Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2014 Aug;10(4):326-33.
doi: 10.1089/chi.2014.0036. Epub 2014 Jul 21.

Sustainability of key Maine Youth Overweight Collaborative improvements: a follow-up study

Michele Polacsek  1 , Joan Orr, Liam M O'Brien, Victoria W Rogers, Jonathan Fanburg, Steven L Gortmaker
Affiliations
Comparative Study

Sustainability of key Maine Youth Overweight Collaborative improvements: a follow-up study

Michele Polacsek et al. Child Obes. 2014 Aug.

Abstract

Background: Primary care is an opportune setting to contribute to obesity prevention and treatment. However, there is limited evidence for effective and sustainable interventions in primary care. The Maine Youth Overweight Collaborative (MYOC) successfully affected office systems, provider behavior, and patient experience. The current study evaluates the effect of MYOC on provider knowledge, beliefs, practices, patient experience, and office systems, in 2012, three years postintervention.

Methods: A quasi-experimental field trial was used with all seven original MYOC intervention sites that participated in MYOC between 2004 and 2009 and two non-MYOC control sites. Data from immediately post-MYOC in 2009 served as the baseline comparison. Main outcome measures included rates of recording of BMI percentile in chart, weight classification, use of the 5210 behavioral screening tool, parental reports of counseling received on 5210 topics, and clinician reports of changes in knowledge, beliefs, and practices.

Results: Many key MYOC improvements were sustained or improved 3 years postintervention and demonstrated improvements, as compared to control sites.

Conclusion: In an environment where obesity has become a priority for healthcare providers and systems, we demonstrate sustainable improvements in clinical decision support and family management of risk behaviors within a primary-care-based approach to addressing overweight risk among children and youth. Some declines were observed for more-complex behavioral and system outcomes. Many opportunities for office system and provider improvements remain.

PubMed Disclaimer

References

    1. Fryar CD, Carroll MD, Ogden CL. Prevalence of obesity among children and adolescents: United States Trends 1963–1965 Through 2009–2010. National Center for Health Statistics; 2012. Available at www.nccpeds.com/ContinuityModules-Fall/Fall%20Continuity%20Source%20Mate... Last accessed June18, 2014
    1. Strauss RS, Pollack HA. Epidemic increase in childhood obesity 1986–1998. JAMA 2001;286:2845–2848 - PubMed
    1. Kimm SY, Barton BA, Obarzanek E, et al. . Obesity development during adolescence in a biracial cohort: The NHLBI Growth and Health Study. Pediatrics 2002;110:e54. - PubMed
    1. Liu J, Bennett KJ, Harun N, et al. . Overweight and physical inactivity among rural children aged 10–17: A national and state portrait. South Carolina Rural Health Research Center; 2007. Available at http://rhr.sph.sc.edu/report/(7-1)Obesity%20ChartbookUpdated10.15.07-sec... Last accessed May16, 2014
    1. Ogden CL, Carroll MD, Kit BK, et al. . Prevalence of obesity in the United States, 2009–2010. NCHS data brief, no. 82. National Center for Health Statistics: Hyattsville, MD, 2012 - PubMed

Publication types

LinkOut - more resources