Evidence map›Paper›PMID 29378579›Full record

ArticleBMC health services research2018

Provider views on childhood obesity management in primary care settings: a mixed methods analysis.

Kyung E Rhee, Stephanie Kessl, Sarah Lindback, Marshall Littman, Robert E El-Kareh

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
6.2field-weighted citation impact, top 3% 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.

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

27 citing papers in PubMed, 68 citations in OpenAlex.

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  11. Advancing patient-centered care: moving from outcome-based to risk factor-based models using the big four risk factors.Revista panamericana de salud publica = Pan American journal of public health · 2022
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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 2 institutions in 1 country.

Kyung E RheeDepartment of Pediatrics, University of California, San Diego, 9500 Gilman Drive, MC 0874, La Jolla, CA, 92093, USA. k1rhee@ucsd.edu.
Stephanie KesslDepartment of Pediatrics, University of California, San Diego, 9500 Gilman Drive, MC 0874, La Jolla, CA, 92093, USA.
Sarah LindbackDepartment of Pediatrics, University of California, San Diego, 9500 Gilman Drive, MC 0874, La Jolla, CA, 92093, USA.
Marshall LittmanChildren's Primary Care Medical Group, San Diego, CA, USA.
Robert E El-KarehUniversity of California, San Diego, Departments of Biomedical Informatics and Medicine, La Jolla, CA, USA.
University of California, San Diego · USChildren's Oncology Group · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPediatric providers are key players in the treatment of childhood obesity, yet rates of obesity management in the primary care setting are low. The goal of this study was to examine the views of pediatric providers on conducting obesity management in the primary care setting, and identify potential resources and care models that could facilitate delivery of this care.

methodsA mixed methods approach was utilized. Four focus groups were conducted with providers from a large pediatric network in San Diego County. Based on a priori and emerging themes, a questionnaire was developed and administered to the larger group of providers in this network.

resultsBarriers to conducting obesity management fell into four categories: provider-level/individual (e.g., lack of knowledge and confidence), practice-based/systems-level (e.g., lack of time and resources), parent-level (e.g., poor motivation and follow-up), and environmental (e.g., lack of access to resources). Solutions centered around implementing a team approach to care (with case managers and health coaches) and electronic medical record changes to include best practice guidelines, increased ease of documentation, and delivery of standardized handouts/resources. Survey results revealed only 23.8% of providers wanted to conduct behavioral management of obesity. The most requested support was the introduction of a health educator in the office to deliver a brief behavioral intervention.

conclusionWhile providers recognize the importance of addressing weight during a well-child visit, they do not want to conduct obesity management on their own. Future efforts to improve health outcomes for pediatric obesity should consider implementing a collaborative care approach.

Indexed as

Obesity ManagementPrimary Health CareChildChild, PreschoolFocus GroupsHealth PersonnelHealth ResourcesHealth Services AccessibilityHumansMotivationParentsPediatric ObesityQualitative ResearchReferral and ConsultationSurveys and QuestionnairesUnited StatesChildhood obesityChronic care modelCollaborative care modelPrimary careProvider behaviorsWeight management

Identifiers

PMID29378579
PMCPMC5789606
OpenAlexW2791873533

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.