Dataset Information

Creating an integrated care model for childhood obesity: a randomized pilot study utilizing telehealth in a community primary care setting.

ABSTRACT: In an integrated care model, involving primary care providers (PCPs) and obesity specialists, telehealth may be useful for overcoming barriers to treating childhood obesity. We conducted a pilot study comparing body mass index (BMI) changes between two arms (i) PCP in-person clinic visits plus obesity specialist tele-visits ( PCP visits?+?specialist tele-visits) and (ii) PCP in-person clinic visits only ( PCP visits only), with ongoing tele-consultation between PCPs and obesity specialists for both arms. Patients (N?=?40, 10-17 years, BMI???95th percentile) were randomized to Group 1 or 2. Both groups had PCP visits every 3?months for 12 months. Using a cross-over protocol, Group 1 had PCP visits?+?specialist tele-visits during the first 6?months and PCP visits only during the second 6 months, and Group 2 followed the opposite sequence. Each of 12 tele-visits was conducted by a dietitian or psychologist with a patient and parent. Retention rates were 90% at 6 months and 80% at 12 months. BMI (z-score) decreased more for Group 1 (started with PCP visits?+?specialist tele-visits) vs. Group 2 (started with PCP visits only) at 3?months (-0.11 vs. -0.05, P?=?0.049) following frequent tele-visits. At 6?months (primary outcome), BMI was lower than baseline within Group 1 (-0.11, P?=?0.0006) but not Group 2 (-0.06, P?=?0.08); however, decrease in BMI at 6 months did not differ between groups. After crossover, BMI remained lower than baseline for Group 1 and dropped below baseline for Group 2. An integrated care model utilizing telehealth holds promise for treating children with obesity.

SUBMITTER: Fleischman A

PROVIDER: S-EPMC5523655 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature

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Creating an integrated care model for childhood obesity: a randomized pilot study utilizing telehealth in a community primary care setting.

Fleischman A A Hourigan S E SE Lyon H N HN Landry M G MG Reynolds J J Steltz S K SK Robinson L L Keating S S Feldman H A HA Antonelli R C RC Ludwig D S DS Ebbeling C B CB

Clinical obesity 20161114 6

In an integrated care model, involving primary care providers (PCPs) and obesity specialists, telehealth may be useful for overcoming barriers to treating childhood obesity. We conducted a pilot study comparing body mass index (BMI) changes between two arms (i) PCP in-person clinic visits plus obesity specialist tele-visits ( PCP visits + specialist tele-visits) and (ii) PCP in-person clinic visits only ( PCP visits only), with ongoing tele-consultation between PCPs and obesity specialists for b ...[more]

PMID: 27863024

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Dataset Information

Creating an integrated care model for childhood obesity: a randomized pilot study utilizing telehealth in a community primary care setting.

Publications

Creating an integrated care model for childhood obesity: a randomized pilot study utilizing telehealth in a community primary care setting.

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