Pediatric Weight Management ECHO® Learning Initiative

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. 

• BALANCE is a 16-week after-school program
• https://www.lifespan.org/centers-services/outpatient-group-therapy-programs-kids-teens-and-parents/balance-teen-mood-and

 

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

• https://www.socialsparksri.com/group-schedules

 

 

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

• UConn Rudd Center for Food Policy & Health
  • Healthcare Providers Module has specific training and guidelines for the management of pediatric obesity in a sensitive, stigma-reducing manner
  • https://uconnruddcenter.org/research/weight-bias-stigma/healthcare-providers/
• WorldObesity.org
  • Weight Stigma Policy Priorities
• Obesity Action Coalition
  • Weight Bias Resources and Guides Available
  • E.g. https://www.obesityaction.org/get-educated/public-resources/brochures-guides/understanding-obesity-stigma-brochure/

 

 

Session 3:  Cultural Considerations

November 17, 2022

• Teaching Diversity and Social Justice, Second Edition, Routledge, 2007 Diane J. Goodman, Ed.D. www.dianegoodman.com
• Goodman, D. (2020). Cultural Competence for Equity and Inclusion. Understanding and Dismantling Privilege, 10(1), 41-60. Retrieved from https://www.wpcjournal.com/article/view/20246
• 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 psychology, 60(3), 353–366. https://doi.org/10.1037/a0032595

 

 

Session 4:  Prevention and Developmental Considerations

December 15, 2022

• Screening for Obesity in Children and Adolescents US Preventive Services Task Force Recommendation Statement 2017
• The Role of the Pediatrician in Primary Prevention of Obesity 2015 Stephen R. Daniels, MD, PhD, FAAP, Sandra G. Hassink, MD, FAAP, Committee on Nutrition

Education of Families of Young infants and Toddlers

• Updated Dietary Guidelines for Americans (DGAs) for 2020-2025
• Early Feeding: Educating and Engaging Families AAP Institute Healthy Weight https://www.aap.org/en/patient-care/institute-for-healthy-childhood-weight/
• Lifestyle Medicine Early Childhood Toolkit American College of Lifestyle Medicine 2021 https://lifestylemedicine.org/tools-and-resources/

Videos highlighted in Celeste Corcoran's presentation:

• 6 Months, Starting Solids - Spanish Version
• 9 Months, Starting Solids - Spanish Version
• 12 Months Toddlerhood - Spanish Version
• 18 Months Toddlerhood - Spanish Version
• 2 Years - Spanish Version

References

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

• Fostering Positive Weight Related Conversations
• MI for Diet, Exercise and Weight – Rudd Ctr
• KOGNITO
• Nationwide Children’s Hospital Resources for Professionals
• Using MI to promote healthy weight
• Psychwire MI resources

Obesity Education Opportunities for Healthcare Professionals AAP

 

 

Session 6:  Family-Based Behavioral Treatment

February 16, 2023

• Clinical Practice Guidelines- Assessment
• Clinical Practice Guidelines – Treatment
• National Heart, Lung, and Blood Institute – Health Information
• RI Food Bank Healthy Habits

 

 

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

LINKS FOR RI RESOURCES:

Find breastfeeding support

• https://lllusa.org/locator/
• https://www.womenandinfants.org/services/pregnancy/feeding-your-baby

Find a dietitian

• https://www.eatrightri.org/rdn.html

Find a mental health provider

• https://zencare.co/us/rhode-island/therapists/specialty/child-mental-health

Find physical activity opportunities

• https://health.ri.gov/healthyweight/about/physicalactivity/
• https://ymcagreaterprovidence.org/
• http://www.bgcri.org/

References

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. https://www.dietaryguidelines.gov/sites/default/files/2020-07/ScientificReport_of_the_2020DietaryGuidelinesAdvisoryCommittee_first-print.pdf
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. https://doi.org/10.1111/j.1748-720X.2007.00111.x
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). https://doi.org/10.1161/JAHA.119.014520
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. https://doi.org/10.1542/peds.2015-3301
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:

PediPRN:  https://www.pediprn.org/

HealthTRAC:  401-793-8945

BALANCE Clinic:  401-432-1119

Web-based resources for youth with weight concerns:

• Project Power: https://diabetes.org/get-involved/community/project-power
• Healthy Weight and Your Child (at the Y): https://www.ymca.org/what-we-do/healthy-living/fitness/healthy-weight-and-your-child
• Teen COPE self-help: https://www.cope2thrive.com/coping-with-teen-obesity-cbt
• Teen POWER study at Yale: https://medicine.yale.edu/psychiatry/research/programs/clinical_people/power/teen/

 

 

Session 10:  Self-Monitoring

June 15, 2023

References

• 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.