Medical nutrition therapy for overweight youth in their medical home: The KIDPOWER experience
Abstract Objective To determine the feasibility and impact of implementing a standardized medical nutrition therapy (MNT) protocol to treat overweight children in their medical home. Primary outcomes evaluated were changes in eating behaviors, television habits, and weight status. Methods A MNT prot...
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| Veröffentlicht in: | Patient education and counseling 2010-10, Vol.81 (1), p.43-46 |
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| creator | Henes, Sarah T Collier, David N Morrissey, Susan L Cummings, Doyle M Kolasa, Kathryn M |
| description | Abstract Objective To determine the feasibility and impact of implementing a standardized medical nutrition therapy (MNT) protocol to treat overweight children in their medical home. Primary outcomes evaluated were changes in eating behaviors, television habits, and weight status. Methods A MNT protocol with handouts (known as KIDPOWER) was delivered by a registered dietitian (RD) to overweight children (2–20 years) in 9 primary care practices in a rural community. A medical record review yielded height, weight and selected patient/parent reported eating and TV behaviors from each MNT visit. Mean values were compared by paired samples t -tests. Changes in behaviors and BMI z score were compared using repeated measures ANOVA. Results For patients with at least three MNT visits ( n = 109) significant improvements in eating and TV viewing habits were seen by the third visit. Weight status, as determined by a significant decline in mean BMI z score, was improved. Conclusion The KIDPOWER protocol delivered by a RD in the pediatric medical home aided overweight youth in making behavior changes that positively impacted their weight status. Practice implications Reimbursement to RDs for treating childhood obesity is improving and KIDPOWER provides a model and tools for community practice. |
| doi_str_mv | 10.1016/j.pec.2009.11.011 |
| format | Article |
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Primary outcomes evaluated were changes in eating behaviors, television habits, and weight status. Methods A MNT protocol with handouts (known as KIDPOWER) was delivered by a registered dietitian (RD) to overweight children (2–20 years) in 9 primary care practices in a rural community. A medical record review yielded height, weight and selected patient/parent reported eating and TV behaviors from each MNT visit. Mean values were compared by paired samples t -tests. Changes in behaviors and BMI z score were compared using repeated measures ANOVA. Results For patients with at least three MNT visits ( n = 109) significant improvements in eating and TV viewing habits were seen by the third visit. Weight status, as determined by a significant decline in mean BMI z score, was improved. Conclusion The KIDPOWER protocol delivered by a RD in the pediatric medical home aided overweight youth in making behavior changes that positively impacted their weight status. Practice implications Reimbursement to RDs for treating childhood obesity is improving and KIDPOWER provides a model and tools for community practice.</description><identifier>ISSN: 0738-3991</identifier><identifier>EISSN: 1873-5134</identifier><identifier>DOI: 10.1016/j.pec.2009.11.011</identifier><identifier>PMID: 20006457</identifier><language>eng</language><publisher>Oxford: Elsevier Ireland Ltd</publisher><subject>Adolescent ; Biological and medical sciences ; Child ; Child, Preschool ; Childhood obesity treatment ; Clinical Protocols ; Counseling protocol and patient education handouts ; Diet, Reducing ; Feasibility Studies ; Female ; Humans ; Internal Medicine ; Male ; Medical nutrition therapy (MNT) ; Medical sciences ; Miscellaneous ; North Carolina ; Nursing ; Nutrition delivered in primary care medical home ; Overweight - diet therapy ; Patient Education as Topic ; Primary Health Care ; Public health. Hygiene ; Public health. 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All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-2bba62e94e63a7b3fee4ff1fda4b355af476074fae329fd5f9418a45dc57957b3</citedby><cites>FETCH-LOGICAL-c437t-2bba62e94e63a7b3fee4ff1fda4b355af476074fae329fd5f9418a45dc57957b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0738399109005886$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24269457$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20006457$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Henes, Sarah T</creatorcontrib><creatorcontrib>Collier, David N</creatorcontrib><creatorcontrib>Morrissey, Susan L</creatorcontrib><creatorcontrib>Cummings, Doyle M</creatorcontrib><creatorcontrib>Kolasa, Kathryn M</creatorcontrib><title>Medical nutrition therapy for overweight youth in their medical home: The KIDPOWER experience</title><title>Patient education and counseling</title><addtitle>Patient Educ Couns</addtitle><description>Abstract Objective To determine the feasibility and impact of implementing a standardized medical nutrition therapy (MNT) protocol to treat overweight children in their medical home. Primary outcomes evaluated were changes in eating behaviors, television habits, and weight status. Methods A MNT protocol with handouts (known as KIDPOWER) was delivered by a registered dietitian (RD) to overweight children (2–20 years) in 9 primary care practices in a rural community. A medical record review yielded height, weight and selected patient/parent reported eating and TV behaviors from each MNT visit. Mean values were compared by paired samples t -tests. Changes in behaviors and BMI z score were compared using repeated measures ANOVA. Results For patients with at least three MNT visits ( n = 109) significant improvements in eating and TV viewing habits were seen by the third visit. Weight status, as determined by a significant decline in mean BMI z score, was improved. Conclusion The KIDPOWER protocol delivered by a RD in the pediatric medical home aided overweight youth in making behavior changes that positively impacted their weight status. Practice implications Reimbursement to RDs for treating childhood obesity is improving and KIDPOWER provides a model and tools for community practice.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Childhood obesity treatment</subject><subject>Clinical Protocols</subject><subject>Counseling protocol and patient education handouts</subject><subject>Diet, Reducing</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical nutrition therapy (MNT)</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>North Carolina</subject><subject>Nursing</subject><subject>Nutrition delivered in primary care medical home</subject><subject>Overweight - diet therapy</subject><subject>Patient Education as Topic</subject><subject>Primary Health Care</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Retrospective Studies</subject><subject>Young Adult</subject><issn>0738-3991</issn><issn>1873-5134</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFu1DAURS1ERYfCB7BB3iBWSe3YiWOQKqFSoGpRERSxQpbjPBMPmTjYSen8PU5nAIkFK1vyuU9-5yL0hJKcElodr_MRTF4QInNKc0LpPbSitWBZSRm_j1ZEsDpjUtJD9DDGNSGkqjh9gA6L5cpLsUJf30PrjO7xME_BTc4PeOog6HGLrQ_Y30D4Ce5bN-Gtn6cOu7t3F_Bmn-v8Bl7g6w7wxfnrD1dfzj5iuB0hOBgMPEIHVvcRHu_PI_T5zdn16bvs8urt-emry8xwJqasaBpdFSA5VEyLhlkAbi21reYNK0ttuaiI4FYDK6RtSys5rTUvW1MKWabAEXq-mzsG_2OGOKmNiwb6Xg_g56gEl4RyIYtE0h1pgo8xgFVjcBsdtooStUhVa5WkqkWqolQlqSnzdD99btLafxK_LSbg2R7QMTmxQQ_Gxb8cLyq5417uOEgubhwEFc2dp9YFMJNqvfvvN07-SZveDUsJ32ELce3nMCTJiqpYKKI-Le0v5RNJSFnXFfsFH8ypnQ</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Henes, Sarah T</creator><creator>Collier, David N</creator><creator>Morrissey, Susan L</creator><creator>Cummings, Doyle M</creator><creator>Kolasa, Kathryn M</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20101001</creationdate><title>Medical nutrition therapy for overweight youth in their medical home: The KIDPOWER experience</title><author>Henes, Sarah T ; Collier, David N ; Morrissey, Susan L ; Cummings, Doyle M ; Kolasa, Kathryn M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-2bba62e94e63a7b3fee4ff1fda4b355af476074fae329fd5f9418a45dc57957b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Childhood obesity treatment</topic><topic>Clinical Protocols</topic><topic>Counseling protocol and patient education handouts</topic><topic>Diet, Reducing</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical nutrition therapy (MNT)</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>North Carolina</topic><topic>Nursing</topic><topic>Nutrition delivered in primary care medical home</topic><topic>Overweight - diet therapy</topic><topic>Patient Education as Topic</topic><topic>Primary Health Care</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Retrospective Studies</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Henes, Sarah T</creatorcontrib><creatorcontrib>Collier, David N</creatorcontrib><creatorcontrib>Morrissey, Susan L</creatorcontrib><creatorcontrib>Cummings, Doyle M</creatorcontrib><creatorcontrib>Kolasa, Kathryn M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Patient education and counseling</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Henes, Sarah T</au><au>Collier, David N</au><au>Morrissey, Susan L</au><au>Cummings, Doyle M</au><au>Kolasa, Kathryn M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Medical nutrition therapy for overweight youth in their medical home: The KIDPOWER experience</atitle><jtitle>Patient education and counseling</jtitle><addtitle>Patient Educ Couns</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>81</volume><issue>1</issue><spage>43</spage><epage>46</epage><pages>43-46</pages><issn>0738-3991</issn><eissn>1873-5134</eissn><abstract>Abstract Objective To determine the feasibility and impact of implementing a standardized medical nutrition therapy (MNT) protocol to treat overweight children in their medical home. Primary outcomes evaluated were changes in eating behaviors, television habits, and weight status. Methods A MNT protocol with handouts (known as KIDPOWER) was delivered by a registered dietitian (RD) to overweight children (2–20 years) in 9 primary care practices in a rural community. A medical record review yielded height, weight and selected patient/parent reported eating and TV behaviors from each MNT visit. Mean values were compared by paired samples t -tests. Changes in behaviors and BMI z score were compared using repeated measures ANOVA. Results For patients with at least three MNT visits ( n = 109) significant improvements in eating and TV viewing habits were seen by the third visit. Weight status, as determined by a significant decline in mean BMI z score, was improved. Conclusion The KIDPOWER protocol delivered by a RD in the pediatric medical home aided overweight youth in making behavior changes that positively impacted their weight status. Practice implications Reimbursement to RDs for treating childhood obesity is improving and KIDPOWER provides a model and tools for community practice.</abstract><cop>Oxford</cop><pub>Elsevier Ireland Ltd</pub><pmid>20006457</pmid><doi>10.1016/j.pec.2009.11.011</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Biological and medical sciences Child Child, Preschool Childhood obesity treatment Clinical Protocols Counseling protocol and patient education handouts Diet, Reducing Feasibility Studies Female Humans Internal Medicine Male Medical nutrition therapy (MNT) Medical sciences Miscellaneous North Carolina Nursing Nutrition delivered in primary care medical home Overweight - diet therapy Patient Education as Topic Primary Health Care Public health. Hygiene Public health. Hygiene-occupational medicine Retrospective Studies Young Adult |
| title | Medical nutrition therapy for overweight youth in their medical home: The KIDPOWER experience |
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