title: School-based health center providers' treatment of overweight children.
abstract: This descriptive study was to determine self-reported treatment practices of school-based health center (SBHC) providers when caring for overweight/obese children. Providers (N=33) from SBHCs in 6 states (AZ, CO, NM, MI, NY, and NC) completed a baseline survey before being trained on obesity recommendations. SBHC providers reported patient/parent barriers to be more significant to treatment than clinician/setting barriers (p<0.0001). Most providers (97%) indicated childhood overweight needs treatment, yet only 36% said they initiate treatment in children who do not want to control their weight. SBHC providers also did not commonly refer overweight/obese children to specialists.
authors.affiliation: College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, CO. Electronic address: bonnie.gance-cleveland@ucdenver.edu.
authors.forename: Heather
authors.initials: H
authors.lastname: Aldrich
authors.affiliation: College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, CO. Electronic address: bonnie.gance-cleveland@ucdenver.edu.
authors.forename: Bonnie
authors.initials: B
authors.lastname: Gance-Cleveland
authors.affiliation: Department of Biostatistics and Informatics, University of Colorado Anschutz Medical Campus, Aurora, CO. Electronic address: sarah.schmiege@ucdenver.edu.
authors.forename: Sarah
authors.initials: S
authors.lastname: Schmiege
authors.affiliation: Center for Improving Health Outcomes in Children, Teens, and Families, College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ. Electronic address: Danielle.Dandreaux@asu.edu.
authors.forename: Danielle
authors.initials: D
authors.lastname: Dandreaux
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D050177:Overweight / Q000517:prevention & control*; D063766:Pediatric Obesity / Q000517:prevention & control*; D012572:School Health Services; D014481:United States
keywords: Childhood overweight and obesity treatment; Guideline adherence; School-based health centers