both p>0.05). These data showed that (i) an interdisciplinary, family-centered, and unstructured weight management intervention led to weight stabilization and modest weight reduction up to 11-months and (ii) more frequent clinical contact was associated with greater improvements in weight status (at least in the short term) among children and youth with obesity.
218Pediatric Obesity and Teledietetics Practice: A Case for Melding Theory and Practice for Enhanced Outcomes GENEVIEVE PELLERIN, TANIS MIHALYNUK HealthLink BC, Burnaby, British Columbia, CanadaObjective: To elevate the importance of a melded theory and practice approach to teledietetics practice for obesity treatment and prevention. Methods: Although published work overwhelmingly reports the benefits of telehealth practice for pediatric obesity treatment and prevention, a paucity of data exists on what works, and how it works. We set out to determine the 'what' and 'why' of pediatric nutrition teledietetics practice via a systematic literature review, environmental scan and case study exploration of a provincial teledietetics practice model (HealthLinkBC, Burnaby, BC, Canada). Results: A recent literature review of telehealth and pediatric obesity yielded minimal data. A further review of the grey and academic literature, and observation of teledietetics practice at HealthLinkBC suggests, as is with conventional practice settings, the following elements be incorporated in this practice model: family interventions; mental health; screen time; growth monitoring; energy balance; fruit and vegetable intake, division of responsibility; readiness to change; goal setting; and innovations throughout, particularly for follow-up care. Conclusions: Vast opportunities exist in both telehealth and the more conventional health care delivery models to optimize pediatric obesity prevention and treatment outcomes. One such opportunity involves looking at ways to diminish the far-toocommon theory and practice divide in health care and delivery thereof. We summarize potential strategies for enhancing evidence-driven teledietetics practice models and approaches to the nutritional management of pediatric obesity. Combined findings and practice-based examples are presented, many of which may be transferable to other health care settings.Abstracts / Can J Diabetes 37 (2013) S217eS289 S272
Over the last years, many actions have been implemented in the Canadian province of Quebec to prevent health issues related to diet, physical activity and obesity. As a new public health programme is being launched, the 'How can we do better?' project aimed to identify priority areas for further action. An exhaustive search led to identify 166 interventions rolled out in Quebec between 2006 and 2014. We compared it with evidence-based recommendations. Findings were challenged during a 2-d deliberative forum gathering 25 key stakeholders. At the crossroads of these analyses, 50 proposals emerged to sustain/bolster current efforts or to implement new initiatives. Specific improvements were recommended, e.g. about food supply quality monitoring, healthy food accessibility and affordability, physical activity promotion through land use policies, schools and childcare facilities retrofit and urban planning. Crosscutting proposals stress the importance to implement a new governmental prevention strategy and to reinforce evaluation at all levels. This call for action takes place at a critical period for political commitment and should be maintained until and after curbing the prevalence of obesity and related diseases. Although Quebec-focused, 'How can we do better?' project outcomes may be informative for other jurisdictions, and the methods may be inspiring for those interested in combining knowledge syntheses and deliberative processes to inform decision makers in a limited time frame.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.