Primary Care Provider Knowledge and Practice Patterns Regarding Childhood Obesity

Abstract

Background: We aimed to evaluate current childhood obesity management by providers and improve management of pediatric obesity through a provider-focused educational intervention.

Methods: We surveyed family medicine and pediatric providers regarding documentation and intervention, knowledge gaps, and educational needs for childhood obesity. An educational program was implemented regarding detection, documentation, and follow-up/referral of pediatric obesity and comorbid conditions. We reviewed charts for 50 overweight or obese children before and after intervention.

Results: The survey identified lack of time (73%) and perception of parents (77%) as the most frequent provider barriers to pediatric obesity care. Provider referrals increased from 6% to 16% after intervention, and laboratory testing increased from 14% to 26%. No changes were noted in discussion of weight status, diagnosis/documentation, or billing.

Conclusion: Provider education can improve appropriate ordering of laboratory studies and referrals for overweight children. Different intervention approaches may improve billing and documentation practices for pediatric obesity.

Keywords: Adolescent; clinical practice pattern; pediatric; pediatric obesity; primary care.