Screening, referral, and participation in a weight management program implemented in five CHCs

Daniel Clark, Lisa Chrysler, Anthony Perkins, Nicole R. Keith, Deanna Willis, Greg Abernathy, Faye Smith

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Community health centers have the potential to lessen obesity. We conducted a retrospective evaluation of a quality improvement program that included electronic body mass index (BMI) screening with provider referral to an in-clinic lifestyle behavior change counselor with weekly nutrition and exercise classes. There were 26,661 adult patients seen across five community health centers operating the weight management program. There were 23,593 (88%) adult patients screened, and 12,487 (53%) of these patients were overweight or obese (BMI ≥25). Forty percent received a provider referral, 15.6% had program contact, and 2.1% had more than 10 program contacts. A mean weight loss of seven pounds was observed among those patients with more than 10 program contacts. No significant weight change was observed in patients with less contact. Achieving public health impact from guideline recommended approaches to CHC-based weight management will require considerable improvement in patient and provider participation.

Original languageEnglish
Pages (from-to)617-628
Number of pages12
JournalJournal of Health Care for the Poor and Underserved
Volume21
Issue number2
DOIs
StatePublished - May 2010

Fingerprint

Referral and Consultation
Weights and Measures
Community Health Centers
Body Mass Index
Patient Participation
Mass Screening
Quality Improvement
Life Style
Weight Loss
Public Health
Obesity
Guidelines
Exercise

Keywords

  • Behavior change
  • Obesity
  • Primary care
  • Weight management

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Screening, referral, and participation in a weight management program implemented in five CHCs. / Clark, Daniel; Chrysler, Lisa; Perkins, Anthony; Keith, Nicole R.; Willis, Deanna; Abernathy, Greg; Smith, Faye.

In: Journal of Health Care for the Poor and Underserved, Vol. 21, No. 2, 05.2010, p. 617-628.

Research output: Contribution to journalArticle

Clark, Daniel ; Chrysler, Lisa ; Perkins, Anthony ; Keith, Nicole R. ; Willis, Deanna ; Abernathy, Greg ; Smith, Faye. / Screening, referral, and participation in a weight management program implemented in five CHCs. In: Journal of Health Care for the Poor and Underserved. 2010 ; Vol. 21, No. 2. pp. 617-628.
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