Highlights
- •46% of Hispanic, 38% of black, and 29% of white children are overweight or obese.
- •School-based health centers (SBHCs) provide care to vulnerable youth.
- •Guidelines to assess childhood obesity have been published.
- •Little is known about SBHC provider adherence to obesity guidelines.
- •SBHC providers follow some guidelines, but there is room for improvement.
Abstract
Introduction
School-based health centers (SBHCs) serve many overweight/obese children, yet little
is known about provider adherence to obesity guidelines. The purpose of this descriptive
study was to evaluate obesity care assessment practices of SBHC providers prior to
completing training on obesity guidelines.
Method
Providers (n = 33) from SBHCs in six states (AZ, CO, NM, MI, NY, and NC) completed The International
Life Science Institute Research Foundation Assessment of Overweight in Children and
Adolescents Survey.
Results
Most providers reported using body mass index percentile (93.9%) to assess weight.
In caring for overweight/obese children, providers reported screening for hypertension
100% of the time and cardiovascular disease 93.9% of the time, and approximately two
thirds reported requesting total cholesterol and lipid profile laboratory assessments.
Some assessment guidelines were not routinely followed.
Discussion
SBHCs serve a high-risk population, and providers in this study may benefit from additional
training on assessment guidelines and quality improvement processes to improve adherence
to current guidelines.
Key Words
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Biography
Heather Aldrich, Professional Research Coordinator, College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, CO.
Biography
Bonnie Gance-Cleveland, Professor and Loretta C. Ford Endowed Chair, College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, CO 80045.
Biography
Sarah Schmiege, Assistant Research Professor, Department of Biostatistics and Informatics, University of Colorado Anschutz Medical Campus, Aurora, CO.
Biography
Danielle Dandreaux, Program Director, Center for Improving Health Outcomes in Children, Teens, and Families, College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ.
Article info
Publication history
Published online: June 25, 2014
Footnotes
This project was supported by grant No. R18HS018646 from the Agency for Healthcare Research and Quality. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality.
Conflicts of interest: None to report.
Identification
Copyright
© 2014 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.
