Evidence-based childhood obesity treatment: Improving access and systems of care

循证儿童肥胖治疗：改善护理机会和系统

• 批准号: 8843662
• 负责人: Denise Ella Wilfley
• 金额: $ 3.5万
• 依托单位: AMERICAN ACADEMY OF PEDIATRICS
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-01-01 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8843662
• 关键词: Evidence; based; childhood; obesity; treatment

 DESCRIPTION (provided by applicant): Reversing the trend of childhood obesity is critical to prevent the development of related disease, improve quality of life, and decrease the cost burden associated with a lifetime of excess weight. The United States Preventive Services Task Force (USPSTF) recommends clinicians screen children aged 6 years and older for obesity and offer or refer them to intensive counseling and behavioral interventions to promote improvements in weight status. As a grade B recommendation, these obesity treatment services are indicated for provision by providers and coverage without cost-sharing by Medicare and qualified commercial health plans. However, access to evidence-based treatment for childhood obesity remains limited. Barriers, including lack of capacity for effective delivery within the current health care system and inadequate reimbursement, impede widespread implementation of USPSTF recommended treatment. To advance evidence-based care and effectively treat childhood obesity, stakeholders must work collaboratively to develop feasible, acceptable, effective, and sustainable care delivery models supporting the USPSTF recommendations and create a unified strategy for policy change regarding reimbursement. We propose a small conference to serve as an intensive meeting of thought-leaders and stakeholders with shared investment in increasing access to effective, evidence-based childhood obesity treatment. The proposed conference will be co-sponsored by the American Academy of Pediatrics Institute for Healthy Childhood Weight, the Pediatric Obesity Section of The Obesity Society, and the Institute of Medicine's Innovation Collaborative on Integrated Clinical and Social Systems for the Prevention and Management of Obesity. To strengthen the reach and impact of conference outcomes, Robert Wood Johnson Foundation and the American Psychological Association will act as dissemination partners. Through this conference, stakeholders will assess priorities in the field of childhood obesity treatment, present promising practices and model programs, and form a collaborative strategy to: 1) improve systems of care to advance implementation of the USPSTF recommendations for childhood obesity; and 2) increase access to and payment for comprehensive and high-quality evidence-based obesity treatment. This multidisciplinary group of stakeholders will produce and disseminate a toolkit for the implementation of the USPSTF recommendations for childhood obesity to advance translation of evidence-based treatment, including recommendations and resources for care delivery and reimbursement policy. The toolkit will be disseminated to the broader community of childhood obesity stakeholders, including researchers, clinicians, policymakers, and the public, through publication, presentation at national meetings and via targeted educational webinars, and use of partner organization member networks and advocacy channels. As the obesity epidemic persists, this timely and important conference will be a key step toward synergizing efforts to facilitate greater access to care, improve health outcomes for children, and reduce childhood obesity.

 描述（由申请人提供）：扭转儿童肥胖的趋势对于预防相关疾病的发展、提高生活质量和降低与终身超重相关的成本负担至关重要。美国预防服务工作组（USPSTF）建议临床医生对6岁及以上的儿童进行肥胖筛查，并为他们提供或推荐强化咨询和行为干预，以促进体重状况的改善。作为B级建议，这些肥胖治疗服务由提供者提供，医疗保险和合格的商业健康计划不分担费用。然而，儿童肥胖症的循证治疗仍然有限。障碍，包括缺乏能力，有效地提供在目前的医疗保健系统和报销不足，阻碍了广泛实施USPSTF建议的治疗。为了推进循证护理并有效治疗儿童肥胖症，利益相关者必须共同努力，制定可行的，可接受的，有效的和可持续的护理模式，以支持USPSTF的建议，并为报销政策的变化制定统一的战略。我们建议召开一次小型会议，作为思想领袖和利益相关者的密集会议，共同投资于增加获得有效，循证儿童肥胖治疗的机会。拟议的会议将由美国儿科学会健康儿童体重研究所、肥胖协会儿科肥胖分会和医学研究所关于预防和管理肥胖的综合临床和社会系统创新合作组织共同主办。为了加强会议成果的影响和影响，罗伯特·伍德约翰逊基金会和美国心理学协会将作为传播伙伴。通过这次会议，利益相关者将评估儿童肥胖治疗领域的优先事项，提出有前途的做法和示范计划，并形成一个合作战略：1）改善护理系统，以推进USPSTF儿童肥胖建议的实施; 2）增加获得和支付全面和高质量的循证肥胖治疗。这个多学科的利益相关者小组将制作和传播一个工具包，用于实施USPSTF关于儿童肥胖的建议，以促进循证治疗的转化，包括提供护理和报销政策的建议和资源。该工具包将通过出版物、在国家会议上的介绍和有针对性的教育网络研讨会以及利用伙伴组织成员网络和宣传渠道，向更广泛的儿童肥胖利益攸关方社区传播，包括研究人员、临床医生、政策制定者和公众。随着肥胖症流行的持续，这次及时而重要的会议将是协同努力的关键一步，以促进更多的医疗服务，改善儿童的健康状况，减少儿童肥胖。