Slide Presentation of the 2007 Annual Meeting of AHRQ

Implications for clinical care

• Challenges:
  • Multiple specific nutrition and activity risk factors need to addressed during obesity related counseling in all well visits
  • Limited time in well visits and more concerns of parents of obese children are more likely to have other concerns as well
• Low cost technology assists by:
  • Visit changed from majority of time on data gathering to discussion of issues
  • Allow clinician to prioritize issues and plan counseling approach and understand which families may need another visit
  • Parents have been prepared to discuss these issues
  • Knowing if other psychosocial and developmental issues are playing a role

Notes:

Asking about nutrition issues may prime parents
38% were concerned/ at beginning of PDA 55% interested in making change in nutrition later