Primary Care Group Visits for Childhood Obesity: Clinical Program Evaluation.

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Title: Primary Care Group Visits for Childhood Obesity: Clinical Program Evaluation.
Authors: Bottino, Clement J.1,2 clement.bottino@childrens.harvard.edu, Puente, Gabriella C.1, Burrage, Amanda3, Tannis, Candace3, Cheng, Jennifer K.1,2, Epee-Bounya, Alexandra1,2, Cox, Joanne E.1,2
Source: Clinical Pediatrics. Apr2018, Vol. 57 Issue 4, p442-450. 9p.
Subject Terms: *Exercise, *Family attitudes, Age distribution, Mind & body therapies, Nutrition, Childhood obesity, Primary health care, Sex distribution, Social support, Body mass index, Evaluation of human services programs, Patients' attitudes
Abstract: We conducted 29 group visits targeting children with elevated body mass index (BMI) and their families. Visit activities focused on social support, mind-body techniques, exercise, and nutrition. Measures included attendance, family satisfaction scores, and per-patient change in BMI percentile. Ninety-six patients attended ≥1 group visit, mean 2.0 (SD ±1.8; range 1-14). Mean patient age was 9.6 years (SD ±2.4; range 4-15 years); 53.1% were female; 44.8% had a BMI 95th to 99th percentile for age/sex; 35.4% had a BMI >99th percentile. Mean attendance per group visit was 6.8 patients (SD ±3.8; range 1-16 patients). Mean family satisfaction scores were 9.8 (SD ±0.8) with 10/10 "would recommend to family or friends." Of 42 patients who attended ≥2 group visits, 5 (11.9%) experienced a ≥5 BMI percentile reduction between first and last visits; 3 (7.1%) maintained this reduction 2 years later. Group visits were associated with high family satisfaction scores, though few patients experienced a reduction in BMI percentile. [ABSTRACT FROM AUTHOR]
Copyright of Clinical Pediatrics is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Primary Care Group Visits for Childhood Obesity: Clinical Program Evaluation.
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  Data: <searchLink fieldCode="AR" term="%22Bottino%2C+Clement+J%2E%22">Bottino, Clement J.</searchLink><relatesTo>1,2</relatesTo><i> clement.bottino@childrens.harvard.edu</i><br /><searchLink fieldCode="AR" term="%22Puente%2C+Gabriella+C%2E%22">Puente, Gabriella C.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Burrage%2C+Amanda%22">Burrage, Amanda</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Tannis%2C+Candace%22">Tannis, Candace</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Cheng%2C+Jennifer+K%2E%22">Cheng, Jennifer K.</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Epee-Bounya%2C+Alexandra%22">Epee-Bounya, Alexandra</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Cox%2C+Joanne+E%2E%22">Cox, Joanne E.</searchLink><relatesTo>1,2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Clinical+Pediatrics%22">Clinical Pediatrics</searchLink>. Apr2018, Vol. 57 Issue 4, p442-450. 9p.
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  Data: *<searchLink fieldCode="DE" term="%22Exercise%22">Exercise</searchLink><br />*<searchLink fieldCode="DE" term="%22Family+attitudes%22">Family attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Mind+%26+body+therapies%22">Mind & body therapies</searchLink><br /><searchLink fieldCode="DE" term="%22Nutrition%22">Nutrition</searchLink><br /><searchLink fieldCode="DE" term="%22Childhood+obesity%22">Childhood obesity</searchLink><br /><searchLink fieldCode="DE" term="%22Primary+health+care%22">Primary health care</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Body+mass+index%22">Body mass index</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+human+services+programs%22">Evaluation of human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink>
– Name: Abstract
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  Data: We conducted 29 group visits targeting children with elevated body mass index (BMI) and their families. Visit activities focused on social support, mind-body techniques, exercise, and nutrition. Measures included attendance, family satisfaction scores, and per-patient change in BMI percentile. Ninety-six patients attended ≥1 group visit, mean 2.0 (SD ±1.8; range 1-14). Mean patient age was 9.6 years (SD ±2.4; range 4-15 years); 53.1% were female; 44.8% had a BMI 95th to 99th percentile for age/sex; 35.4% had a BMI >99th percentile. Mean attendance per group visit was 6.8 patients (SD ±3.8; range 1-16 patients). Mean family satisfaction scores were 9.8 (SD ±0.8) with 10/10 "would recommend to family or friends." Of 42 patients who attended ≥2 group visits, 5 (11.9%) experienced a ≥5 BMI percentile reduction between first and last visits; 3 (7.1%) maintained this reduction 2 years later. Group visits were associated with high family satisfaction scores, though few patients experienced a reduction in BMI percentile. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Clinical Pediatrics is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1177/0009922817728696
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        Text: English
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      – SubjectFull: Exercise
        Type: general
      – SubjectFull: Family attitudes
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Mind & body therapies
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      – SubjectFull: Nutrition
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      – SubjectFull: Childhood obesity
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      – SubjectFull: Primary health care
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      – SubjectFull: Sex distribution
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      – SubjectFull: Social support
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      – SubjectFull: Body mass index
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      – SubjectFull: Evaluation of human services programs
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      – SubjectFull: Patients' attitudes
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      – TitleFull: Primary Care Group Visits for Childhood Obesity: Clinical Program Evaluation.
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              Text: Apr2018
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              Y: 2018
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