1. Childhood Overweight & Obesity DANA BURNS APRIL 7, 2014

2. Introduction Background & Significance Target Population PICO Question Literature Search Summary of Evidence Recommendations

3. 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)

4. Target Population Overall Project Parents of children ages 6-12 years old STOC Pediatric clinic staff

5. 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?

6. Literature Search Academic Search Premiere CINAHL ERIC MEDLINE

7. 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

8. 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

9. Small Test of Change Methods Setting & Participants Implementation Steps Evaluation: Outcome Measures & tools Results Conclusions

10. Setting & Participants Pediatric Clinic Staff Physician 2 Nurses Office Manager Receptionist

11. Implementation Steps Pre-knowledge Questionnaire Educational Session Post-knowledge Questionnaire

12. Evaluation Questionnaires Excel SPSS Frequency Independent t-test

13. Results Pre EducationPost Education M ± SD p-value Confidence Assess Weight4.000 ± 0.7174.800 ± 0.4470.065 Counsel3.600 ± 0.8944.400 ± 4.5480.126 Calculate BMI3.400 ± 0.8944.400 ± 0.5480.066 Procedural Shoes / Clothing4.400 ± 0.5485.000 ± 0.0000.040 Scales3.000 ±1.4144.800 ± 0.4470.027 Knowledge Impact in US4.400 ± 0.5485.000 ± 0.0000.040 Health Issues4.200 ± 1.3045.000 ± 0.0000.207 Self-esteem5.000 ± 0.000 Unable to compute Treatment / Behavioral Activities4.600 ± 0.5485.000 ± 0.0000.141 Diet4.400 ± 0.5485.000 ± 0.0000.040 Awareness Parental Perception4.200 ± 0.4475.000 ± 0.0000.004 Parental Prevention2.200 ± 1.0952.600 ± 2.1910.724

14. Conclusion Pre-test vs. Post-test Increase in staff knowledge Solid knowledge base

15. References