Evidence map›Paper›PMID 29879963›Full record

ArticleBMC health services research2018

The acceptability, effectiveness, and impact of different models of care for pediatric weight management services: protocol for a concurrent mixed-methods study.

Jennifer Cohen, Shirley Alexander, Michelle Critekos, Sarah P Garnett, Alison J Hayes, Tim Shaw, Kyra A Sim, Louise A Baur

Abstract readMulticenter Study
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Observational
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

8 authors.

Jennifer CohenWeight Management Services, The Children's Hospital at Westmead, Westmead, NSW, Australia. Jennifer.cohen2@health.nsw.gov.au.ORCID 0000-0002-7798-1113
Shirley AlexanderWeight Management Services, The Children's Hospital at Westmead, Westmead, NSW, Australia.
Michelle CritekosClinical Quality and Safety, Centre for Population Health, NSW Ministry of Health, North Sydney, NSW, Australia.
Sarah P GarnettInstitute of Endocrinology and Diabetes, The Children's Hospital at Westmead, Westmead, NSW, Australia.
Alison J HayesFaculty of Medicine & health, Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Tim ShawFaculty of Health Sciences, The University of Sydney, Sydney, NSW, Australia.
Kyra A SimBoden Institute, Charles Perkins Centre, The University of Sydney, Camperdown, NSW, Australia.
Louise A BaurWeight Management Services, The Children's Hospital at Westmead, Westmead, NSW, Australia.

Funding

NSW Ministry of Health 117
6 · The paper itself

Abstract

backgroundPediatric obesity is a serious, but clinically neglected, chronic health problem. Despite the high prevalence, excess weight problems are rarely managed when children attend clinical services. It is recommended that obesity treatment uses a "chronic-care" approach to management, with different types and intensity of treatment dependent upon severity of obesity. There are several new secondary and tertiary weight management services being implemented within New South Wales (NSW), Australia in 2017/2018 with differing models of care. This study will ascertain what factors affect acceptability, reach, and participation, as well as measure the clinical effectiveness of these services.

methodsThis is a acceptability and effectiveness study building upon existing and planned secondary and tertiary level service delivery in several health districts. This study will recruit participants from seven different pediatric weight management services (PWMS) across five Local Health Districts in NSW, Australia. Using a mixed-methods approach we will document a range of process, impact and clinical outcome measures in order to better understand the context and the effectiveness of each PWMS model. The project development and implementation is guided by the Theoretical Domains Framework. Participants will include parents of children less than 18 years of age attending PWMS, clinicians working as part of PWMS and health service managers. Data will be captured using a combination of anthropometric measures, questionnaires, one-on-one semi-structured interviews and focus groups. DISCUSSION: Results from this study will assess the acceptability and effectiveness of different models of care for pediatric weight management. Such information is required to inform long-term sustainability and scalability of secondary and tertiary care services to the large number of families with children above a healthy weight.

Indexed as

Program EvaluationWeight Reduction ProgramsAdolescentAustraliaChildFemaleGuidelines as TopicHumansMaleParentsPatient Acceptance of Health CarePediatric ObesityQualitative ResearchSurveys and QuestionnairesTreatment OutcomeChildhood obesityImplementation researchModels of carePediatric obesityTreatment

Identifiers

PMID29879963
PMCPMC5992636

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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.