Scaling-Up Stage 4 Pediatric Obesity Clinics: Identifying Barriers and Future Directions Using Implementation Science.
Nearly one-fifth of the pediatric population in the United States has obesity. Comprehensive behavioral interventions, with at least 26 contact hours, are the recommended treatment for pediatric obesity; however, there are various barriers to implementing treatment. This Perspective applies the Expl...
| Publicado en: | Obesity (19307381) Vol. 29; no. 6; pp. 941 - 944 |
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| Autores principales: | , , , , |
| Formato: | pictorial tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150474126&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 150474126 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19307381 GSO jtl: Obesity (19307381) issn: 19307381 maglogo: Y pubinfo: dt: Jun2021 vid: 29 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 150474126 150474126 NLM33904257 150474126 10.1002/oby.23162 NLM33904257 150474126 ppf: 941 ppct: 3 formats: tig: atl: Scaling-Up Stage 4 Pediatric Obesity Clinics: Identifying Barriers and Future Directions Using Implementation Science. aug: au: Newsome, Faith A. Dilip, Abhaya Armstrong, Sarah C. Salloum, Ramzi G. Cardel, Michelle I. affil: Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, Gainesville Florida,, USA sug: subj: Ambulatory Care Facilities Pediatric Obesity Therapy Health Services Accessibility Administration Health and Welfare Planning Standards Ambulatory Care Facilities Trends Pediatric Obesity Epidemiology Study Design Health Services Accessibility Standards Child Ambulatory Care Facilities Standards Child, Preschool Telemedicine United States Health and Welfare Planning Methods Health Care Delivery, Integrated Standards Ambulatory Care Facilities Administration Health Care Delivery, Integrated Trends Health and Welfare Planning Administration Health Care Delivery, Integrated Administration Health Services Accessibility Trends Adolescence Child: 6-12 years Child, Preschool: 2-5 years Adolescent: 13-18 years ab: Nearly one-fifth of the pediatric population in the United States has obesity. Comprehensive behavioral interventions, with at least 26 contact hours, are the recommended treatment for pediatric obesity; however, there are various barriers to implementing treatment. This Perspective applies the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework to address barriers to implementing multidisciplinary pediatric weight management clinics and identify potential solutions and areas for additional research. Lack of insurance coverage and reimbursement, high operating costs, and limited access to stage 4 care clinics with sufficient capacity were among the main barriers identified. Clinicians, researchers, and patient advocates are encouraged to facilitate conversations with insurance companies and hospital and clinic administrators, increase telehealth adoption, request training to improve competency and self-efficacy discussing and implementing obesity care, and advocate for more stage 4 clinics. pubtype: Academic Journal doctype: pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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