2.50
Hdl Handle:
http://hdl.handle.net/10755/163246
Category:
Abstract
Type:
Presentation
Title:
A Community Practice-based Intervention to Prevent Early Childhood Overweight
Author(s):
Sellers, Kathleen F.; Dennison, Barbara A.; Sellers, Claire; Boyer, Penny; Burdick, Patrick
Author Details:
Kathleen F. Sellers, Ph.D., Assistant Professor, Stony Brook University, School of Nursing, Utica, New York, USA, email: sellerk@sunyit.edu; Barbara A. Dennison, MD; Claire Sellers, BA; Penny Boyer, MS; Patrick Burdick, MA
Abstract:
Purpose: Develop, implement, and evaluate a pediatric practice-based intervention to increase: use of Body Mass Index (BMI), recognition of early childhood overweight, and obesity prevention counseling. Theoretical Framework: Bronfenbrenner's (1986) ecological theory and Roger's (1962) Diffusion of Innovation were used to guide this study. Methods (Design, Sample, Setting, Measures, Analysis): Using a pre-test, post-test experimental design, charts of children (15-20/provider), 2 - 5 years, presenting for preventive care (V20.2) at intervention (INT), or control (CON) practices in rural Upstate New York were randomly reviewed at baseline (03/2002 ? 03/2003) (INT, n=147,CON n=213) and follow-up (06/2004-09/2004) (INT n=111, CON n=150). Intervention nurses and providers attended facilitated childhood overweight awareness sessions, and, education on BMI. INT vs. CON groups were compared using: Student t-tests, Chi square, Mantel Haenszel X2 (nominal variables); Mantel Haenszel test (rank ordered variables); ANOVA, Rate difference test for independent proportions (1-sided p-value) (change over time). Results: Among 4 or 5-year-old's, there was a greater change in BMI plotting for the intervention group (z=1.67, p=0.047, 1-sided test) and overweight/at-risk for overweight 4 or 5-year-old's (p=0.047, 1-sided test). There was a significant trend among intervention providers to counsel more about children's weight (9% vs. 3%, respectively, p=0.051) and physical activity (15% vs. 8%, respectively, p=0.063). Among 4 or 5-year-old's, intervention providers significantly counseled more about physical activity (19% vs. 3%, respectively, p=0.0014). Intervention providers significantly counseled more parents of overweight (BMI > = 95 percentile) vs. not overweight children about diet/nutrition (75% vs. 43%, respectively, ?2 =5.6, p=0.02), physical activity (31% vs. 13%, respectively, ?2=3.7, p=0.056), and weight (50% vs. 2%, respectively, ?2=38.3, p< 0.001). Conclusions and Implications: Recognition of childhood overweight and increased counseling were more common among providers and nurses who attended childhood overweight awareness programs. Education of nurses to implement BMI screening can facilitate earlier identification of childhood overweight. Providers need to incorporate obesity prevention counseling into each well child visit.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleA Community Practice-based Intervention to Prevent Early Childhood Overweighten_GB
dc.contributor.authorSellers, Kathleen F.en_US
dc.contributor.authorDennison, Barbara A.en_US
dc.contributor.authorSellers, Claireen_US
dc.contributor.authorBoyer, Pennyen_US
dc.contributor.authorBurdick, Patricken_US
dc.author.detailsKathleen F. Sellers, Ph.D., Assistant Professor, Stony Brook University, School of Nursing, Utica, New York, USA, email: sellerk@sunyit.edu; Barbara A. Dennison, MD; Claire Sellers, BA; Penny Boyer, MS; Patrick Burdick, MAen_US
dc.identifier.urihttp://hdl.handle.net/10755/163246-
dc.description.abstractPurpose: Develop, implement, and evaluate a pediatric practice-based intervention to increase: use of Body Mass Index (BMI), recognition of early childhood overweight, and obesity prevention counseling. Theoretical Framework: Bronfenbrenner's (1986) ecological theory and Roger's (1962) Diffusion of Innovation were used to guide this study. Methods (Design, Sample, Setting, Measures, Analysis): Using a pre-test, post-test experimental design, charts of children (15-20/provider), 2 - 5 years, presenting for preventive care (V20.2) at intervention (INT), or control (CON) practices in rural Upstate New York were randomly reviewed at baseline (03/2002 ? 03/2003) (INT, n=147,CON n=213) and follow-up (06/2004-09/2004) (INT n=111, CON n=150). Intervention nurses and providers attended facilitated childhood overweight awareness sessions, and, education on BMI. INT vs. CON groups were compared using: Student t-tests, Chi square, Mantel Haenszel X2 (nominal variables); Mantel Haenszel test (rank ordered variables); ANOVA, Rate difference test for independent proportions (1-sided p-value) (change over time). Results: Among 4 or 5-year-old's, there was a greater change in BMI plotting for the intervention group (z=1.67, p=0.047, 1-sided test) and overweight/at-risk for overweight 4 or 5-year-old's (p=0.047, 1-sided test). There was a significant trend among intervention providers to counsel more about children's weight (9% vs. 3%, respectively, p=0.051) and physical activity (15% vs. 8%, respectively, p=0.063). Among 4 or 5-year-old's, intervention providers significantly counseled more about physical activity (19% vs. 3%, respectively, p=0.0014). Intervention providers significantly counseled more parents of overweight (BMI > = 95 percentile) vs. not overweight children about diet/nutrition (75% vs. 43%, respectively, ?2 =5.6, p=0.02), physical activity (31% vs. 13%, respectively, ?2=3.7, p=0.056), and weight (50% vs. 2%, respectively, ?2=38.3, p< 0.001). Conclusions and Implications: Recognition of childhood overweight and increased counseling were more common among providers and nurses who attended childhood overweight awareness programs. Education of nurses to implement BMI screening can facilitate earlier identification of childhood overweight. Providers need to incorporate obesity prevention counseling into each well child visit.en_GB
dc.date.available2011-10-27T11:04:00Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:04:00Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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