Embedding weight management into safety-net pediatric primary care: randomized controlled trial.

ABSTRACT: BACKGROUND:Implementing evidence-based recommendations for treating pediatric overweight and obesity is challenging in low-resource settings. We conducted a randomized controlled trial to evaluate the effects of implementing the American Academy of Pediatrics overweight/obesity recommendations using a Standard Care approach alone or with the addition of an enhanced program in a safety-net pediatric primary care setting (located in Bronx, New York, United States). METHODS:In a 12-month trial, families of children (age 7-12 years; body mass index ?85th American percentile for age and sex; 74% self-identified as Hispanic/Latino; n?=?360) were randomly assigned to receive Standard Care Alone or Standard Care + Enhanced Program. An English/Spanish bilingual staff provided the Standard Care Alone consisting of quarterly semi-structured pediatrician visits targeting family-based behavioral changes. The Standard Care + Enhanced Program was enriched with eight Skill-Building Core and monthly Post-Core Support sessions. RESULTS:The mean body mass index Z-score declined in both arms (P?

SUBMITTER: Wylie-Rosett J 

PROVIDER: S-EPMC5778780 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature