Improving access and systems of care for evidence‐based childhood obesity treatment: Conference key findings and next steps
Denise E. Wilfley,Amanda E. Staiano,Myra Altman,Jeanne Lindros,Angela Lima,Sandra G. Hassink,William H. Dietz,Stephen Cook +7 more
TLDR
To improve systems of care to advance implementation of the U.S. Preventive Services Task Force recommendations for childhood obesity treatment, clinicians offer/refer children with obesity to intensive, multicomponent behavioral interventions of >25 h over 6 to 12 months to improve weight status.Abstract:
Objective
To improve systems of care to advance implementation of the U.S. Preventive Services Task Force recommendations for childhood obesity treatment (i.e., clinicians offer/refer children with obesity to intensive, multicomponent behavioral interventions of >25 h over 6 to 12 months to improve weight status) and to expand payment for these services.
Methods
In July 2015, 43 cross-sector stakeholders attended a conference supported by the Agency for Healthcare Research and Quality, American Academy of Pediatrics Institute for Healthy Childhood Weight, and The Obesity Society. Plenary sessions presenting scientific evidence and clinical and payment practices were interspersed with breakout sessions to identify consensus recommendations.
Results
Consensus recommendations for childhood obesity treatment included: family-based multicomponent behavioral therapy; integrated care model; and multidisciplinary care team. The use of evidence-based protocols, a well-trained healthcare team, medical oversight, and treatment at or above the minimum dose (e.g., >25 h) are critical components to ensure effective delivery of high-quality care and to achieve clinically meaningful weight loss. Approaches to secure reimbursement for evidence-based obesity treatment within payment models were recommended.
Conclusions
Continued cross-sector collaboration is crucial to ensure a unified approach to increase payment and access for childhood obesity treatment and to scale up training to ensure quality of care.read more
Citations
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Proportion and number of cancer cases and deaths attributable to potentially modifiable risk factors in the United States
Farhad Islami,Ann Goding Sauer,Kimberly D. Miller,Rebecca L. Siegel,Stacey A. Fedewa,Eric J. Jacobs,Marjorie L. McCullough,Alpa V. Patel,Jiemin Ma,Isabelle Soerjomataram,W. Dana Flanders,Otis W. Brawley,Susan M. Gapstur,Ahmedin Jemal +13 more
TL;DR: These results may underestimate the overall proportion of cancers attributable to modifiable factors, because the impact of all established risk factors could not be quantified, and many likely modifiable risk factors are not yet firmly established as causal.
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Cardiovascular Risk Reduction in High-Risk Pediatric Patients: A Scientific Statement From the American Heart Association.
Sarah D. de Ferranti,Julia Steinberger,Rebecca K. Ameduri,Annette L. Baker,Holly C. Gooding,Aaron S. Kelly,Michele Mietus-Snyder,Mark Mitsnefes,Amy L. Peterson,Julie St-Pierre,Elaine M. Urbina,Justin P. Zachariah,Ali N. Zaidi +12 more
TL;DR: This scientific statement presents considerations for clinical management regarding the assessment and risk reduction of select pediatric populations at high risk for premature cardiovascular disease, including acquired arteriosclerosis or atherosclerosis.
Journal ArticleDOI
Evaluation and Management of Youth-Onset Type 2 Diabetes: A Position Statement by the American Diabetes Association
Silva A. Arslanian,Silva A. Arslanian,Fida Bacha,Margaret Grey,Marsha D. Marcus,Neil H. White,Philip Zeitler +6 more
TL;DR: These guidelines summarize available data specific to the comprehensive care of youth with type 2 diabetes and describe the relationship between β-cell function and insulin sensitivity and the disposition index, which essentially expresses the amount of insulin being secreted relative to the degree of insulin resistance.
Journal ArticleDOI
Behavioral interventions for obesity in children and adults: Evidence base, novel approaches, and translation into practice
Denise E. Wilfley,Jacqueline F. Hayes,Katherine N. Balantekin,Dorothy J. Van Buren,Leonard H. Epstein +4 more
TL;DR: Traditional behavioral weight loss strategies designed to change energy-balance behaviors (i.e., dietary and physical activity behaviors) and the contexts within which these interventions have typically been delivered are introduced.
Journal ArticleDOI
A Review of the Prevention and Medical Management of Childhood Obesity
TL;DR: The United States Prevention Services Task Force recommends children older than age 6 of years be screened for obesity and, if clinically indicated, be referred for moderate to high intensity comprehensive behavioral interventions.
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