Pediatric Preventative Health Screenings - Obesity and Family-Centered Outcomes



Status:Active, not recruiting
Conditions:High Blood Pressure (Hypertension), High Cholesterol, Obesity Weight Loss, Obesity Weight Loss
Therapuetic Areas:Cardiology / Vascular Diseases, Endocrinology
Healthy:No
Age Range:2 - 18
Updated:3/10/2019
Start Date:April 20, 2017
End Date:December 2019

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Pediatric Preventative Health Screenings - Obesity and Family-Centered

In 2012, an Expert Panel of the National Heart Lung and Blood Institute published guidelines
on cardiovascular health and risk reduction in children; among these guidelines were
screening recommendations for obesity and obesity-related conditions. Following publication
of this report there was a call for caution and for increased patient (parent, child) input
on implementing these guidelines. There are limited current studies evaluating
patient-centered outcomes (PCO) in the well-child setting, however, given the childhood
obesity epidemic, there is a clear need for such an evaluation. The city of Detroit, MI ranks
first among 22 cities with data for the prevalence of overweight and obese youth (39.7%),
making Henry Ford Health System, which is located in Detroit, MI, an ideal setting to study
childhood obesity related research questions.

Within this patient population, our specific aims therefore are to (1) examine current trends
in screening and management of obesity and obesity-related conditions in a real-world urban
practice setting; (2) examine the family (patient and parent/guardian) and clinician
preferences for the identification and management of obesity and obesity-related conditions;
and (3) design and conduct a Phase II pragmatic cluster randomized trial (PCRT) of an
educational intervention in providers for guiding screening for obesity and obesity-related
conditions during the well-child visit that incorporates and leverages PCO. Staff dedicated
solely to this project will partner with the Henry Ford Health System's proposed
Patient-Centered Outcomes Research Center's Cores staff members to design, execute and
disseminate study results in order to affect clinical care. By seeking to understand the
current screening patterns in pediatrics and by creating an education intervention for
providers aimed at taking a patient/family centered approach to these preventative health
screenings, we may increase PCOs which in turn may have meaningful implications for future
adult health.

Inclusion Criteria:

- Between the ages of 2 and 18

- Henry Ford Health System Patient

- Well-child visit with participating provider

- Fluent in English

Exclusion Criteria:

- Unable to provide consent
We found this trial at
1
site
Detroit, Michigan 48202
Phone: 313-874-9223
?
mi
from
Detroit, MI
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