Quality Improvement in Childhood Obesity Management through the Maintenance of Certification Process

Huang, Jeannie S.; Chun, Stanford; Sandhu, Amanpreet; Terrones, Laura

doi:10.1016/j.jpeds.2013.05.011

Cited by 16 publications

(13 citation statements)

References 16 publications

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“…11 Although MOC is sometimes offered for QI programs required by hospital leaders, a potential benefit of MOC is that the program may engage clinicians in QI projects that otherwise would not draw participation. Despite the requirement to complete MOC, however, and despite studies that have explored benefits of MOC on process measures, 12,13 the published evidence linking MOC to improved child health is lacking. Pediatricians increasingly are looking for evidence of impact to justify the investment of resources in the process.…”

Section: American Board Of Pediatrics (Abp) Maintenance Of Certificatmentioning

confidence: 99%

Improving HPV Vaccination Rates Using Maintenance-of-Certification Requirements

Fiks

Luan

Mayne³

2016

Pediatrics

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BACKGROUND: Many pediatricians are now required to participate in American Board of Pediatrics Maintenance of Certification (MOC) Part IV programs focused on improving health care quality, but the benefits of participation are unproven. METHODS: Twenty-seven primary care pediatricians from 11 primary care practices participated in a 1-year MOC program for human papillomavirus (HPV) vaccine. Participants received education and electronic health record (EHR)-generated performance feedback reports with their rates of captured HPV immunization opportunities (dose given at eligible visit) and those of peers. In each of 3 cycles, clinicians collectively identified a goal for improvement. Rates of captured opportunities among adolescents 11 to <18 years old were tabulated, and statistical process control charts were created to evaluate changes over time among participants compared with 200 nonparticipants. Provider perceptions of the program and time invested were recorded via survey. RESULTS: Participating clinicians missed fewer opportunities for HPV vaccination than nonparticipants. MOC participants significantly increased their captured opportunities relative to nonparticipating clinicians by 5.7 percentage points for HPV dose 1 at preventive visits and by 0.7 and 5.6 percentage points for doses 1 and 2, respectively, at acute visits. There were no significant differences for other doses. The estimated program cost was $662/participant. Of the participating pediatricians, 96% felt the effort to participate was warranted, and half would not have joined the project without the MOC requirement. CONCLUSIONS: Participation in MOC Part IV improved vaccination at modest cost and with high pediatrician satisfaction, demonstrating benefits of the program that may help to inform future initiatives.

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Section: American Board Of Pediatrics (Abp) Maintenance Of Certificatmentioning

confidence: 99%

Improving HPV Vaccination Rates Using Maintenance-of-Certification Requirements

Fiks

Luan

Mayne³

2016

Pediatrics

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“…The American Board of Pediatrics maintenance of board certification (MOC) programs now involve several projects focusing on pediatric obesity and its management. These educational modules help with knowledge acquisition, self-efficacy and physician compliance with certain practice recommendations for the screening, prevention and management of pediatric obesity and provide credit for MOC ( 108 ).…”

Section: Introductionmentioning

confidence: 99%

Overweight and Obesity in Children and Adolescents

Güngör¹

2014

Jcrpe

408

177

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Obesity among children, adolescents and adults has emerged as one of the most serious public health concerns in the 21st century. The worldwide prevalence of childhood obesity has increased remarkably over the past 3 decades. The growing prevalence of childhood obesity has also led to appearance of obesity-related comorbid disease entities at an early age. Childhood obesity can adversely affect nearly every organ system and often causes serious consequences, including hypertension, dyslipidemia, insulin resistance, dysglycemia, fatty liver disease and psychosocial complications. It is also a major contributor to increasing healthcare expenditures. For all these reasons, it is important to prevent childhood obesity as well as to identify overweight and obese children at an early stage so they can begin treatment and attain and maintain a healthy weight. At present, pharmacotherapy options for treatment of pediatric obesity are very limited. Therefore, establishing a comprehensive management program that emphasizes appropriate nutrition, exercise and behavioral modification is crucial. The physician’s role should expand beyond the clinical setting to the community to serve as a role model and to advocate for prevention and early treatment of obesity.

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“…The childhood obesity mainly brings additional problems with it like poor glucose tolerance, hyperinsulinemia, raised risk of type 1 and type 2 diabetes, hypertension, sleep apnea, anxiety, depression, and social isolation. These ailments become more problematic as it gets transitioned into adulthood, increasing the risks for cardiovascular, metabolic and liver disorders (21).Some of the associated ailments include tachycardia, diabetes, gall bladder diseases, endocrine disorders, osteoarthritis and fatty liver. These ailments once diagnosed might require medical treatment that may last for life-times.…”

Section: Co-morbidities Associated With Obesitymentioning

confidence: 99%

Obesity in Children and Associated Diseases

Al-Rasheedy¹,

Murad²,

Abousada³

et al. 2020

IJAR

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Background:Over last few decades, obesity has become a serious point of concern. The prevalence rate is continuously rising both in the developed and developing countries. Obesity not only has phycological effect on the individuals but is also associated with an increased risk of developing range of metabolic, cardiovascular, and liver disorders. Objective:The objective of the study was to evaluate the prevalence of obesity in children and the type of diseases associated with it. Methods:A cross-sectional study was conducted in Riyadh, Kingdom of Saudi Arabia between July to September, 2020. The target audience was the parents of children who were overweight.The questionnaire was designed to primarily gather information related to socio-demographic characteristics and correlation of obesity with the diseases. The questionnaire comprised of total number of 14 questions. The responses were recorded and evaluated through the application of scientific algorithms. Results and Discussions:It was established, that out of the total sample size of 346, around 38% of children were obese and were suffering rom associated comorbid diseases, ranging from anxiety, depression, eating disorder, social isolation, lower education attainment, asthma, constipation, flat feet, backpain, Type 1 and 2 diabetes and precocious puberty. Conclusion:The study presented a worrisome situation of escalating trends of obesity prevalence in children, along with the associated non- communicable diseases. There is need to introduce awareness campaigns along with the measures to promote people to adopt the healthy lifestyles.

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Quality Improvement in Childhood Obesity Management through the Maintenance of Certification Process

Cited by 16 publications

References 16 publications

Improving HPV Vaccination Rates Using Maintenance-of-Certification Requirements

Improving HPV Vaccination Rates Using Maintenance-of-Certification Requirements

Overweight and Obesity in Children and Adolescents

Obesity in Children and Associated Diseases

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