Pediatric Weight Management ECHO® Learning Initiative

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Pediatric Weight Management ECHO® 

August 17th Meeting: Quality Improvement Practice Sharing 

    July 20th Meeting: Quality Improvement Practice Sharing 

    June 20th Meeting: Self-Monitoring, Engagement in Treatment  

    May 18th Meeting: Role of IBH clinician / PEDIPRN / Triage Care

    April 20th Meeting: Nutrition / Physical Activity counseling 

    March 16th Meeting: Empowering Parents

    February 16th Meeting: Family-Based Behavioral Treatment 

    January 19th Meeting: Difficult Conversations

    December 15th Meeting: Developmental Approach to Prevention of Childhood Obesity

    November 17th Meeting: Cultural Considerations

    October 20th Meeting: Weight Bias/Stigma and impact on mental health

    September 22nd Kickoff Meeting: Epidemiology of Obesity (AAP guidelines)

    Rhode Island Resources: 

    BALANCE provides cognitive behavioral therapy, mindfulness activities, and healthy lifestyle education for adolescents as well as support and guidance for parents or guardians. 


    Social Sparks, Lincoln, RI offers group tx for children/teens with a variety of themes



    Resources shared in the ECHO series: 


    Session 1: Epidemiology of Obesity

    September 22, 2022

    • Sarah E Barlow, Expert Committee. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. 2007 Dec;120 Suppl 4:S164-92.
    • Matthew M Davis, et al. Recommendations for prevention of childhood obesity.  Pediatrics. 2007 Dec;120 Suppl 4:S229-53. PMID: 18055653
    • Nancy F Krebs, et al. Assessment of child and adolescent overweight and obesity. Pediatrics. 2007 Dec;120 Suppl 4:S193-228. PMID: 18055652
    • Bonnie A Spear, et al. Recommendations for treatment of child and adolescent overweight and obesity. Pediatrics. 2007 Dec;120 Suppl 4:S254-88. PMID: 18055654



    Session 2:  Weight Bias/Stigma and impact on mental health

    October 20, 2022



    Session 3:  Cultural Considerations

    November 17, 2022

    • Teaching Diversity and Social Justice, Second Edition, Routledge, 2007 Diane J. Goodman, Ed.D.
    • Goodman, D. (2020). Cultural Competence for Equity and Inclusion. Understanding and Dismantling Privilege10(1), 41-60. Retrieved from
    • Hays, P.A. (2013). Connecting Across Cultures: The Helper's Toolkit. Thousand Oaks, CA: SAGE, pp. 15-16. Original version published in Hays, P.A. (2008). Addressing cultural complexities in practice: Assessment, diagnosis, and therapy. Washington DC: APA.
    • Hays, P. (2016). Addressing Cultural Complexities in Practice, Third Edition. Washington DC: American Psychological Association. Chapters 1-3
    • Hook, J. N., Davis, D. E., Owen, J., Worthington, E. L., & Utsey, S. O. (2013). Cultural humility: measuring openness to culturally diverse clients. Journal of counseling psychology60(3), 353–366.



    Session 4:  Prevention and Developmental Considerations

    December 15, 2022

    Education of Families of Young infants and Toddlers

    Videos highlighted in Celeste Corcoran's presentation:


    Ho TJH, Cheng LJ, Lau Y. School-based interventions for the treatment of childhood obesity: a systematic review, meta-analysis and meta-regression of cluster randomised controlled trials. Public Health Nutr. 2021 Jul;24(10):3087-3099. doi: 10.1017/S1368980021001117. Epub 2021 Mar 22. PMID: 33745501; PMCID: PMC9884753.

    Hughes SO, Power TG, Baker SS, Barale KV, Aragon MC, Lanigan JD, Parker L, Silva Garcia K, Auld G, Johnston CA, Micheli N. Short-Term Efficacy of a Childhood Obesity Prevention Program Designed to Pair Feeding Content With Nutrition Education. Child Obes. 2023 Jun;19(4):239-248. doi: 10.1089/chi.2022.0030. Epub 2022 Jun 16. PMID: 35708621.

    Sharifi M, Block JP. The Urgency of Expanding Access to Effective Treatment for Childhood Obesity. Child Obes. 2021 Sep;17(S1):S3-S4. doi: 10.1089/chi.2021.29014. PMID: 34569836.



    Session 5:  Difficult Conversations

    January 19, 2023

    Obesity Education Opportunities for Healthcare Professionals AAP



    Session 6:  Family-Based Behavioral Treatment

    February 16, 2023



    Session 7:  Empowering Parents

    March 16, 2023

    Positive Parenting Approaches Article

    Ellyn Satter’s Division of Responsibility in Feeding one pager



    Session 8:  Nutrition and Physical Activity

    April 20, 2023

    Move Your Way Resources

    Visit AAP Institute for Healthy Childhood Weight to access online resources including validated screeners, clinical support tools, and patient education materials


    Find breastfeeding support

    Find a dietitian

    Find a mental health provider

    Find physical activity opportunities


    1. U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2020-2025. 9th Edition. December 2020. Available at 1.
    2. Dietary Guidelines Advisory Committee. 2020. Scientific Report of the 2020 Dietary Guidelines Advisory Committee: Advisory Report to the Secretary of Agriculture and the Secretary of Health and Human Services. U.S. Department of Agriculture, Agricultural Research Service, Washington, DC.
    3. Savage, J. S., Fisher, J. O., & Birch, L. L. (2007). Parental influence on eating behavior: Conception to adolescence. Journal of Law, Medicine and Ethics, 35(1), 22–34.
    4. Wood, A. C., Blissett, J. M., Brunstrom, J. M., Carnell, S., Faith, M. S., Fisher, J. O., Hayman, L. L., Khalsa, A. S., Hughes, S. O., Miller, A. L., Momin, S. R., Welsh, J. A., Woo, J. G., & Haycraft, E. (2020). Caregiver Influences on Eating Behaviors in Young Children. Journal of the American Heart Association, 9(10).
    5. 2018 Physical Activity Guidelines Advisory Committee. 2018 Physical Activity Guidelines Advisory Committee Scientific Report. Washington, DC: U.S. Department of Health and Human Services, 2018.
    6. Lara H. Mossman, Gavin R. Slemp, Kelsey J. Lewis, Rachel H. Colla & Paul O’Halloran (2022) Autonomy support in sport and exercise settings: a systematic review and meta-analysis, International Review of Sport and Exercise Psychology, DOI: 10.1080/1750984X.2022.2031252
    7. Council On Community Pediatrics, Committee On Nutrition, Gitterman, B. A., Chilton, L. A., Cotton, W. H., Duffee, J. H., Flanagan, P., Keane, V. A., Krugman, S. D., Kuo, A. A., Linton, J. M., McKelvey, C. D., Paz-Soldan, G. J., Daniels, S. R., Abrams, S. A., Corkins, M. R., de Ferranti, S. D., Golden, N. H., Magge, S. N., & Schwarzenberg, S. J. (2015). Promoting Food Security for All Children. Pediatrics, 136(5), e1431–e1438.
    8. Hager, E. R., Quigg, A. M., Black, M. M., Coleman, S. M., Heeren, T., Rose-Jacobs, R., Cook, J. T., Ettinger de Cuba, S. E., Casey, P. H., Chilton, M., Cutts, D. B., Meyers A. F., Frank, D. A. (2010). Development and Validity of a 2-Item Screen to Identify Families at Risk for Food Insecurity. Pediatrics, 126(1), 26-32. doi:10.1542/peds.2009-3146.



    Session 9:  Role of the IBH Clinician/Triage/Pedi PRN

    May 18, 2023

    RI Resources for youth with weight and mental health concerns:


    HealthTRAC:  401-793-8945

    BALANCE Clinic:  401-432-1119

    Web-based resources for youth with weight concerns:



    Session 10:  Self-Monitoring

    June 15, 2023


    • Darling, K. E., Warnick, J., Guthrie, K. M., Santos, M., & Jelalian, E. (2023). Weight management engagement for teens from low-income backgrounds: Qualitative perspectives from adolescents and caregivers. Journal of Pediatric Psychology, jsad008.
    • Boutelle, K. N., & Kirschenbaum, D. S. (1998). Further support for consistent self‐monitoring as a vital component of successful weight control. Obesity research, 6(3), 219-224.
    • Browne, V. R., Bruno, D. M., Dhuper, S., & Afable, A. (2022). Insights into the challenges and facilitators to physical activity among brooklyn teens enroled in a weight management programme. Health Expectations, 25(4), 1832-1843.
    • Darling, K. E., & Sato, A. F. (2017). Systematic review and meta-analysis examining the effectiveness of mobile health technologies in using self-monitoring for pediatric weight management. Childhood Obesity, 13(5), 347-355.
    • Epstein, L. H., Paluch, R. A., Gordy, C. C., & Dorn, J. (2000). Decreasing sedentary behaviors in treating pediatric obesity. Archives of pediatrics & adolescent medicine, 154(3), 220-226.
    • Germann, J. N., Kirschenbaum, D. S., & Rich, B. H. (2007). Child and parental self-monitoring as determinants of success in the treatment of morbid obesity in low-income minority children. Journal of pediatric psychology, 32(1), 111-121.
    • Hampl, S., Paves, H., Laubscher, K., & Eneli, I. (2011). Patient engagement and attrition in pediatric obesity clinics and programs: results and recommendations. Pediatrics, 128(Supplement_2), S59-S64.
    • Kirschenbaum, D. S., Germann, J. N., & Rich, B. H. (2005). Treatment of morbid obesity in low‐income adolescents: effects of parental self‐monitoring. Obesity Research, 13(9), 1527-1529.
    • Salaens, B. E., & McGrath, A. M. (2003). Self-monitoring adherence and adolescent weight control efficacy. Children’s Health Care, 32, 137–152
    • Turner, T., Spruijt‐Metz, D., Wen, C. F., & Hingle, M. D. (2015). Prevention and treatment of pediatric obesity using mobile and wireless technologies: a systematic review. Pediatric obesity, 10(6), 403-409.
    • Wang, J., Cai, C., Padhye, N., Orlander, P., & Zare, M. (2018). A behavioral lifestyle intervention enhanced with multiple-behavior self-monitoring using mobile and connected tools for underserved individuals with type 2 diabetes and comorbid overweight or obesity: pilot comparative effectiveness trial. JMIR mHealth and uHealth, 6(4), e4478.
    • Wearing, J. R., Nollen, N., Befort, C., Davis, A. M., & Agemy, C. K. (2014). iPhone app adherence to expert-recommended guidelines for pediatric obesity prevention. Childhood Obesity, 10(2), 132-144.



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    The mission of CTC-RI is to support the continuing transformation of primary care in Rhode Island as the foundation of an ever-improving integrated, accessible, affordable, and equitable health care system.  CTC-RI brings together critical stakeholders to implement, evaluate and spread effective multi-payer models to deliver, pay for and sustain high-quality, comprehensive, accountable primary care.