2.50
Hdl Handle:
http://hdl.handle.net/10755/243393
Category:
Abstract
Type:
Presentation
Title:
Technology to Promote Evidence-Based Obesity Care
Author(s):
Gance-Cleveland, Bonnie; Shaibi, Gabriel; Senecal, Jinnette; Oetzel, Keri Bolton; Gilbert, Kevin; Gilbert, Lynn; Skiba, Diane J.
Author Details:
Gance-Cleveland, Bonnie, PhD, RNC, bonnie.gance-cleveland@asu.edu; Shaibi, Gabriel, PhD, PT; Senecal, Jinnette, MEd, BS, BA; Oetzel, Keri Bolton, PhD, MPH; Gilbert, Kevin, PhD; Gilbert, Lynn, PhD, CPNP; Skiba, Diane J., PhD;
Abstract:
Purpose:

Obesity in children has risen over the past four decades, especially among ethnic minority populations. The purpose of this AHRQ funded study is to compare web-based training on childhood obesity guidelines with and without technology decision support on the implementation of guidelines into practice. This presentation includes a description of the training and technology support for the implementation of guidelines. The health disparities collaborative and chronic care models are guiding frameworks for the study. 

Methods:  

Baseline data including provider surveys, chart audits, and patient satisfaction surveys will be presented. Providers from 24 SBHCs have been consented and data collected at 20 centers.

Results:

Centers serve a diverse population (White 41%, Hispanic 31%, Black 13%, Native American 0.6%, Asian 0.8%, Mixed/Other 4.5%). Over half (70%) reported having insurance and 45.8% were on free and reduced lunch. Chart audits on 503 charts indicated that 24% were obese, 17% were overweight, 57% were normal weight, and 2% were underweight; however, there were a significant number (p < .000) without an accurate diagnosis of overweight or obesity. There were no differences in overweight/obesity by ethnic group (p= .453), however, there were differences by gender and age (p.= 037). Overall, satisfaction with care was good; however, there were significant differences by state in exceptional care categories. Clinician satisfaction with web-based training has been very positive (100% agree or strongly agree). 

Conclusion:

SBHCs serve at risk youth and the baseline data suggest the providers are not currently following the guidelines thus missing opportunities to address childhood obesity during well child visits. Web-based instruction is an economical and efficient method of disseminating guidelines to multiple and geographically separated sites and has the potential to improve the implementation of guidelines to these diverse populations. Computer technology can facilitate provider integration of current evidence into practice.

Keywords:
technology decision support; childhood obesity; health disparities
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleTechnology to Promote Evidence-Based Obesity Careen_GB
dc.contributor.authorGance-Cleveland, Bonnieen_GB
dc.contributor.authorShaibi, Gabrielen_GB
dc.contributor.authorSenecal, Jinnetteen_GB
dc.contributor.authorOetzel, Keri Boltonen_GB
dc.contributor.authorGilbert, Kevinen_GB
dc.contributor.authorGilbert, Lynnen_GB
dc.contributor.authorSkiba, Diane J.en_GB
dc.author.detailsGance-Cleveland, Bonnie, PhD, RNC, bonnie.gance-cleveland@asu.edu; Shaibi, Gabriel, PhD, PT; Senecal, Jinnette, MEd, BS, BA; Oetzel, Keri Bolton, PhD, MPH; Gilbert, Kevin, PhD; Gilbert, Lynn, PhD, CPNP; Skiba, Diane J., PhD;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243393-
dc.description.abstract<b>Purpose: </b> <p>Obesity in children has risen over the past four decades, especially among ethnic minority populations. The purpose of this AHRQ funded study is to compare web-based training on childhood obesity guidelines with and without technology decision support on the implementation of guidelines into practice. This presentation includes a description of the training and technology support for the implementation of guidelines. The health disparities collaborative and chronic care models are guiding frameworks for the study.&nbsp; <p><b>Methods: </b> &nbsp; <p>Baseline data including provider surveys, chart audits, and patient satisfaction surveys will be presented. Providers from 24 SBHCs have been consented and data collected at 20 centers. <p><b>Results: </b> <p>Centers serve a diverse population (White 41%, Hispanic 31%, Black 13%, Native American 0.6%, Asian 0.8%, Mixed/Other 4.5%). Over half (70%) reported having insurance and 45.8% were on free and reduced lunch. Chart audits on 503 charts indicated that 24% were obese, 17% were overweight, 57% were normal weight, and 2% were underweight; however, there were a significant number (p &lt; .000) without an accurate diagnosis of overweight or obesity. There were no differences in overweight/obesity by ethnic group (p= .453), however, there were differences by gender and age (p.= 037). Overall, satisfaction with care was good; however, there were significant differences by state in exceptional care categories. Clinician satisfaction with web-based training has been very positive (100% agree or strongly agree).&nbsp; <p><b>Conclusion: </b> <p>SBHCs serve at risk youth and the baseline data suggest the providers are not currently following the guidelines thus missing opportunities to address childhood obesity during well child visits. Web-based instruction is an economical and efficient method of disseminating guidelines to multiple and geographically separated sites and has the potential to improve the implementation of guidelines to these diverse populations. Computer technology can facilitate provider integration of current evidence into practice.en_GB
dc.subjecttechnology decision supporten_GB
dc.subjectchildhood obesityen_GB
dc.subjecthealth disparitiesen_GB
dc.date.available2012-09-12T09:21:37Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:21:37Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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