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Clinician adherence to childhood overweight and obesity recommendations by race/ethnicity of the child
Author(s) -
GanceCleveland Bonnie,
Aldrich Heather,
Schmiege Sarah,
Coursen Cristi,
Dandreaux Danielle,
Gilbert Lynn
Publication year - 2015
Publication title -
journal for specialists in pediatric nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.499
H-Index - 38
eISSN - 1744-6155
pISSN - 1539-0136
DOI - 10.1111/jspn.12107
Subject(s) - overweight , body mass index , medicine , ethnic group , obesity , childhood obesity , audit , family medicine , pediatrics , gerontology , demography , management , sociology , anthropology , economics
Purpose This study describes school‐based health center ( SBHC ) providers’ adherence to obesity guidelines. Design and Methods Providers ( n = 28) were from SBHCs in six states serving children 5–12 years of age. A random sample of well‐child charts ( n = 850) were audited for body mass index percentage, blood pressure percentage, overweight/obesity diagnosis, and laboratory assessment. Results Body mass index percentage was documented on 73% of charts and blood pressure percentage on 30.5%. Providers accurately diagnosed 40% overweight and 49.3% obese children. Laboratory guidelines were followed in 80.4% of cases. Assessments differed by child's race/ethnicity ( p < .05), with most criteria having higher adherence in minority youth. Practice Implications There is a need for increased accuracy in how SBHC providers screen overweight/obese children.