About the Study
This NIH-funded study compares two interventions, one for the clinic and the other for families, and their combination, to address pediatric overweight and obesity among rural and underserved children and families.
Interventions
Clinic/Practice: Healthy Clinic is a 6-month clinic level intervention designed to improve provider office processes using a bundled intervention of provider prompts, skills training and intervention tools implemented with performance feedback. The QI project to improve clinic process for identifying and treating children with overweight and obesity in their practice. Topics will include information on the new obesity medication recommendations and behavioral interventions around diet, activity and environment change.
Family telehealth behavioral intervention: iAmHealthy is a 6 month rurally tailored empirically supported family-based behavioral group intervention targeting the families of children who are overweight or obese.
Clinics will participate for 3.5 years, with 6 months in the clinic intervention (with the option of 6 further months as a peer faculty in the QI intervention). There is a practice honorarium and the 25 MOC part 4 credits through the American Board of Pediatrics or the American Academy of Family Physicians. There is the potential for 25 additional points for extra points with individual participation.
This is a 5-year project. The clinic involvement will be primarily during the 6 months of your practice’s Healthy Clinic intervention. There will be no interference with practice flow and different practices will start at different times (your clinic will be randomly assigned a start date).
For 3.5 years, every 6 months, research staff will review medical records of recently seen children who are overweight or obese including those who are recruited for iAmHealthy telehealth behavioral intervention.