Family-based pediatric weight management interventions in US primary care settings targeting children ages 6-12 years old: A systematic review guided by the RE-AIM framework.

Autor: Yudkin JS; The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Dallas, TX, USA., Koym K; Texas Medical Center Library, Houston, TX, USA., Hamad Y; The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Dallas, TX, USA., Malthaner LQ; The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Dallas, TX, USA., Burgess RM; The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Dallas, TX, USA., Ortiz LN; Fulbright Colombia, Bogota, Colombia., Dhurjati N; The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Dallas, TX, USA., Mitha S; The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Dallas, TX, USA., Calvi G; The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Dallas, TX, USA., Hill K; The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Dallas, TX, USA.; Children's Health, Children's Medical Center Dallas, Dallas, TX, USA.; Center for Pediatric Population Health, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Dallas, TX, USA., Brownell M; Georgetown University, School of Medicine, Washington, DC, USA., Wei E; Johns Hopkins University, School of Medicine, Baltimore, MD, USA., Swartz K; The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Dallas, TX, USA., Atem FD; The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Dallas, TX, USA., Galeener CA; The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Dallas, TX, USA., Messiah SE; The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Dallas, TX, USA.; Center for Pediatric Population Health, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Dallas, TX, USA., Barlow SE; Children's Health, Children's Medical Center Dallas, Dallas, TX, USA.; Department of Pediatrics, Division of Pediatric Gastroenterology, University of Texas Southwestern Medical Center, Dallas, TX, USA., Allicock MA; The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Dallas, TX, USA.
Jazyk: angličtina
Zdroj: Translational behavioral medicine [Transl Behav Med] 2024 Jan 11; Vol. 14 (1), pp. 34-44.
DOI: 10.1093/tbm/ibad051
Abstrakt: Obesity is a pandemic that disproportionately affects children from vulnerable populations in the USA. Current treatment approaches in primary care settings in the USA have been reported to be insufficient at managing pediatric obesity, primarily due to implementation challenges for healthcare systems and barriers for families. While the literature has examined the efficacy of pediatric obesity interventions focused on internal validity, it lacks sufficient reporting and analysis of external validity necessary for successful translation to primary care settings. We conducted a systematic review of the primary-care-setting literature from January 2007 to March 2020 on family-based pediatric weight management interventions in both English and/or Spanish for children ages 6-12 years in the USA using the Reach, Efficacy/Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework. A literature search, using PRISMA guidelines, was conducted in January 2022 using the following electronic databases: Medline Ovid, Embase, and Cochrane Library. 22 270 records were screened, and 376 articles were reviewed in full. 184 studies were included. The most commonly reported dimensions of the RE-AIM framework were Reach (65%), Efficacy/Effectiveness (64%), and Adoption (64%), while Implementation (47%) and Maintenance (42%) were less often reported. The prevalence of reporting RE-AIM construct indicators ranged greatly, from 1% to 100%. This systematic review underscores the need for more focus on external validity to guide the development, implementation, and dissemination of future pediatric obesity interventions based in primary care settings. It also suggests conducting additional research on sustainable financing for pediatric obesity interventions.
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Databáze: MEDLINE