Abstract
The purpose of the quality improvement (QI) project was to provide parents nutritional education of recommended feeding practices as a means of encouraging parents to incorporate healthy parental role modeling behavior at home and reduce pediatric body mass index (BMI). The plan-do-study-act was the chosen methodology applied to initiate a practice change within the current treatment of childhood obesity in the outpatient pediatric setting [1, 2]. There was a total of 9 parent/child dyad participants who completed the study. The inclusionary criteria for the study was the child was 2-5 years old, with a body mass index (BMI) greater than or equal to 85% according to the pediatric growth curve with accompanied parents/ guardians that was able to give consent. The study demonstrated that there was a statistically significant difference in the pre-survey scores (M=19.00, SD=5.39) and the post-survey scores (M=16.44, SD=3.32); t (8) =2.34, p =.048; clarifying that lower/decreased survey scores demonstrated an improvement in parental knowledge. There was not a significant difference be- tween the pre-educational BMI (M=18.27, SD=.75) and the post-educational BMI (M=18.39, SD=1.16) of study participants; t (8) =-.35, p=.734. This study used the Parental Role Model Assessment tool to compare the pre-interventional parental role modeling scores to the post-interventional role modeling scores within the pediatric home. The quality improvement (QI) team determined that the post interventional Parental Role Model Assessment scores decreased which suggested that the educational intervention delivered by the pediatric provider on positive parental role modeling was retained and modeled by the parents within the pediatric home over a 3 month period. The team concludes that enhancing standards of practice within the pediatric primary care setting to allow for improving parental nutritional/ lifestyle knowledge deficits and providing education to strengthen positive parental role modeling will act to enhance quality-health outcomes within the pediatric obese/overweight population.
Highlights
Childhood obesity is a public health crisis that increases negative health outcomes and rising cost within the American health care system [2, 3]
A paired t-test was chosen for the quality improvement (QI) project to compare two population means where you have two samples in which observations in one sample can be paired with observations in the other sample
The QI project aimed to provide parents nutritional education of recommended feeding practices to encourage the incorporation of healthy parental role modeling behavior in the pediatric home to reduce child- hood body mass index (BMI)
Summary
Childhood obesity is a public health crisis that increases negative health outcomes and rising cost within the American health care system [2, 3]. Increasing parental nutrition knowledge and encouraging parental involvement in pediatric weight loss treatment plans in the primary care setting is one solution to address the childhood obesity epidemic [68]. Implementation of interactive, educational, family-centered interventions within primary care encourages parental engagement in pediatric weight loss treatment plans to increase the success in BMI reduction [9, 10]. The project determined if implementing a parent focused healthy lifestyle, interactive educational class is an effective intervention for obesity treatment within a pediatric outpatient primary care setting. The presence and advancement of progressive conditions cripple the obese population’s quality and longevity of life [2, 25]
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