Collaborative Practice Improvement for Childhood Obesity in Rural Clinics: The Healthy Eating Active Living Telehealth Community of Practice (HEALTH COP)

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

This study assessed the impact of participation in a virtual quality improvement (QI) learning network on adherence to clinical guidelines for childhood obesity prevention in rural clinics. A total of 7 primary care clinics in rural California included in the Healthy Eating Active Living TeleHealth Community of Practice and 288 children seen in these clinics for well-child care participated in this prospective observational pre-post study. Clinics participated in a virtual QI learning network over 9 months to implement best practices and to exchange strategies for improvement. Following the intervention, documentation of weight assessment and counseling increased significantly. Children who received care from clinicians who led the implementation of the intervention at their clinic showed significant improvements in nutrition and physical activity. Virtual QI learning networks in geographically dispersed clinics can significantly increase clinicians’ adherence to guidelines for childhood obesity and improve access to recommended care for rural and underserved children.

Original languageEnglish (US)
Pages (from-to)467-475
Number of pages9
JournalAmerican Journal of Medical Quality
Volume29
Issue number6
DOIs
StatePublished - Nov 8 2014

Fingerprint

Telemedicine
Pediatric Obesity
Quality Improvement
Learning
Guideline Adherence
Child Care
Practice Guidelines
Documentation
Counseling
Primary Health Care
Guidelines
Exercise
Weights and Measures
Healthy Diet

Keywords

  • child
  • continuing
  • education
  • obesity
  • quality improvement
  • telemedicine

ASJC Scopus subject areas

  • Health Policy

Cite this

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abstract = "This study assessed the impact of participation in a virtual quality improvement (QI) learning network on adherence to clinical guidelines for childhood obesity prevention in rural clinics. A total of 7 primary care clinics in rural California included in the Healthy Eating Active Living TeleHealth Community of Practice and 288 children seen in these clinics for well-child care participated in this prospective observational pre-post study. Clinics participated in a virtual QI learning network over 9 months to implement best practices and to exchange strategies for improvement. Following the intervention, documentation of weight assessment and counseling increased significantly. Children who received care from clinicians who led the implementation of the intervention at their clinic showed significant improvements in nutrition and physical activity. Virtual QI learning networks in geographically dispersed clinics can significantly increase clinicians’ adherence to guidelines for childhood obesity and improve access to recommended care for rural and underserved children.",
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