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Clinical Effectiveness of the Massachusetts Childhood Obesity Research Demonstration Initiative among Low-Income Children
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July 2017
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Source: Obesity (Silver Spring). 25(7):1159-1166
[PDF-661.77 KB]
Details:
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Alternative Title:Obesity (Silver Spring)
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Personal Author:
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Description:Objective
To examine the extent to which a clinical intervention resulted in reduced body mass index (BMI) z-scores among 2–12 year old children compared to routine practice (treatment as usual, TAU).
Methods
The Massachusetts Childhood Obesity Research Demonstration project (MA-CORD) is a multifaceted initiative to prevent childhood obesity among low-income children. In the federally qualified community health centers (FQHC) of two communities (Intervention Site #1 and #2), we implemented (1) pediatric weight management training; (2) electronic decision supports for clinicians; (3) on-site Healthy Weight Clinics; (4) community health worker integration; and (5) healthful clinical environment changes. One FQHC in a demographically-matched community served as the TAU site. Using electronic health records, we assessed BMI z-scores and used linear mixed models to examine BMI z-score change over 2 years in each intervention site compared to a TAU site.
Results
Compared to children in the TAU site (n=2286), children in Intervention site #2 (n=1368) had a significant decline in BMI z-scores following the start of the intervention (−0.16 units/year; 95% CI: −0.21, −0.12). We found no evidence of an effect in Intervention site #1 (n=111).
Conclusions
The MA-CORD clinical interventions were associated with modest improvement in BMI z-scores in one of two intervention communities compared to a TAU community.
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Pubmed ID:28653504
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Pubmed Central ID:PMC5506684
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Volume:25
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Issue:7
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