Primary Care Group Visits for Childhood Obesity: Clinical Program Evaluation

Clement J. Bottino, Gabriella C. Puente, Amanda Burrage, Candace Tannis, Jennifer K. Cheng, Alexandra Epee-Bounya, Joanne E. Cox

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

We conducted 29 group visits targeting children with elevated body mass index (BMI) and their families. Visit activities focused on social support, mind-body techniques, exercise, and nutrition. Measures included attendance, family satisfaction scores, and per-patient change in BMI percentile. Ninety-six patients attended ≥1 group visit, mean 2.0 (SD ±1.8; range 1-14). Mean patient age was 9.6 years (SD ±2.4; range 4-15 years); 53.1% were female; 44.8% had a BMI 95th to 99th percentile for age/sex; 35.4% had a BMI >99th percentile. Mean attendance per group visit was 6.8 patients (SD ±3.8; range 1-16 patients). Mean family satisfaction scores were 9.8 (SD ±0.8) with 10/10 “would recommend to family or friends.” Of 42 patients who attended ≥2 group visits, 5 (11.9%) experienced a ≥5 BMI percentile reduction between first and last visits; 3 (7.1%) maintained this reduction 2 years later. Group visits were associated with high family satisfaction scores, though few patients experienced a reduction in BMI percentile.

Original languageEnglish
Pages (from-to)442-450
Number of pages9
JournalClinical Pediatrics
Volume57
Issue number4
DOIs
StatePublished - 1 Apr 2018
Externally publishedYes

Keywords

  • children
  • group visit
  • obesity
  • pediatric
  • primary care
  • shared medical appointment

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