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An Integrated Clinic-Community Partnership for Child Obesity Treatment: A Randomized Pilot Trial.

Publication ,  Journal Article
Hoffman, J; Frerichs, L; Story, M; Jones, J; Gaskin, K; Apple, A; Skinner, A; Armstrong, S
Published in: Pediatrics
January 2018

BACKGROUND AND OBJECTIVES: Effective treatment of childhood obesity remains elusive. Integration of clinical and community systems may achieve effective and sustainable treatment. However, the feasibility and effectiveness of this integrated model are unknown. METHODS: We conducted a randomized clinical trial among children aged 5 to 11 presenting for obesity treatment. We randomized participants to clinical care or clinical care plus community-based programming at a local parks and recreation facility. Primary outcomes were the change in child BMI at 6 months and the intensity of the program in treatment hours. Secondary outcomes included health behaviors, fitness, attrition, and quality of life. RESULTS: We enrolled 97 children with obesity, and retention at 6 months was 70%. Participants had a mean age of 9.1 years and a mean baseline BMI z score of 2.28, and 70% were living in poverty. Intervention participants achieved more treatment hours than controls (11.4 vs 4.4, SD: 15.3 and 1.6, respectively). We did not observe differences in child BMI z score or percent of the 95th percentile at 6 months. Intervention participants had significantly greater improvements in physical activity (P = .010) and quality of life (P = .008). CONCLUSIONS: An integrated clinic-community model of child obesity treatment is feasible to deliver in a low-income and racially diverse population. As compared with multidisciplinary treatment, the integrated model provides more treatment hours, improves physical activity, and increases quality of life. Parks and recreation departments hold significant promise as a partner agency to deliver child obesity treatment.

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Published In

Pediatrics

DOI

EISSN

1098-4275

Publication Date

January 2018

Volume

141

Issue

1

Location

United States

Related Subject Headings

  • Weight Loss
  • United States
  • Socioeconomic Factors
  • Risk Assessment
  • Quality of Life
  • Prospective Studies
  • Pilot Projects
  • Pediatrics
  • Pediatric Obesity
  • Patient Compliance
 

Citation

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Hoffman, J., Frerichs, L., Story, M., Jones, J., Gaskin, K., Apple, A., … Armstrong, S. (2018). An Integrated Clinic-Community Partnership for Child Obesity Treatment: A Randomized Pilot Trial. Pediatrics, 141(1). https://doi.org/10.1542/peds.2017-1444
Hoffman, Jessica, Leah Frerichs, Mary Story, Jason Jones, Kiah Gaskin, Annie Apple, Asheley Skinner, and Sarah Armstrong. “An Integrated Clinic-Community Partnership for Child Obesity Treatment: A Randomized Pilot Trial.Pediatrics 141, no. 1 (January 2018). https://doi.org/10.1542/peds.2017-1444.
Hoffman J, Frerichs L, Story M, Jones J, Gaskin K, Apple A, et al. An Integrated Clinic-Community Partnership for Child Obesity Treatment: A Randomized Pilot Trial. Pediatrics. 2018 Jan;141(1).
Hoffman, Jessica, et al. “An Integrated Clinic-Community Partnership for Child Obesity Treatment: A Randomized Pilot Trial.Pediatrics, vol. 141, no. 1, Jan. 2018. Pubmed, doi:10.1542/peds.2017-1444.
Hoffman J, Frerichs L, Story M, Jones J, Gaskin K, Apple A, Skinner A, Armstrong S. An Integrated Clinic-Community Partnership for Child Obesity Treatment: A Randomized Pilot Trial. Pediatrics. 2018 Jan;141(1).

Published In

Pediatrics

DOI

EISSN

1098-4275

Publication Date

January 2018

Volume

141

Issue

1

Location

United States

Related Subject Headings

  • Weight Loss
  • United States
  • Socioeconomic Factors
  • Risk Assessment
  • Quality of Life
  • Prospective Studies
  • Pilot Projects
  • Pediatrics
  • Pediatric Obesity
  • Patient Compliance