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Clinical effectiveness of the massachusetts childhood obesity research demonstration initiative among low-income children.


ABSTRACT:

Objective

To examine the extent to which a clinical intervention resulted in reduced BMI z scores among 2- to 12-year-old children compared to routine practice (treatment as usual [TAU]).

Methods

The Massachusetts Childhood Obesity Research Demonstration (MA-CORD) project is a multifaceted initiative to prevent childhood obesity among low-income children. At the federally qualified community health centers (FQHCs) of two communities (Intervention Site #1 and #2), the following were implemented: (1) pediatric weight management training, (2) electronic decision supports for clinicians, (3) on-site Healthy Weight Clinics, (4) community health worker integration, and (5) healthful clinical environment changes. One FQHC in a demographically matched community served as the TAU site. Using electronic health records, we assessed BMI z scores and used linear mixed models to examine BMI z score change over 2 years in each intervention site compared to a TAU site.

Results

Compared to children in the TAU site (n?=?2,286), children in Intervention Site #2 (n?=?1,368) had a significant decline in BMI z scores following the start of the intervention (-0.16 units/y; 95% confidence interval: -0.21 to -0.12). No evidence of an effect was found in Intervention Site #1 (n?=?111).

Conclusions

The MA-CORD clinical interventions were associated with modest improvement in BMI z scores in one of two intervention communities compared to a TAU community.

SUBMITTER: Taveras EM 

PROVIDER: S-EPMC5506684 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature

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Clinical effectiveness of the massachusetts childhood obesity research demonstration initiative among low-income children.

Taveras Elsie M EM   Perkins Meghan M   Anand Shikha S   Woo Baidal Jennifer A JA   Nelson Candace C CC   Kamdar Neil N   Kwass Jo-Ann JA   Gortmaker Steven L SL   Barrett Jessica L JL   Davison Kirsten K KK   Land Thomas T  

Obesity (Silver Spring, Md.) 20170701 7


<h4>Objective</h4>To examine the extent to which a clinical intervention resulted in reduced BMI z scores among 2- to 12-year-old children compared to routine practice (treatment as usual [TAU]).<h4>Methods</h4>The Massachusetts Childhood Obesity Research Demonstration (MA-CORD) project is a multifaceted initiative to prevent childhood obesity among low-income children. At the federally qualified community health centers (FQHCs) of two communities (Intervention Site #1 and #2), the following wer  ...[more]

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