ABSTRACT
Introduction: A self-guided web site offered by pediatric primary care providers could help parents
implement healthy behaviors. Method: The Dynamo Kids/¡Niños Dinámicos program was developed with input from parents and
health care professionals, creating a bilingual site for parents to learn why and
how to implement healthy behavior changes for their children. A single-arm pilot will
enroll parents with children 6-12 years with body mass index (BMI) ≥ 85th percentile seen in safety-net practices. Electronic health record modifications alert
providers to eligible children at well-child encounters. Consented parents complete
online surveys before accessing the site. At 3 months, the providers see children
in weight-focused encounters. Outcomes include change in Family Nutrition and Physical
Activity parent survey score (primary) and change in child relative BMI (secondary).
Additional data include time spent on site, provider surveys, and provider and parent
interviews. Results: Pending implementation. Discussion: If program shows promise, a large, controlled study could further evaluate with a
goal of broad dissemination
KEY WORDS
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Biography
Sarah E. Barlow, Professor, Department of Pediatrics, University of Texas Southwestern Medical Center; Children's Health, Children Medical Center of Dallas, Dallas, TX.
Biography
Joshua Yudkin, Doctoral Student, University of Texas Health Science Center at Houston, School of Public Health, Dallas Campus, Dallas, TX.
Biography
Victoria Nelson, Program Manager, Children's Health, Children Medical Center of Dallas, Dallas, TX.
Biography
Marlyn A. Allicock, Assistant Professor, University of Texas Health Science Center at Houston, School of Public Health, Dallas Campus, Dallas, TX.
Article info
Publication history
Published online: September 29, 2022
Footnotes
The University of North Carolina (UNC) at Chapel Hill Connected Health for Applications and Interventions Core services received support from the National Institutes of Health (grant no. P30DK056350; PI, Mayer-Davis and Shaikh) to UNC Nutrition Obesity Research Center and National Cancer Institute (grant no. P30CA16086; PI, Earp) to the UNC Lineberger Comprehensive Cancer Center. Agency for Healthcare Research and Quality R24 (grant no. HS022418; PI, Halm) provided a pilot award for formative interviews. Institutional support from Children's Health, Children's Medical Center of Dallas for Web site creation.
This study has been reviewed and approved by the Institutional Review Board at the University of Texas Southwestern and Parkland Hospital under study no. STU 2019-0876.
Conflicts of interest: None to report.
Identification
Copyright
Copyright © 2022 by the National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.
