Provider Training to Screen and Initiate Evidence-Based Pediatric Obesity Treatment in Routine Practice Settings: A Randomized Pilot Trial

Abstract

Introduction This randomized pilot trial evaluated two training modalities for first-line, evidence-based pediatric obesity services (screening and goal-setting) among nursing students. Method Participants (N=63) were randomized to Live Interactive Training (Live) or Web-facilitated Self-study Training (Web). Pre-training, post-training, and one-month follow-up assessments evaluated training feasibility, acceptability, and impact (knowledge, and skill via simulation). Moderator (previous experience) and predictor (content engagement) analyses were conducted. Results Nearly-all (98%) participants completed assessments. Both trainings were acceptable, with higher ratings for Live and participants with previous experience (p’s<.05). Knowledge and skill improved from pre-training to post-training and follow-up in both conditions (p’s<.001). Live demonstrated greater content engagement (p’s<.01). Conclusions The training package was feasible, acceptable, and efficacious among nursing students. Given that Live had higher acceptability and engagement, and online training offers greater scalability, integrating interactive Live components within Web-based training may optimize outcomes, which may enhance practitioners’ delivery of pediatric obesity services.

Prevalence of overweight and obesity in sedentary children and adolescents with or without intellectual disability in the Democratic Republic of Congo

“…ID refers to a significant overall impairment of intellectual functioning acquired during childhood (Kolko et al, 2017;Gressier et al, 2016). Estimates of the prevalence of ID derived from epidemiological studies vary considerably, with pooled estimates for children suggesting a point prevalence of 1.83% (95% CI confidence intervals of 1.52 to 2.14%) (Gressier et al, 2016).…”

Uso da simulação como método no processo ensino-aprendizagem em saúde da criança: Revisão integrativa

“…Dentre os artigos eleitos, 12 trabalharam com simuladores de alta fidelidade, sendo destacada a oportunidade de discutir quaisquer preocupações ou medos, autoconsciência, bem como, desenvolver habilidades técnicas no cuidado à criança (Kolko et al, 2017, Hebbar et al, 2015, Campbell, 2015. Apenas um estudo eleito utilizou simulador de baixa fidelidade, destacando que o treinamento de simulação foi útil e impactou positivamente seus conhecimentos, conforto e habilidades no manejo ao grupo infantil (Searl et al, 2014).…”

“…Em um olhar aprofundado na literatura científica nacional e internacional, é possível observar que diversos estudos apresentam evidências de que a simulação, no processo de formação de profissionais em pediatria e neonatologia, consequentemente envolvidos com a saúde da criança, contribui para o desenvolvimento de habilidades clínicas e de procedimentos (Bowling, 2015, Stephenson, Salih & Cullen, 2015, Valizadeh et al, 2013, Linnard-Palmer, 2012, Gilfoyle et al, 2017, Kolko et al, 2017, melhora o nível de conhecimento (Barracho, Chaves & Lucas, 2020, Brown et al, 2018, Mesquita, Santana & Magro, 2019) e a satisfação (Brown et al, 2018, Mesquita, Santana & Magro, 2019, promove o pensamento crítico (Valizadeh et al, 2013;Brown et al, 2018, Gilfoyle et al, 2017 e ainda, favorece a autoconfiança e comunicação interpessoal (Shin, Park & Kim, 2015, Brown et al, 2018, Linnard-Palmer, 2012, Akselbo, et al, 2018, Gilfoyle et al, 2017Bellaguarda et al, 2020).…”

Treatment of Obesity Among Youth With Intellectual and Developmental Disabilities: An Emerging Role for Telenursing

“…For instance, monitoring, positive reinforcement, goal setting, and parenting approaches may be discussed in the context of youth with disabilities and may be helpful for addressing weight management in this population. In addition, given that training approaches are efficacious in live (i.e., in-person) and web-based approaches (Kolko et al, 2017), incorporating technology may increase the reach and scalability of training, and offers trainees cost-effective opportunities to review and re-engage with training materials (Miller, Sorensen, Selzer, & Brigham, 2006; Sholomskas et al, 2005). …”

“…Recent efforts with nursing students indicate that brief training can enhance their knowledge and skill in delivering screening and initial intervention for obesity among youth and families (Kolko et al, 2017). Given that nurses receive limited training in addressing behaviors among youth with disabilities, this could be incorporated into obesity-related education for nurses.…”