Implementation of the Connect for Health pediatric weight management program: study protocol and baseline characteristics

Meg Simione, Haley Farrar-Muir, Fernanda Neri Mini, Meghan E Perkins, Man Luo, Holly Frost, E John Orav, Joshua Metlay, Adrian H Zai, Caroline J Kistin, Kerry Sease, Simon J Hambidge, Elsie M Taveras, Connect for Health Collaborative, Meg Simione, Haley Farrar-Muir, Fernanda Neri Mini, Meghan E Perkins, Man Luo, Holly Frost, E John Orav, Joshua Metlay, Adrian H Zai, Caroline J Kistin, Kerry Sease, Simon J Hambidge, Elsie M Taveras, Connect for Health Collaborative

Abstract

We are implementing Connect for Health, a primary care-based intervention to improve family-centered outcomes for children, ages 2-12 years, in organizations that care for low-income children. We will use the 'Reach-Effectiveness-Adoption-Implementation-Maintenance' framework to guide our mixed-methods evaluation to examine the effectiveness of stakeholder-informed strategies in supporting program adoption and child outcomes. We also describe characteristics of children, ages 2-12 years with a BMI ≥85th percentile and obesity-related care practices. During the period prior to implementation, 26,161 children with a BMI ≥85th percentile were seen for a primary care visit and a majority lacked recommended diagnosis codes, referrals and laboratory evaluations. The findings suggest the need to augment current approaches to increase uptake of proven-effective weight management programs. Clinical trial registration number: NCT04042493 (Clinicaltrials.gov), Registered on 2 August 2019; https://ichgcp.net/clinical-trials-registry/NCT04042493.

Keywords: childhood obesity; electronic health records; health equity; implementation strategies; primary care.

Conflict of interest statement

Financial & competing interests disclosure

Research reported in this article was partially funded through a Patient-Centered Outcomes Research Institute (PCORI) Award (DI-2017C3-9005) that is funding a clinical trial at Denver Health, Massachusetts General Hospital and Prisma Health; and through support by grant no. 1R01HL146782-01 from the National Heart, Lung and Blood Institute awarded to EM Taveras. EM Taveras time was supported by grant no. 1K24DK105989 from the National Institute of Diabetes and Digestive and Kidney Diseases. The statements in this article are solely the responsibility of the authors and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute (PCORI), its Board of Governors or Methodology Committee and the National Institutes of Health. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

No writing assistance was utilized in the production of this manuscript.

Figures

Figure 1.. Implementation and Evaluation Approach for…
Figure 1.. Implementation and Evaluation Approach for Connect for Health pediatric weight management program.
EHR: Electronic health record.

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Source: PubMed

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