Clin Pediatr (Phila). 2018 Jun;57(6):727-732. doi: 10.1177/0009922817734357. Epub 2017 Oct 11.

The Chronic Care Model to Improve Management of Childhood Obesity.

Clinical pediatrics

Heide Cygan, Monique Reed, Karen Lui, Mary Mullen

PMID: 29019281 DOI: 10.1177/0009922817734357

Abstract

One-third of children in the United States are overweight or obese. Comorbidities continue into adulthood if a healthy weight is not established. While expert guidelines for management of this condition are recognized, provider adherence to guidelines is lacking. The purpose of this quality improvement project was to evaluate the effectiveness of the chronic care model (CCM) on improving primary care provider identification, prevention, and management of childhood overweight and obesity. A pre- and postintervention chart audit was completed to evaluate documentation of 20 assessment measures included in expert guidelines. A chi-square analysis was conducted to assess differences. Statistically significant improvements were found in documentation of parental obesity, family medical history, sleep assessment, endocrine assessment, and weight classification as a diagnosis. Use of the CCM had a positive impact on provider adherence to expert guidelines. Furthermore, not all aspects of the CCM must be used to see statistically significant improvements.

Keywords: childhood obesity; chronic care model; computer information systems; decision support; primary care; quality improvement

MeSH terms

• Child
• Chronic Disease
• Decision Support Techniques
• Humans
• Pediatric Obesity / diagnosis
• Pediatric Obesity / therapy
• Quality Improvement
• United States

Publication Types

• Journal Article
• Research Support, Non-U.S. Gov't