Implementation of the Connect for Health pediatric weight management program: study protocol and baseline characteristics.
Meg SimioneHaley Farrar-MuirFernanda Neri MiniMeghan E PerkinsMan LuoHolly FrostE John OravJoshua MetlayAdrian H ZaiCaroline J KistinKerry SeaseSimon J HambidgeElsie M Taverasnull nullPublished in: Journal of comparative effectiveness research (2021)
We are implementing Connect for Health, a primary care-based intervention to improve family-centered outcomes for children, ages 2-12 years, in organizations that care for low-income children. We will use the 'Reach-Effectiveness-Adoption-Implementation-Maintenance' framework to guide our mixed-methods evaluation to examine the effectiveness of stakeholder-informed strategies in supporting program adoption and child outcomes. We also describe characteristics of children, ages 2-12 years with a BMI ≥85th percentile and obesity-related care practices. During the period prior to implementation, 26,161 children with a BMI ≥85th percentile were seen for a primary care visit and a majority lacked recommended diagnosis codes, referrals and laboratory evaluations. The findings suggest the need to augment current approaches to increase uptake of proven-effective weight management programs. Clinical trial registration number: NCT04042493 (Clinicaltrials.gov), Registered on 2 August 2019; https://clinicaltrials.gov/ct2/show/NCT04042493.
Keyphrases
- primary care
- healthcare
- quality improvement
- randomized controlled trial
- study protocol
- young adults
- clinical trial
- body mass index
- weight gain
- public health
- weight loss
- mental health
- palliative care
- type diabetes
- electronic health record
- metabolic syndrome
- health information
- computed tomography
- magnetic resonance imaging
- risk assessment
- open label
- social media
- general practice
- skeletal muscle
- positron emission tomography
- chronic pain
- image quality
- human health