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. 2012 Jun;82(6):294-300.
doi: 10.1111/j.1746-1561.2012.00700.x.

School-based BMI and body composition screening and parent notification in California: methods and messages

Kristine A Madsen  1 , Jennifer Linchey
Affiliations

School-based BMI and body composition screening and parent notification in California: methods and messages

Kristine A Madsen et al. J Sch Health. 2012 Jun.

Abstract

Background: School-based body mass index (BMI) or body composition screening is increasing, but little is known about the process of parent notification. Since 2001, California has required annual screening of body composition via the FITNESSGRAM, with optional notification. This study sought to identify the prevalence of parental notification when screening is required but notification is optional, and the methods and messages used.

Methods: Researchers conducted phone interviews with 851 school districts (89%) in California and reviewed notification materials from 54 districts.

Results: As of 2008, 53% of California districts notified parents of screening results. Many districts (24%) did not know the reason for their notification policy. Most districts notified parents via a letter mailed home (70%) or sent home with the child (18%). Whereas 79% of sample letters provided students' BMI, only 12% provided an explanation of BMI, and only half provided tips on what parents should do if concerned about their child's results.

Conclusions: In California, where body composition screening is required but parent notification is not, approximately half of school districts elect to notify parents of results, most commonly via letter. Most letters do not explain BMI or percent body fat scores, nor do they suggest what parents should do for a child identified as at-risk. Further research to identify interpretable and actionable notification messages for parents will be critical if school-based BMI and body composition screening and notification is to reduce childhood obesity.

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Figures

FIGURE 1
FIGURE 1
Composite representation of vendor letter format and content (N=11)
FIGURE 2
FIGURE 2
Rendering of scores on letters generated using FITNESSGRAM™ software (N=8), example from Body Composition section
FIGURE 3
FIGURE 3
Standard text of form letter used by districts (N=7)
See this image and copyright information in PMC

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