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Learning Objective 1: 1. The learner will be able to identify the health issues associated with childhood obesity.
Learning Objective 2: 2. The participant will be able to discuss use of educational interventions and performance feedback in quality improvement projects.
The Assessment and Early Identification of Overweight Children in Primary Care
Purpose & Rationale:
The purpose of this study was to evaluate the effectiveness of an evidence-based initiative on the behaviors of pediatric practitioners in a primary care setting.
Research Questions:
1. What are the current behavioral intentions of pediatric primary care providers regarding documentation of recommended parameters related to childhood obesity on the problem list and/or in the patient’s chart?
2. What is the impact of a multifaceted individual provider intervention including interactive educational session and performance feedback on pediatric primary care providers’ behavior scores regarding documentation of recommended parameters related to childhood obesity on the problem list and in the patient’s chart?
Synthesis of Review of Literature:
The critical role of early identification and screening is cited throughout numerous studies, yet it is apparent that there remain inconsistencies and gaps in standards of practice within pediatric primary care. Established and research supported guidelines and recommendations are available, however they are under-accessed and underutilized.
The morbidity of childhood obesity and its societal pervasiveness is well documented in the literature. The statistics confirming the prevalence are compelling. Adhering to the standards of practice for annual measurement of growth, allows providers a platform for discussions with parents and children.
Methods/Procedures:
This quality improvement project was introduced in two phases within a single pediatric practice.
Results:
The behaviors of the providers regarding documentation of recommended parameters were not consistent among the providers There was a statistically significant positive impact on the documentation behaviors of the providers after performance feedback and an educational intervention.
Discussion/Application to Practice:
Performance feedback and educational interventions may serve as catalyst for quality improvement in the area of childhood obesity in primary care. The incorporation of documentation parameters will allow for consistent practice among providers.
See more of: Oral Paper & Poster: Evidence-Based Practice Sessions