Medical nutrition therapy for overweight youth in their medical home: The KIDPOWER experience

Henes, Sarah T.; Collier, David N.; Morrissey, Susan L.; Cummings, Doyle M.; Kolasa, Kathryn M.

doi:10.1016/j.pec.2009.11.011

Cited by 16 publications

(11 citation statements)

References 9 publications

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“…[18][19][20] Two of these studies 18,19 describe nutrition interventions for overweight and obese children in their medical homes. A third study evaluated the perceptions of pediatric obesity treatment and knowledge of RD services.…”

Section: Current Researchmentioning

confidence: 99%

“…A retrospective chart review provided information on patient's body mass index, eating habits such as fruit and vegetable intake, frequency of eating out, sweetened beverage intake, and screen time. 18 A total of 705 patients received at least 1 MNT visit, but only the results for patients with at least 3 visits were analyzed. 18 Eating habits and weight status for 109 patients were assessed at the first and third visits.…”

Section: Current Researchmentioning

confidence: 99%

“…18 A total of 705 patients received at least 1 MNT visit, but only the results for patients with at least 3 visits were analyzed. 18 Eating habits and weight status for 109 patients were assessed at the first and third visits. The authors found a significant decrease in mean body mass index z score (P < .01) and a significant increase in fruit and vegetable intake (P < .01).…”

Section: Current Researchmentioning

confidence: 99%

“…There were also significant decreases seen with sweetened beverage intake and weekend screen time (P < .001). 18 Anand et al 19 looked at the effectiveness of a novel approach to childhood obesity treatment called "secondary care." This approach involved referral-based specialty visits, which occurred within a PCMH, to alter rates of childhood obesity.…”

Section: Current Researchmentioning

confidence: 99%

“…The studies previously cited [16][17][18][19][20][21][22] indicate a role for dietitians in the PCMH and identify some nutrition-related problems or concerns that could be addressed within this model of care. These are only a few of the many possibilities for RD/RDNs to provide MNT in the PCMH.…”

Section: Implications For Practicementioning

confidence: 99%

See 4 more Smart Citations

The Role of the Registered Dietitian in the Patient-Centered Medical Home

Gregg

Cohen

Cerami

et al. 2014

Topics in Clinical Nutrition

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The patient-centered medical home (PCMH) is a health care delivery model that emphasizes chronic disease prevention and management provided by an interdisciplinary team. The inclusion of a registered dietitian (RD) in the PCMH is not yet standard practice. Based on encouraging outcomes for delivering high-quality, cost-effective care, the PCMHs will likely remain part of the future health care environment. Therefore, RDs should understand the PCMH and the varied ways that they can contribute. This article discusses RD involvement in the PCMH, the potential for a larger role of the RD, and implications for dietetics practice and future research.

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Section: Current Researchmentioning

confidence: 99%

Section: Current Researchmentioning

confidence: 99%

Section: Current Researchmentioning

confidence: 99%

Section: Current Researchmentioning

confidence: 99%

Section: Implications For Practicementioning

confidence: 99%

See 3 more Smart Citations

The Role of the Registered Dietitian in the Patient-Centered Medical Home

Gregg

Cohen

Cerami

et al. 2014

Topics in Clinical Nutrition

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Patient-Centered Strategies for Effective Weight Management

Kolasa

2014

Integrative Weight Management

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Adaptations of an Effective Evidence-Based Pediatric Weight Management Intervention

et al. 2023

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Current childhood obesity treatment programs do not address medically underserved populations or settings where all members of an interdisciplinary team may not exist—either within one organization or within the community. In this paper, we describe the use of a community-academic partnership to iteratively adapt Epstein’s Traffic Light Diet (TLD), into Building Healthy Families (BHF), a community-placed evidence-based pediatric weight management intervention (PWMI) and evaluate its effectiveness in reducing BMI z scores. Nine cohorts of families completed BHF. Participants included children aged 6–12 years with obesity (M = 9.46, SD = 1.74). The Framework for Reporting Adaptations and Modifications-Expanded guided our classification of modifications across BHF cohorts. Using the FRAME reporting structure, the changes that were documented were (1) planned and occurred pre-implementation, (2) based on decisions from local stakeholders (e.g., school administrator, members of the implementation team), and (3) specific to changes in content and context—with a focus on implementation and potential for local scale-up. The nature of the adaptations included adding elements (whole of family approach), removing elements (calorie counting), and substituting elements (steps for minutes of physical activity). Across 9 cohorts, 84 families initiated the BHF program, 69 families successfully completed the 12-week program, and 45 families returned for 6-month follow-up assessments. Results indicated that the BMI z score in children was reduced by 0.31 ± 0.17 at 6 months across all cohorts. Reduction in BMI z score ranged from 0.41 in cohort 4 to 0.13 in cohort 5. Iterative adaptations to BHF were completed to improve the fit of BHF to the setting and participants and have contributed to a sustained community PWMI that adheres to the underlying principles and core elements of other evidence-based PWMIs. Monitoring adaptations and related changes to outcomes can play a role in long-term sustainability and effectiveness.

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Medical nutrition therapy for overweight youth in their medical home: The KIDPOWER experience

Cited by 16 publications

References 9 publications

The Role of the Registered Dietitian in the Patient-Centered Medical Home

The Role of the Registered Dietitian in the Patient-Centered Medical Home

Patient-Centered Strategies for Effective Weight Management

Adaptations of an Effective Evidence-Based Pediatric Weight Management Intervention

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