Reach of a low-intensity, multicomponent childhood overweight and obesity intervention delivered in an integrated primary care setting.
Reach of a low-intensity, multicomponent childhood overweight and obesity intervention delivered in an integrated primary care setting.
复制标题
在综合初级保健环境中提供低强度、多成分的儿童超重和肥胖干预措施。
DOI：
10.1093/tbm/ibz055
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发表时间：
2020
影响因子：
3.6
通讯作者：
Khatri,Parinda
中科院分区：
文献类型：
--
作者：
Raynor,HollieA;Barroso,Cristina;Propst,Sara;Berlin,Kristoffer;Robson,Shannon;Khatri,Parinda
到达（即，在初级保健机构为低收入和/或少数民族家庭提供的低强度、多成分儿童超重/肥胖干预措施的参与者比例和代表性尚不清楚。本研究的目的是描述一个低强度，多组分的儿童超重/肥胖干预提供的综合初级保健环境中的联邦合格的健康中心（CIMHC）的范围。合格标准包括4-10岁的儿童，体重指数（BMI）≥第85百分位数，由女性照顾者照顾。使用电子健康记录（EHR）和发布表格，家庭被广泛地分为招募流程的分组，并根据这些分组计算出不同的比例。代表性确定使用EHR数据从家庭谁被告知该计划（n= 963）。三个计算的达到率范围为54.9%至3.9%。使用随机分配的家庭数量（n= 73）作为分子，来自被告知该计划的家庭的儿童（n= 963）或参加预约的所有符合条件的儿童（n= 1，864）作为分子计算较低的覆盖率。招募的前两个步骤，告知家庭有关该计划和家庭开始参与，是影响范围下降最大的地方。随机分配的儿童年龄较大，BMI较高，有更多的医学诊断表明超重或肥胖，并且是西班牙裔。干预的覆盖面很低。有助于减少通知家庭治疗的时间和提高家庭对其子女体重状况的认识的战略应有助于扩大覆盖面。
Reach (i.e., proportion and representativeness of participants) of low-intensity, multicomponent childhood overweight/obesity interventions delivered in primary care settings with low-income and/or minority families is unknown. The purpose of this research is to describe the reach of a low-intensity, multicomponent childhood overweight/obesity intervention delivered in an integrated primary care setting in a federally qualified health center (FQHC). Eligibility criteria included children aged 4–10 years with a body mass index (BMI) ≥85th percentile, with a female caregiver. Using the electronic health record (EHR) and release forms, families were broadly categorized into groupings from recruitment flow, with differing proportions calculated from these groupings. Representativeness was determined using EHR data from families who were informed about the program (n= 963). Three calculated reach rates ranged from 54.9% to 3.9%. Lower reach rates were calculated using the number of families randomized (n= 73) as the numerator and the children from families who were informed about the program (n= 963) or all eligible children in the FQHC attending appointments (n= 1,864) as denominators. The first two steps in recruitment, informing families about the program and families initiating participation, were where the largest decreases in reach occurred. Children who were randomized were older, had a higher BMI, had a greater number of medical diagnoses indicating overweight or obesity, and were Hispanic. Reach of the intervention was low. Strategies that assist with reducing time for informing families of treatment and increasing families’ awareness of their child’s weight status should assist with enhancing reach.