Evaluation of a Training to Improve Management of Pediatric Overweight

Autor/inn/en	Hinchman, Josephine; Beno, Luke; Dennison, David; Trowbridge, Frederick
Titel	Evaluation of a Training to Improve Management of Pediatric Overweight
Quelle	In: Journal of Continuing Education in the Health Professions, 25 (2005) 4, S.259-267 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0894-1912
DOI	10.1002/chp.39
Schlagwörter	Patients; Methods; Pediatrics; Obesity; Medical Education; Management Development; Health Services; Models; Body Composition; Training; Evaluation; Health Personnel + Suchen Sie Ihr Suchwort? Patient; Method; Methode; Klinische Sozialpädiatrie; Adipositas; Medizinische Ausbildung; Health service; Gesundheitsdienst; Gesundheitswesen; Analogiemodell; Ausbildung; Evaluierung; Medizinisches Personal
Abstract	Introduction: Despite widespread concern about pediatric obesity, health care professionals report low proficiency for identifying and treating this condition. This paper reports on the evaluation of pediatric overweight assessment and management training for clinicians and staff in a managed care system. The training was evaluated for its impact on assessment practices and utilization of management tools. Methods: A delayed-control design was utilized to measure the effects of two 60-minute interactive Continuing Medical education (CME) trainings for the pediatric health care teams. Chart abstraction was conducted at 0-, 3 and 6-months after training, recording the proportion of charts containing the recommended assessment methods and management tools. Results: The training was associated with a significant increase in the utilization of some tools and practices, including charting BMI-for-age percentile (p[less than]0.001) and using a nutrition and activity self-history form (p[less than]0.001). Overall, from baseline to 3-months post training, charting BMI-for-age percentiles increased from zero to 25.2% and utilization of the self-history form increased from zero to 35.3%. These increases were sustained at 6-months post training. Other tools guiding clinician counseling were less widely utilized, although a behavioral prescription pad was used with 20% of overweight patients. Discussion: A modest investment in clinician and staff training designed to be feasible in a clinical setting was associated with substantial increases in the use of appropriate tools and practices for the assessment and management of pediatric overweight. Such training may help to augment and improve the processes of pediatric health care delivery for addressing overweight. The training provides a viable model for future CME efforts in other health care settings. (Author).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10