students in order to evaluate whether an increase in knowledge and accuracy occurred
based on knowledge of evidenced-based responses to specific indicators of childhood
overweight and obesity. It assessed the providers’ knowledge and sought to evaluate if
increased knowledge occurred after an educational program presentation. Following the
educational program, a follow-up survey was distributed via email to assess the providers
self-reported perceived practice change six weeks after the education.
Part one measured if an increase in knowledge of the 5210 components, correct
laboratory testing, and assessment of comorbidities occurred. The 5210 components
include recommendations on activity, screen time, sugary drinks, and diet from the
American Academy of Pediatrics (AAP) and the Institute for Clinical Systems
Improvement (ICSI). Improved accuracy in applying diagnostic criteria based on current
evidenced-based practice guidelines in childhood obesity after the educational session
was also evaluated. The second part of the study evaluated if a self-reported perceived
practice change occurred six weeks post education.
The target population was recruited from the 4-State APN (advanced practice
nurse) conference in March 2016. A pretest was given to participants followed by a
power point presentation and concluded with a posttest. Once the surveys were complete,
a question and answer period followed. A t-test was conducted on the pretest and posttest
results. A six week follow-up study was performed utilizing comparative analysis
following the education. The follow-up surveys were distributed via email. The study
concluded with statistical significance (p <0.05) that the education provided increased
providers’ knowledge of current evidenced-based practice guidelines in childhood
obesity. All participants (n=41) had an increase in posttest scores after the education was
provided. Results from part two of the study indicated an increase in usage of the 5210
guideline components with patient education and an increase in comorbidity assessment.
Current practice revealed low use and documentation of BMI, even though studies
have established that the use of an accurate diagnosis of obesity is one of the highest
indicators of treatment. Providers that participate in obesity related continuing education
(CE) were found to be more familiar with the recommendations and have better
adherence to current evidence-based practice guidelines. The findings of the study
indicate that many providers are not aware of the current clinical practice guidelines in
childhood obesity. Although information is readily available, providers must
continuously update their knowledge to improve care for overweight and obese children.
This study validates the need for continued educational programs for providers in
childhood obesity.
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