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Clinical Pediatrics
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Translating an Evidence-Based Intervention for Pediatric Overweight to a Primary Care Setting

Linda J. Ewing, PhD, RN

Department of Psychiatry, University of Pittsburgh, ewinglj{at}upmc.edu

Patricia Cluss, PhD

Department of Psychiatry, University of Pittsburgh

Sheri Goldstrohm, PhD

Department of Psychiatry, Western Psychiatric Institute and Clinic of UPMC-Presbyterian

Richard Ulrich, MS

Department of Psychiatry, Western Psychiatric Institute and Clinic of UPMC-Presbyterian

Kathleen Colborn, BS

Children's Hospital of Pittsburgh Pittsburgh, Pennsylvania

Lynne Cipriani, RN

Children's Hospital of Pittsburgh Pittsburgh, Pennsylvania

Ellen R. Wald, MD

Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin

The objective of this study was to train pediatric providers to address weight, body mass index (BMI), diet, and physical activity with parents. Children aged 8 to 12 years with BMI of ≥85th percentile were eligible if accompanied by a parent. The intervention was a family-based, 11-session behavioral program focusing on healthy eating and physical activity. Outcome measures were weight and BMI. Seventy-three child—parent dyads enrolled. Children who attended at least 6 of 8 intervention sessions and 1 of 3 follow-up sessions (completers) lost an average of 2.84 lb; change in BMI z scores was statistically significant at 5 months (P < .001). Primary care providers can acquire skills to increase their confidence in approaching children and parents regarding weight and BMI. Parents and children will attend an intervention targeting healthy weight in the pediatric practice. Professional office staff can be trained to provide an evidence-informed intervention that promotes healthy weight.

Key Words: translational research • child obesity • pediatric providers • primary care intervention • provider training

This version was published on May 1, 2009

Clinical Pediatrics, Vol. 48, No. 4, 397-403 (2009)
DOI: 10.1177/0009922808330109
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