1. The Research Question
Can a childhood obesity behavior modification program be implemented in primary care practices?
Can participation in a childhood obesity behavior modification program offered in primary care practices result in significant improvements in BMI %-tile, BMI z-scores, and lifestyle factors related to childhood obesity?
BP34 Adherence to Antibiotic Prescribing for LRTI and Association With Recovery (Oral Presentation On Completed Research) Nick Francis, MD, PhD, Cardiff University; David Gillespie; Jacqueline Nuttall; Paul Little; Theo Verheij; Samuel Coenen; Jochen Cals; Kerenza Hood; Herman Goossens; Christopher Butler

2. What the Researchers Did
Developed a childhood obesity behavior modification program, based on (per day: 5+ servings of fruits and vegetables; 2 or fewer hours of screen time; 1 hour or more of physical activity; and 0 servings of sugar-sweetened beverages)
“Shelf-ready” program with curriculum for 18 group visits (available in Spanish)
aged ≥18 years, consulting with an illness where an acute or worsened cough was the main or dominant symptom, or had a clinical presentation that suggested a lower respiratory tract infection that had been present for ≥28 days.

3. What the Researchers Did
Enrolled 20 primary care practices in Colorado:
Offered 1-day training and bi-annual Learning Collaboratives; on-going technical support
290 children ages 6-12 years + family members enrolled
Collected monthly data for months for BMI %-tile and lifestyle factors related to
aged ≥18 years, consulting with an illness where an acute or worsened cough was the main or dominant symptom, or had a clinical presentation that suggested a lower respiratory tract infection that had been present for ≥28 days.

4. What the Researchers Found
Baseline to 9-15 months of participation:
Decrease in BMI %-tile (p<.04); BMI z-Scores (p<.02)
Lifestyle Factors: significant improvements for
Daily fruit and vegetable intake (p<.0001); days of physical activity of 1 hour+ (p<.0001); family activity/week (p<.0001); daily screen time (p<.05); intake of sugar sweetened beverages (p<.0003); # of times eating out each week (p<.001)

5. What the Researchers Found
Children from Spanish speaking families and children from families that reported at least some food insecurity (vs. never or no response) had less follow-up (p<.02)

6. What This Means for Clinical Practice
It is feasible to implement a childhood obesity behavior modification program in primary care practices, which can produce clinically meaningful improvements in BMI %-tile and lifestyle factors
Families reporting food insecurity issues may be less likely to follow-up and stay engaged in the program.