268558 Using Health IT to bridge clinic and community in the fight against childhood obesity

Monday, October 29, 2012

Kevin Gilbert, PhD , Clinical Decision Support for Obesity, HeartSmartKids LLC, Boulder, CO
Sarah Winbourn, MD , Pediatric Health, Community Health Services, Commerce City, CO
Shauna Goldberg, MPH , Pediatrics, Section of Nutrition, University of Colorado, Denver, CO
Matthew Haemer, MD , Pediatrics, Section of Nutrition, University of Colorado, Denver, CO
Obesity in children is one of the great healthcare challenges of the early 21st century. Responses to the obesity epidemic from the healthcare community have been fractured and inconsistent for reasons including poor reimbursement, lack of evidence-based solutions, and poor provider self-efficacy in counseling. The path to health for each family should be discussed in the medical office but the implementation of that plan must be in the community. In addition, attention to prevention requires that health resources must be made available to all families regardless of weight status. This research effort used health informatics, specifically provider decision support, to connect clinics to community health information and an obesity intervention. The intervention is a family-centered, community-based obesity treatment delivered by trained non-experts from community organizations. It was created with the participation of academic researchers, medical and family resource staff from a local clinic, the local recreation center, and community healthy living groups. Five clinics, including four school-based health centers, were equipped with decision-support technology to increase implementation of national medical guidelines for the assessment, prevention, and treatment of childhood obesity. The decision-support technology was configured to automatically deliver geographically and temporally relevant information on healthy community resources to each family. Families of eligible children received an invitation to the next intervention session; others received information on healthy eating and activity resources within the community. In the 19 months since implementation, behavioral, anthropometric, and motivational information was gathered on 1992 children by the decision support system. Of those children, 748 were given information on the intervention. Fifty-four families with 122 children have attended nine sessions. This presentation will describe the flow of patients and information in a healthy living program that includes partners from healthcare, public recreation, health informatics, and academia.

Learning Areas:
Administer health education strategies, interventions and programs
Communication and informatics
Provision of health care to the public

Learning Objectives:
Describe a childhood obesity intervention that includes elements from healthcare and community. Identify elements of the childhood obesity guidelines that can best be addressed in clinic versus community.

Keywords: Child Health, Community-Based Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Together with medical researchers and healthcare providers I have developed childhood obesity screening tools to implement national guidelines in the screening of over forty thousand children in clinic and community settings. I helped the Colorado Clinical Guidelines Collaborative develop childhood obesity guidelines for the state of Colorado. I participate in multiple research and health promotion grants from AHRQ and The Colorado Health Foundation.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
HeartSmartKids LLC childhood obesity Founder, CEO

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.