Evidence map›Paper›PMID 26514648›Full record

ArticleAcademic pediatrics2016

Primary-Care Weight-Management Strategies: Parental Priorities and Preferences.

Christy Boling Turer, Carla Upperman, Zahra Merchant, Sergio Montaño, Glenn Flores

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Academic pediatrics, 2016. 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

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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 3 institutions in 1 country.

Christy Boling TurerDepartment of Pediatrics, UT Southwestern Medical Center and Children's Health System of Texas, Dallas, Tex; Division of General Internal Medicine, Department of Medicine, UT Southwestern Medical Center, Dallas, Tex. Electronic address: Christy.Turer@UTSouthwestern.edu.
Carla UppermanSchool of Medicine, UT Southwestern, Dallas, Tex.
Zahra MerchantDivision of General Internal Medicine, Department of Medicine, UT Southwestern Medical Center, Dallas, Tex.
Sergio MontañoSchool of Medicine, UT Southwestern, Dallas, Tex.
Glenn FloresMedica Research Institute, Minneapolis, MN.
Southwestern Medical Center · USThe University of Texas Southwestern Medical Center · USMedica Foundation · 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 parental perspectives/rankings of the most important weight-management clinical practices and to determine whether preferences/rankings differ when parents disagree that their child is overweight.

methodsWe performed mixed-methods analysis of a 32-question survey of parents of 2- to 18-year-old overweight children assessing parental agreement that their child is overweight, the single most important thing providers can do to improve weight status, ranking American Academy of Pediatrics-recommended clinical practices, and preferred follow-up interval. Four independent reviewers analyzed open-response data to identify qualitative themes/subthemes. Multivariable analyses examined parental rankings, preferred follow-up interval, and differences by agreement with their child's overweight assessment.

resultsThirty-six percent of 219 children were overweight, 42% obese, and 22% severely obese; 16% of parents disagreed with their child's overweight assessment. Qualitative analysis of the most important practice to help overweight children yielded 10 themes; unique to parents disagreeing with their children's overweight assessments was "change weight-status assessments." After adjustment, the 3 highest-ranked clinical practices included, "check for weight-related problems," "review growth chart," and "recommend general dietary changes" (all P < .01); parents disagreeing with their children's overweight assessments ranked "review growth chart" as less important and ranked "reducing screen time" and "general activity changes" as more important. The mean preferred weight-management follow-up interval (10-12 weeks) did not differ by agreement with children's overweight assessments.

conclusionsParents prefer weight-management strategies that prioritize evaluating weight-related problems, growth-chart review, and regular follow-up. Parents who disagree that their child is overweight want changes in how overweight is assessed. Using parent-preferred weight-management strategies may prove useful in improving child weight status.

Indexed as

Attitude to HealthDissent and DisputesParentsPatient PreferencePrimary Health CareAdolescentChildChild, PreschoolCross-Sectional StudiesFemaleHumansIncomeMaleOverweightPediatric ObesityPediatricschildhood obesityparentsprimary careweight management

Identifiers

PMID26514648
PMCPMC4808480
OpenAlexW1838856986

What OpenQuestion holds

Textmetadata
LicenceTDM
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.