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Feasibility of a Clinic-Community Partnership to Treat Childhood Obesity.

Publication ,  Journal Article
Andrews, M; Sawyer, C; Frerichs, L; Skinner, AC; Hoffman, J; Gaskin, K; Armstrong, S
Published in: Clin Pediatr (Phila)
June 2018

BACKGROUND: "Bull City Fit" is a childhood obesity treatment partnership between Duke Children's pediatric weight management clinic and Durham Department of Parks and Recreation. OBJECTIVES: Report on feasibility and implementation, characteristics of participants, and predictors of attendance. METHODS: Mixed methods study consisting of (1) a retrospective cohort analysis (n = 171) reporting demographic, attendance, and clinical data and (2) structured focus groups among stakeholders to identify implementation facilitators and barriers. RESULTS: Higher attendance was associated with Spanish language ( P = .07), more clinic visits ( P = .03), shorter time to first attendance ( P = .06), lower child z-body mass index (BMI) at baseline ( P = .08), and lower parent BMI ( P = .02). Associations were mitigated after controlling for demographic characteristics. BMI z-score did not differ between low- and moderate/high attenders at 6 months. Family inclusion and community engagement emerged as positive themes during focus groups. CONCLUSIONS: Clinic-community partnerships engage diverse populations in fitness and nutrition activities, but no specific patient characteristics appear to predict greater attendance.

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Published In

Clin Pediatr (Phila)

DOI

EISSN

1938-2707

Publication Date

June 2018

Volume

57

Issue

7

Start / End Page

783 / 791

Location

United States

Related Subject Headings

  • Weight Loss
  • Risk Assessment
  • Retrospective Studies
  • Program Evaluation
  • Program Development
  • Prognosis
  • Pediatrics
  • Pediatric Obesity
  • Patient Compliance
  • North Carolina
 

Citation

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Andrews, M., Sawyer, C., Frerichs, L., Skinner, A. C., Hoffman, J., Gaskin, K., & Armstrong, S. (2018). Feasibility of a Clinic-Community Partnership to Treat Childhood Obesity. Clin Pediatr (Phila), 57(7), 783–791. https://doi.org/10.1177/0009922817734359
Andrews, Maria, Carolyn Sawyer, Leah Frerichs, Asheley Cockrell Skinner, Jessica Hoffman, Kiah Gaskin, and Sarah Armstrong. “Feasibility of a Clinic-Community Partnership to Treat Childhood Obesity.Clin Pediatr (Phila) 57, no. 7 (June 2018): 783–91. https://doi.org/10.1177/0009922817734359.
Andrews M, Sawyer C, Frerichs L, Skinner AC, Hoffman J, Gaskin K, et al. Feasibility of a Clinic-Community Partnership to Treat Childhood Obesity. Clin Pediatr (Phila). 2018 Jun;57(7):783–91.
Andrews, Maria, et al. “Feasibility of a Clinic-Community Partnership to Treat Childhood Obesity.Clin Pediatr (Phila), vol. 57, no. 7, June 2018, pp. 783–91. Pubmed, doi:10.1177/0009922817734359.
Andrews M, Sawyer C, Frerichs L, Skinner AC, Hoffman J, Gaskin K, Armstrong S. Feasibility of a Clinic-Community Partnership to Treat Childhood Obesity. Clin Pediatr (Phila). 2018 Jun;57(7):783–791.
Journal cover image

Published In

Clin Pediatr (Phila)

DOI

EISSN

1938-2707

Publication Date

June 2018

Volume

57

Issue

7

Start / End Page

783 / 791

Location

United States

Related Subject Headings

  • Weight Loss
  • Risk Assessment
  • Retrospective Studies
  • Program Evaluation
  • Program Development
  • Prognosis
  • Pediatrics
  • Pediatric Obesity
  • Patient Compliance
  • North Carolina