Evidence map›Paper›PMID 25311599›Full record

ArticlePediatrics2014

Pediatricians' communication about weight with overweight Latino children and their parents.

Christy B Turer, Sergio Montaño, Hua Lin, Kim Hoang, Glenn Flores

2 registry-linked trialsAbstract readMulticenter Study
In one paragraph

Article in Pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02277899 completednot on this map

Primary Care, Communication, and Improving Children's Health

TypeobservationalSponsorUniversity of Texas Southwestern Medical CenterRan2014 to 2017Enrolled100ConditionsChildhood Obesity, Overweight, Communication, Weight LossArmsCommunication regarding overweight status, Risk-factor assessment and counseling, Lifestyle behavior assessment and counseling, Interval follow-up to readdress weight, Patient-centered communication
NCT02278705 completednot on this map

Primary Care Clinical Practice Elements and Improving Overweight Children's Weight Status

TypeobservationalSponsorUniversity of Texas Southwestern Medical CenterRan2009 to 2015Enrolled7,192ConditionsOverweight, Childhood ObesityArmsAttention to BMI, Attention to high-BMI-related Medical Risk, No attention to high BMI or high-BMI-related medical risk
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Use of the Delphi Technique to Obtain Community Input on Leading Contributors to Early Childhood Obesity in Latino Communities.Hispanic health care international : the official journal of the National Association of Hispanic Nurses · 2018
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Christy B TurerDivision of General Pediatrics, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas; Children's Medical Center Dallas, Dallas, Texas; christy.turer@utsouthwestern.edu.
Sergio MontañoSchool of Medicine, University of Texas Southwestern, Dallas, Texas; and.
Hua LinDivision of General Pediatrics, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas;
Kim HoangSchool of Medicine, University of Texas Southwestern, Dallas, Texas; and Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Glenn FloresDivision of General Pediatrics, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas; Children's Medical Center Dallas, Dallas, Texas;
The University of Texas Southwestern Medical Center · US

Funding

Primary Care, Communication, & Improving Children's HealthK23HL118152 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI TURER, CHRISTY BOLING · 2014 to 2018
$799k
NHLBI NIH HHS K23 HL118152NHLBI NIH HHS K23HL118152-01A1
6 · The paper itself

Abstract

objectiveTo examine pediatrician weight-management communication with overweight Latino children and their parents and whether communication differs by pediatrician-patient language congruency.

methodsMixed-methods analysis of video-recorded primary care visits with overweight 6- to 12-year-old children. Three independent reviewers used video/transcript data to identify American Academy of Pediatrics-recommended communication content and establish communication themes/subthemes. Language incongruence (LI) was defined as pediatrician limited Spanish proficiency combined with parent limited English proficiency (LEP). Bivariate analyses examined associations of LI with communication content/themes.

resultsThe mean child age (N = 26) was 9.5 years old; 81% were obese. Sixty-two percent of parents had LEP. Twenty-seven percent of pediatricians were Spanish-proficient. An interpreter was used in 25% of LI visits. Major themes for how pediatricians communicate overweight included BMI, weight, obese, chubby, and no communication (which only occurred in LI visits). The pediatrician communicated child overweight in 81% of visits, a weight-management plan in 50%, a culturally relevant dietary recommendation in 42%, a recommendation for a follow-up visit in 65%, and nutrition referral in 50%. Growth charts were used in 62% of visits but significantly less often in LI (13%) versus language-congruent (83%) visits (P < .001).

conclusionsMany overweight Latino children do not receive direct communication of overweight, culturally sensitive dietary advice, or follow-up visits. LI is associated with a lower likelihood of growth chart use. During primary care visits with overweight Latino children, special attention should be paid to directly communicating child overweight, formulating culturally sensitive weight-management plans, and follow-up. With LEP families, vigilance is needed in providing a trained interpreter and using growth charts.

Indexed as

CommunicationPhysician-Patient RelationsBody WeightChildCross-Sectional StudiesFemaleHispanic or LatinoHumansMaleOverweightParentsPediatricschildhood obesitycommunicationLatino healthprimary care

Identifiers

PMID25311599
PMCPMC4210795
OpenAlexW2022761293

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.