Childhood Overweight & Obesity DANA BURNS APRIL 7, 2014
Introduction Background & Significance Target Population PICO Question Literature Search Summary of Evidence Recommendations
Background & Significance Public health crisis 1/3 of U.S. children & adolescents are overweight or obese (Moore, Harris, & Bradlyn, 2012 p. 902) Overweight = BMI ≥ 85 th percentile Obese = BMI ≥ 95 th percentile Associated Risk Factors (Center for Disease Control and Prevention, 2012)
Target Population Overall Project Parents of children ages 6-12 years old STOC Pediatric clinic staff
PICO P – In overweight and obese children ages 6-12 years-old, I – how does providing parental education in conjunction with the child’s BMI C – compared to providing parental education with no BMI O – affect the weight of the child?
Literature Search Academic Search Premiere CINAHL ERIC MEDLINE
Summary of Evidence 1 Systematic Review 2 Clinical Practice Guidelines 2 Non-experimental Cohort Studies 1 Systematic Review of Qualitative Research 1 Integrative Review of Literature
EBP Recommendations 1. Calculation of child’s BMI at each doctors visit. Grade A Recommendation 2. Provide parents with the child’s BMI ad educate them on the significance of this measurement. Grade B Recommendation 3. Provide parents with education regarding lifestyle modifications in order to promote healthy weight. Grade C Recommendation
Small Test of Change Methods Setting & Participants Implementation Steps Evaluation: Outcome Measures & tools Results Conclusions
Setting & Participants Pediatric Clinic Staff Physician 2 Nurses Office Manager Receptionist
Implementation Steps Pre-knowledge Questionnaire Educational Session Post-knowledge Questionnaire
Evaluation Questionnaires Excel SPSS Frequency Independent t-test
Results Pre EducationPost Education M ± SD p-value Confidence Assess Weight4.000 ± ± Counsel3.600 ± ± Calculate BMI3.400 ± ± Procedural Shoes / Clothing4.400 ± ± Scales3.000 ± ± Knowledge Impact in US4.400 ± ± Health Issues4.200 ± ± Self-esteem5.000 ± Unable to compute Treatment / Behavioral Activities4.600 ± ± Diet4.400 ± ± Awareness Parental Perception4.200 ± ± Parental Prevention2.200 ± ±
Conclusion Pre-test vs. Post-test Increase in staff knowledge Solid knowledge base
References