential to lessen obesity. We conducted a retrospective evaluation of a quality improvement program that included electronic body mass index (BMI) screening with provider referral to an in-clinic lifestyle behavior change counselor with weekly nutrition and exercise classes. There were 26,661 adult patients seen across five community health centers operating the weight management program. There were 23,593 (88%) adult patients screened, and 12,487 (53%) of these patients were overweight or obese (BMI >or=25). Forty percent received a provider referral, 15.6% had program contact, and 2.1% had more than 10 program contacts. A mean weight loss of seven pounds was observed among those patients with more than 10 program contacts. No significant weight change was observed in patients with less contact. Achieving public health impact from guideline recommended approaches to CHC-based weight management will require considerable improvement in patient and provider participation.
authors.affiliation: Indiana University, Medicine, Indianapolis, IN 46202, USA. dcclark@gorge.net
authors.forename: Daniel
authors.initials: D
authors.lastname: Clark
authors.forename: Lisa
authors.initials: L
authors.lastname: Chrysler
authors.forename: Anthony
authors.initials: A
authors.lastname: Perkins
authors.forename: Nicole R
authors.initials: NR
authors.lastname: Keith
authors.forename: Deanna R
authors.initials: DR
authors.lastname: Willis
authors.forename: Greg
authors.initials: G
authors.lastname: Abernathy
authors.forename: Faye
authors.initials: F
authors.lastname: Smith
mesh_terms: D000328:Adult; D015992:Body Mass Index; D003151:Community Health Centers / Q000458:organization & administration* / Q000592:standards; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D009765:Obesity / Q000628:therapy*; D010349:Patient Compliance / Q000706:statistics & numerical data*; D015397:Program Evaluation; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D015431:Weight Loss
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