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A Preschool Obesity Treatment Clinical Trial: Reasons Primary Care Providers Declined Referrals.


ABSTRACT: To examine referral by primary care providers (PCPs) of preschool children with obesity (?95th percentile for body mass index [BMI]) to a weight management intervention when offered through a randomized clinical trial (RCT), and identify reasons for not referring children.In phase I, 3 experts in obesity, psychology, and nutrition completed an open card sort and classified PCPs' reasons for declining referral into groups based on similarity of reasons. Categories were then defined and labeled. In phase II, 2 independent sorters placed each decline into 1 of the categories defined in phase I.PCPs referred 78% of eligible children to the RCT. Compared with children declined for referral, referred children had a significantly higher weight (48.4 lb vs 46.1?lb; P?

SUBMITTER: Robson SM 

PROVIDER: S-EPMC5037027 | biostudies-literature | 2016 Oct

REPOSITORIES: biostudies-literature

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A Preschool Obesity Treatment Clinical Trial: Reasons Primary Care Providers Declined Referrals.

Robson Shannon M SM   Bolling Christopher C   McCullough Mary Beth MB   Stough Cathleen Odar CO   Stark Lori J LJ  

The Journal of pediatrics 20160722


<h4>Objective</h4>To examine referral by primary care providers (PCPs) of preschool children with obesity (≥95th percentile for body mass index [BMI]) to a weight management intervention when offered through a randomized clinical trial (RCT), and identify reasons for not referring children.<h4>Study design</h4>In phase I, 3 experts in obesity, psychology, and nutrition completed an open card sort and classified PCPs' reasons for declining referral into groups based on similarity of reasons. Cate  ...[more]

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