Evidence map›Paper›PMID 27925451›Full record

ReviewObesity (Silver Spring, Md.)2017

Improving access and systems of care for evidence-based childhood obesity treatment: Conference key findings and next steps.

Denise E Wilfley, Amanda E Staiano, Myra Altman, Jeanne Lindros, Angela Lima, Sandra G Hassink, William H Dietz, Stephen Cook, Improving Access and Systems of Care for Evidence-Based Childhood Obesity Treatment Conference Workgroup

Abstract readReview
In one paragraph

Review in Obesity (Silver Spring, Md.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  8. Cost-Effectiveness and Long-Term Savings of the Bright Bodies Intervention for Childhood Obesity.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2023
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  11. Childhood obesity (Print) · 2020
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25 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Denise E WilfleyDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.
Amanda E StaianoPennington Biomedical Research Center, Baton Rouge, Louisiana, USA.
Myra AltmanDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.
Jeanne LindrosInstitute for Healthy Childhood Weight, American Academy of Pediatrics, Chicago, Illinois, USA.
Angela LimaDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.
Sandra G HassinkInstitute for Healthy Childhood Weight, American Academy of Pediatrics, Chicago, Illinois, USA.
William H DietzRedstone Global Center for Prevention and Wellness, Milken Institute School of Public Health, Washington, DC, USA.
Stephen CookGolisano Children's Hospital, University of Rochester Medical Center, Rochester, New York, USA.
Improving Access and Systems of Care for Evidence-Based Childhood Obesity Treatment Conference Workgroup

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI Leigh Lamonica · 2012 to 2026
$69.1M
Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
NUTRITION-BEHAVIORAL CARDIOVASCULAR DISEASE PREVENTIONT32HL007456 · NHLBI · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 1985 to 2014
$2.9M
Clinical Research in Eating Disorders and ObesityK24MH070446 · NIMH · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 2004 to 2013
$1.4M
Evidence-based childhood obesity treatment: Improving access and systems of careR13HS022816 · AHRQ · AMERICAN ACADEMY OF PEDIATRICS · PI WILFLEY, DENISE ELLA · 2015 to 2015
$35k
AHRQ HHS R13 HS022816NHLBI NIH HHS T32 HL007456NIDDK NIH HHS P30 DK092950NIGMS NIH HHS U54 GM104940NIMH NIH HHS K24 MH070446
6 · The paper itself

Abstract

objectiveTo improve systems of care to advance implementation of the U.S. Preventive Services Task Force recommendations for childhood obesity treatment (i.e., clinicians offer/refer children with obesity to intensive, multicomponent behavioral interventions of >25 h over 6 to 12 months to improve weight status) and to expand payment for these services.

methodsIn July 2015, 43 cross-sector stakeholders attended a conference supported by the Agency for Healthcare Research and Quality, American Academy of Pediatrics Institute for Healthy Childhood Weight, and The Obesity Society. Plenary sessions presenting scientific evidence and clinical and payment practices were interspersed with breakout sessions to identify consensus recommendations.

resultsConsensus recommendations for childhood obesity treatment included: family-based multicomponent behavioral therapy; integrated care model; and multidisciplinary care team. The use of evidence-based protocols, a well-trained healthcare team, medical oversight, and treatment at or above the minimum dose (e.g., >25 h) are critical components to ensure effective delivery of high-quality care and to achieve clinically meaningful weight loss. Approaches to secure reimbursement for evidence-based obesity treatment within payment models were recommended.

conclusionsContinued cross-sector collaboration is crucial to ensure a unified approach to increase payment and access for childhood obesity treatment and to scale up training to ensure quality of care.

Indexed as

Behavior TherapyChildCommunity NetworksConsensusHealth Services AccessibilityHumansPediatric ObesityPractice Guidelines as TopicUnited States

Identifiers

PMID27925451
PMCPMC5373656

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.