title: A primary care intervention to improve weight in obese children: A feasibility study.
abstract: OBJECTIVE
  Examine the effects of a primary care weight management program, which used a parent-child-provider collaborative negotiation intervention, among rural-dwelling families with obese children.
  
  
  METHODS
  Health histories, physical examinations, fasting blood samples, interviews, and questionnaires.
  
  
  CONCLUSIONS
  Feasibility of implementing a family weight management intervention in a rural primary care setting was demonstrated. Few differences between the treatment and comparison groups were found; however, more favorable trends and outcomes occurred in those who received the intervention.
  
  
  CONCLUSIONS
  Positive provider-patient communication in helping families with obese children make difficult lifestyle changes should be encouraged in primary care clinics as small changes in behavior can result in reducing risk and improving health outcomes.
authors.affiliation: American Academy of Nurse Practitioners Certification Program, Austin, Texas.|The University of Texas at Austin School of Nursing, Austin, Texas.
authors.forename: Diane O
authors.initials: DO
authors.lastname: Tyler
authors.affiliation: The University of Texas at Austin School of Nursing, Austin, Texas.
authors.forename: Sharon D
authors.initials: SD
authors.lastname: Horner
mesh_terms: D000293:Adolescent; D002648:Child; D005247:Feeding Behavior / Q000523:psychology; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D009765:Obesity / Q000628:therapy*; D010865:Pilot Projects; D011320:Primary Health Care / Q000379:methods*; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D015431:Weight Loss
keywords: Obesity; children; family; motivational interviewing; primary care; rural; weight management