A Longitudinal Effectiveness Study of a Child Obesity Electronic Health Record Tool

Journal of the American Board of Family Medicine: JABFM

article

Amy Braddock¹  Richelle J. Koopman¹  Jamie Smith¹  Andy S. Lee²  Samuel Holt McNair²  Sarah Hampl³  Nuha Wareg⁴  Megan Clary¹  Natalie Miller¹  Christy B. Turer⁵ 

[1] University of Missouri;University of Missouri School of Medicine;General Pediatrics and Weight Management, Children’s Mercy Hospital Center for Children’s Healthy Lifestyles & University of MO-Kansas City School of Medicine;Cahaba Family Medicine;Internal Medicine-Pediatrics, University of Texas Southwestern

关键词: Body Mass Index;    Control Groups;    Counseling;    Electronic Health Records;    Exercise;    Healthy Lifestyle;    Logistic Models;    Patient Care Team;    Pediatric Obesity;    Primary Health Care;    Technology;   

DOI  :  10.3122/jabfm.2022.04.210385

学科分类：过敏症与临床免疫学

来源: The American Board of Family Medicine

【 摘 要 】

Background: Primary-care providers, clinic staff, and nurses play an important role in reducing child obesity; yet time restraints and clinical demands compete with effective pediatric weight management and prevention.Methods: To investigate the potential impact of an electronic health record (EHR) enabled tool to assist primary care teams in addressing child obesity, we conducted a controlled effectiveness study of FitTastic compared with usual care on the BMI pattern of 291 children (2 to 17 years) up to 4 years later.Results: Per χ2 analysis, a greater proportion of children with baseline overweight/obesity in the EHR tool group than the control group had a favorable BMI pattern (32% vs 13%, P = .03). In logistic regression, FitTastic children were more likely than control children to have a favorable BMI pattern at follow-up (OR 3.8, 95% CI 1.1 to 13.2), adjusted for age, gender, race, and parental education.Conclusion: Study findings suggest that EHR-enabled tools to assist primary care teams in managing child obesity may be useful for helping to address the weight in children with overweight/obesity, especially in younger children (2 to 5 years). Digital and EHR-enabled technologies may prove useful for partnering health care teams and families in the important tasks of setting positive, family-centered healthy lifestyle behavioral goals and managing child overweight and obesity.

【 授权许可】

CC BY