Document Detail


Screening, referral, and participation in a weight management program implemented in five CHCs.
MedLine Citation:
PMID:  20453361     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Community health centers have the potential to lessen obesity. We conducted a retrospective evaluation of a quality improvement program that included electronic body mass index (BMI) screening with provider referral to an in-clinic lifestyle behavior change counselor with weekly nutrition and exercise classes. There were 26,661 adult patients seen across five community health centers operating the weight management program. There were 23,593 (88%) adult patients screened, and 12,487 (53%) of these patients were overweight or obese (BMI >or=25). Forty percent received a provider referral, 15.6% had program contact, and 2.1% had more than 10 program contacts. A mean weight loss of seven pounds was observed among those patients with more than 10 program contacts. No significant weight change was observed in patients with less contact. Achieving public health impact from guideline recommended approaches to CHC-based weight management will require considerable improvement in patient and provider participation.
Authors:
Daniel Clark; Lisa Chrysler; Anthony Perkins; Nicole R Keith; Deanna R Willis; Greg Abernathy; Faye Smith
Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Journal of health care for the poor and underserved     Volume:  21     ISSN:  1548-6869     ISO Abbreviation:  J Health Care Poor Underserved     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-10     Completed Date:  2010-07-27     Revised Date:  2011-09-27    
Medline Journal Info:
Nlm Unique ID:  9103800     Medline TA:  J Health Care Poor Underserved     Country:  United States    
Other Details:
Languages:  eng     Pagination:  617-28     Citation Subset:  IM    
Affiliation:
Indiana University, Medicine, Indianapolis, IN 46202, USA. dcclark@gorge.net
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MeSH Terms
Descriptor/Qualifier:
Adult
Body Mass Index
Community Health Centers / organization & administration*,  standards
Female
Health Behavior
Humans
Male
Mass Screening / statistics & numerical data*
Middle Aged
Obesity / therapy*
Patient Compliance / statistics & numerical data*
Program Evaluation
Referral and Consultation / statistics & numerical data*
Retrospective Studies
Weight Loss

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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