title: 5-4-3-2-1 go! Coordinating pediatric resident education and community health promotion to address the obesity epidemic in children and youth.
abstract: This study investigated the feasibility and effectiveness of training pediatric residents to conduct a brief clinic-based behavioral intervention in coordination with community dissemination of a health promotion message developed by the Consortium for Lowering Obesity in Chicago Children. A total of 113 residents completed a short (<60 minutes) online training program. Some (64) residents distributed interview contact cards to patients they saw in their continuity of care clinics after training; others (45) distributed cards before training. A researcher interviewed 75% of the 509 patients 4 weeks after the visit. More patients of trained residents reported positive changes in behaviors which have been associated with lower obesity rates: increased intake of fruits and vegetables (28% vs 16%, P < .01), increased intake of water (30% vs 19%, P < .01), increased physical activity (40% vs 29%, P < .03), and decreased television time (36% vs 24%, P < .01). Brief training using the 5-4-3-2-1-Go! message seems to be feasible and effective.
authors.affiliation: Department of Pediatrics, University of Illinoisat Chicago, Chicago, IL 60612, USA. stahlc@uic.edu
authors.forename: Christiane Ellen
authors.initials: CE
authors.lastname: Stahl
authors.forename: Jonathan Wolf
authors.initials: JW
authors.lastname: Necheles
authors.forename: Jay Hirsh
authors.initials: JH
authors.lastname: Mayefsky
authors.forename: Lydia Katherine
authors.initials: LK
authors.lastname: Wright
authors.forename: Kristin Michele
authors.initials: KM
authors.lastname: Rankin
mesh_terms: D000293:Adolescent; D000328:Adult; D032763:Behavior Control; D002648:Child; D002675:Child, Preschool; D003153:Community Health Services; D037001:Directive Counseling; D015444:Exercise; D005240:Feasibility Studies; D005247:Feeding Behavior; D006266:Health Education; D006293:Health Promotion; D006801:Humans; D007396:Internship and Residency; D009765:Obesity / Q000517:prevention & control*; D010372:Pediatrics / Q000193:education*; D010865:Pilot Projects; D057185:Sedentary Behavior