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Clinical effectiveness of the massachusetts childhood obesity research demonstration initiative among low-income children
- Source :
- Obesity (Silver Spring, Md.)
- Publication Year :
- 2016
-
Abstract
- Objective To examine the extent to which a clinical intervention resulted in reduced body mass index (BMI) z-scores among 2–12 year old children compared to routine practice (treatment as usual, TAU). Methods The Massachusetts Childhood Obesity Research Demonstration project (MA-CORD) is a multifaceted initiative to prevent childhood obesity among low-income children. In the federally qualified community health centers (FQHC) of two communities (Intervention Site #1 and #2), we implemented (1) pediatric weight management training; (2) electronic decision supports for clinicians; (3) on-site Healthy Weight Clinics; (4) community health worker integration; and (5) healthful clinical environment changes. One FQHC in a demographically-matched community served as the TAU site. Using electronic health records, we assessed BMI z-scores and used linear mixed models to examine BMI z-score change over 2 years in each intervention site compared to a TAU site. Results Compared to children in the TAU site (n=2286), children in Intervention site #2 (n=1368) had a significant decline in BMI z-scores following the start of the intervention (−0.16 units/year; 95% CI: −0.21, −0.12). We found no evidence of an effect in Intervention site #1 (n=111). Conclusions The MA-CORD clinical interventions were associated with modest improvement in BMI z-scores in one of two intervention communities compared to a TAU community.
- Subjects :
- Community Health Workers
Male
community health
Pediatric Obesity
clinical care
Body Weight
Health Behavior
Article
Body Mass Index
Treatment Outcome
Massachusetts
Child, Preschool
Prevalence
Electronic Health Records
Humans
Female
Longitudinal Studies
Diet, Healthy
Child
Exercise
Poverty
childhood obesity
intervention
Subjects
Details
- ISSN :
- 1930739X
- Volume :
- 25
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Obesity (Silver Spring, Md.)
- Accession number :
- edsair.pmid..........e161a76dc75855b73ad973ec905d8938