Evidence map›Paper›PMID 30740295›Full record

ArticlePreventive medicine reports2019

Nutrition provider confidence in the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) study.

Erika R Cheng, Candace C Nelson, Peggy Leung-Strle, Rachel Colchamiro, Elsie M Taveras, Jennifer A Woo Baidal

Open access · goldAbstract read
In one paragraph

Article in Preventive medicine reports, 2019. 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
0.2field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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

6 authors at 4 institutions in 1 country.

Erika R ChengDivision of Children's Health Services Research, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, United States of America.
Candace C NelsonMassachusetts Department of Public Health, Boston, MA, United States of America.
Peggy Leung-StrleMassachusetts Department of Public Health, Boston, MA, United States of America.
Rachel ColchamiroMassachusetts Department of Public Health, Boston, MA, United States of America.
Elsie M TaverasDivision of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States of America.
Jennifer A Woo BaidalDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Columbia University Medical Center and New York-Presbyterian Morgan Stanley Children's Hospital, New York, NY, United States of America.
Massachusetts Department of Public Health · USColumbia University Irving Medical Center · USIndiana University School of MedicineMassachusetts General Hospital · US

Funding

MA Childhood Obesity ResearchU18DP003370 · DP · MASSACHUSETTS STATE DEPT OF PUB HEALTH · PI LAND, THOMAS GROVER · 2011 to 2014
$6.4M
Improving Diagnosis and Prevention of Pediatric Nonalcoholic Fatty Liver DiseaseK23DK115682 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WOO BAIDAL, JENNIFER AIMEE · 2018 to 2021
$768k
Obesity Prevention in Early Life (OPEL): Risk Screening and Targeted InterventionK01DK114383 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI CHENG, ERIKA ROSE · 2018 to 2022
$754k
NCCDPHP CDC HHS U18 DP003370NIDDK NIH HHS K01 DK114383NIDDK NIH HHS K23 DK115682NIMHD NIH HHS L60 MD007214
6 · The paper itself

Abstract

objectiveThe multi-sector, multi-level Massachusetts Childhood Obesity Research Demonstration (MA-CORD) study resulted in improvements in obesity risk factors among children age 2-4 years enrolled in the Special Supplemental Nutrition program for Women, Infants, and Children (WIC). The goal of this study was to examine whether the MA-CORD intervention increased WIC provider confidence in their ability to identify childhood obesity and obesity-related behaviors.

methodsAs part of the MA-CORD intervention conducted from 2012 to 2015, we implemented WIC practice changes focused on childhood obesity prevention within two Massachusetts communities. We examined changes in provider confidence to assess childhood obesity risk factors and practice frequency among WIC practices located in MA-CORD intervention communities over a 3-year period, compared to non-intervention sites. We measured provider confidence on a continuous scale using questions previously developed to assess provider and parent confidence to make weight-related behavior change (range 0 to 24).

resultsThere were 205 providers at baseline and 165 at follow-up. WIC providers at intervention sites reported greater confidence in their ability to identify childhood obesity and obesity-related behaviors compared to the usual care sites (β = 1.01, standard error = 0.13). These findings persisted after adjusting for provider gender, years in practice, highest education level, and WIC position.

conclusionsThe MA-CORD intervention was associated with increased WIC provider confidence to assess children's obesity risk. Interventions that increase confidence in assessing obesity-related behaviors may have salutary effects within WIC programs that serve low-income families.

Indexed as

Child health disparitiesObesity preventionWIC

Identifiers

PMID30740295
PMCPMC6357843
OpenAlexW2911797057

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.