Promoting Growth Interpretation and Lifestyle Counseling in Primary Care

Health Supervision Visits of Very Young Children: Time Addressing 3 Key Topics

“…Findings from this study and past studies on time for care, 14,15 point to the need to identify opportunities for modifications in the care delivery system. It may be that changes to the systems to provide pediatric prevention are needed.…”

“…13 One study of infants and toddlers focused on time for immunization-related processes, and reported median 1.9 minutes for clinician discussion of immunizations, whereas all other health issues combined took median 9.5 minutes. 6 Several studies have measured time for specific anticipatory guidance topics by observing HS visits across a wide child age range, 5,8 or for children aged 2 to 10 years, 14,15 but no studies have examined time devoted to addressing growth, diet, and safety topics in HS visits of children 0 to 1 years despite the many recommended visits in that age range.…”

My Weight Ruler: A simple and effective tool to enhance parental understanding of child weight status

“…Parental awareness of and concern that their child's weight is above the healthy range is inherent in the success of any obesity prevention intervention (Rhee et al, 2005;Wald et al, 2007) and is a significant reason why parents decline to participate in obesity reduction interventions (Taveras et al, 2010). In this study, we demonstrate that many minority, lowincome caregivers cannot use the CDC BMI Growth Chart to identify their child's weight status, the instrument commonly used by pediatricians to characterize a child's weight status (Ariza et al, 2009;Dilley et al, 2007). We also demonstrate that weight status categories plotted on a simple tool, developed initially as part of the Arkansas BMI report card (Thompson and Card-Higginson, 2009) and modified during our focus groups, were correctly identified by almost every Hispanic and African American caregiver and for obese children were often interpreted as a need to make a change.…”

“…The Centers for Disease Control (CDC 1 ) (Kuczmarski et al, 2000) and the American Academy of Pediatrics (Barlow, 2007) have recommended use of Body Mass Index (BMI 2 ) Growth Charts to determine child weight status and many pediatricians use these growth charts to document and explain a child's weight status to parents (Ariza et al, 2009;Dilley et al, 2007). Parents, however, do not understand these growth charts (Oettinger et al, 2009).…”

Pairing Motivational Interviewing with a Nutrition and Physical Activity Assessment and Counseling Tool in Pediatric Clinical Practice: A Pilot Study

“…The FNPA Behavior Change Survey is a 20-item questionnaire using lifestyle questions from a pilot study conducted by Ariza and colleagues. 35 This tool assesses a variety of parent and child dietary, PA, and sedentary health behaviors, including the level of success in implementing the goals set at the initial encounter. Responses are dichotomous (yes and no) with room for qualitative comments to specify changes made.…”