title: Adapting a tertiary-care pediatric weight management clinic to better reach Spanish-speaking families.
abstract: Pediatric obesity continues to be an epidemic, affecting Hispanic children disproportionately. Recent recommendations outline a step-wise approach to the treatment of overweight and obese children, culminating in tertiary-care, multidisciplinary programs. We detail here how our tertiary-care, family-based, pediatric weight management clinic addressed the problem of few Spanish-speaking families enrolling in treatment after referral by adding a Bilingual Case Manager. Utilizing a family-centered, high-contact, personal approach, our program increased the number of Hispanic families enrolling over ten-fold. Further, outcomes in Hispanic families were equal to or better than other racial/ethnic groups. Lessons learned from this experience may benefit other obesity treatment programs trying to improve care of Spanish-speaking families.
authors: Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
authors: Angelica
authors: A
authors: Guzman
authors: Megan B
authors: MB
authors: Irby
authors: Camila
authors: C
authors: Pulgar
authors: Joseph A
authors: JA
authors: Skelton
mesh_terms: D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D002648:Child; D002669:Child Welfare; D003469:Culture; D005260:Female; D006266:Health Education / Q000379:methods; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D007802:Language; D008297:Male; D009765:Obesity / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control*; D010372:Pediatrics; D016730:Program Development; D015397:Program Evaluation; D040241:Social Marketing; D061217:Weight Reduction Programs / Q000458:organization & administration*