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Thesis
Evaluation of the 215GO! Child Obesity Program in the Philadelphia Health Centers
Master of Public Health (M.P.H.), Drexel University
May 2011
DOI:
https://doi.org/10.17918/etd-3624
Abstract
Objectives: The 215GO! pediatric obesity treatment program operates in 4 of Philadelphia's 8 public neighborhood health centers (HCs). This program utilizes an inter-disciplinary treatment approach where an onsite health educator and nutritionist see overweight and obese children and a pediatrician oversees all care. This study aims to examine the impact of the 215GO! pediatric obesity treatment program on both processes of care and body-mass-index (BMI) outcomes. Methods: A retrospective cohort of overweight and obese patients was formed by a chart review of patients from 2 control HCs and 4 HCs offering a 215GO! clinic. Patient charts from July 2007 through June 2008 were reviewed to identify children 3 to 18 years old at the time of a pre-selected index visit with BMI > 85th percentile and at least 6 months of follow-up BMI data. 30 controls were identified from each of 6 health centers and 30 215GO! patients were identified from each of the 4 215GO! centers. In addition to index visit and follow-up BMI, patient demographics (age, sex, race/ethnicity) and processes of care (whether or not blood pressure was recorded, BMI recorded, BMI plotted, diagnosis in the chart, diagnosis in the Management Information System (MIS), and whether or not lab tests were taken) were extracted from the chart. Results: A total of 296 patients meeting the study criteria were identified. Multivariate analysis using a generalized estimating equation model showed no difference in BMI percentile change between 215GO! and control patients ([beta]=-.35 + .22, p=.11). 215GO! patients were significantly more likely to have their BMI recorded (OR: 3.69, 95%: 1.61-8.46), BMI plotted (OR: 2.09, 95%: 1.26-3.47), diagnosis in their chart (OR: 2.01, 95%: 1.14-3.55), diagnosis in the MIS (OR: 14.31, 95%: 2.61-78.27), and have lipid (OR: 4.75, 95%: 2.04-11.06), liver (OR: 3.21, 95%: 1.01-10.19), and glucose (OR: 4.75, 95%: 1.85-12.21) labs taken. Conclusion: The 215GO! program does not improve BMI outcomes for overweight and obese children. However, the program is effective in improving the processes of care for those children. Treatment and counseling methods should be reevaluated to translate these improvements in processes of care into improvements in outcomes.
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Details
- Title
- Evaluation of the 215GO! Child Obesity Program in the Philadelphia Health Centers
- Creators
- Daniel Morris Walker - DU
- Contributors
- Darryl Brown (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Master of Public Health (M.P.H.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Resource Type
- Thesis
- Language
- English
- Academic Unit
- School of Public Health (2002-2015); Drexel University
- Other Identifier
- 3624; 991014632939404721