Introduction: The purpose of this practice improvement project (PIP) was to implement a systematic obesity screening and referral process for children ages 3-17 at a county primary care clinic.
Method: This descriptive study used the Knowledge to Action Cycle to guide the implementation process. Mixed methods including quantitative data collection and a qualitative survey were used to analyze the process.
Results: Of 1,265 visits, BMI percentile was recorded for 874 (69%). Of these 874, 237 (27%) had a BMI≥95%. Forty (17%) children with BMI≥95% were screened for readiness to be referred to a BHC. And of those screened for readiness, only 9 (23%) were ready for a behavioral health intervention, 4 of whom attended an appointment. Barriers listed in the providers’ survey included: limited time and discomfort discussing obesity, and a negative association with a BHC.
Discussion: This PIP proved a challenge for the providers. However, valuable lessons were learned regarding barriers to avoid for similar implementation projects in the future.
Author Supplied Keywords
Children, Obesity, BMI, Screening, Referral, Implementation
Childhood obesity--Prevention; Health Screening
Citation: Pilot Scholars Version (Modified MLA Style)
Wright, Sarah; Toledo-Silvestre, Isabel; and Napolitano, Marie, "Knowledge Translation: Implementing a Child Obesity Screening and Referral Process" (2015). Nursing Graduate Publications and Presentations. Paper 7.