title: Translation of clinical practice guidelines for childhood obesity prevention in primary care mobilizes a rural Midwest community.
abstract: OBJECTIVE
  The purpose of this project was to implement clinic system changes that support evidence-based guidelines for childhood obesity prevention. Adherence rates for prevention and screening of children in a rural Midwest primary care setting were used to measure the success of the program.
  
  
  METHODS
  Retrospective chart reviews reflected gaps in current practice and documentation. An evidence-based toolkit for childhood obesity prevention was used to implement clinic system changes for the identified gaps.
  
  
  CONCLUSIONS
  The quality improvement approach proved to be effective in translating knowledge of obesity prevention guidelines into rural clinic practices with significant improvements in documentation of prevention measures that may positively impact the childhood obesity epidemic.
  
  
  CONCLUSIONS
  Primary care providers, including nurse practitioners (NPs), are at the forefront of diagnosing, educating, and counseling children and families on obesity prevention and need appropriate resources and tools to deliver premier care. The program successfully demonstrated how barriers to practice, even with the unique challenges in a rural setting, can be overcome. NPs fulfill a pivotal primary care role and can provide leadership that may positively impact obesity prevention in their communities.
authors: College of Nursing, South Dakota State University, Brookings, South Dakota.
authors: S Jo
authors: SJ
authors: Gibson
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D008297:Male; D015146:Midwestern United States; D063766:Pediatric Obesity / Q000517:prevention & control*; D011320:Primary Health Care / Q000379:methods* / Q000592:standards; D012189:Retrospective Studies; D012424:Rural Population / Q000639:trends*
keywords: Pediatric; clinical practice guidelines; obesity; prevention; primary care; rural