PT  - JOURNAL ARTICLE
AU  - Braddock, Amy
AU  - Koopman, Richelle J.
AU  - Smith, Jamie
AU  - Lee, Andy S.
AU  - Holt McNair, Samuel
AU  - Hampl, Sarah
AU  - Wareg, Nuha
AU  - Clary, Megan
AU  - Miller, Natalie
AU  - Turer, Christy B.
TI  - A Longitudinal Effectiveness Study of a Child Obesity Electronic Health Record Tool
AID  - 10.3122/jabfm.2022.04.210385
DP  - 2022 Jul 01
TA  - The Journal of the American Board of Family
                Medicine
PG  - 742--750
VI  - 35
IP  - 4
4099  - http://www.jabfm.org/content/35/4/742.short
4100  - http://www.jabfm.org/content/35/4/742.full
SO  - J Am Board Fam Med2022 Jul 01; 35
AB  - Background: Primary-care providers, clinic staff, and nurses play an important role in reducing child obesity; yet time restraints and clinical demands compete with effective pediatric weight management and prevention.Methods: To investigate the potential impact of an electronic health record (EHR) enabled tool to assist primary care teams in addressing child obesity, we conducted a controlled effectiveness study of FitTastic compared with usual care on the BMI pattern of 291 children (2 to 17 years) up to 4 years later.Results: Per χ2 analysis, a greater proportion of children with baseline overweight/obesity in the EHR tool group than the control group had a favorable BMI pattern (32% vs 13%, P = .03). In logistic regression, FitTastic children were more likely than control children to have a favorable BMI pattern at follow-up (OR 3.8, 95% CI 1.1 to 13.2), adjusted for age, gender, race, and parental education.Conclusion: Study findings suggest that EHR-enabled tools to assist primary care teams in managing child obesity may be useful for helping to address the weight in children with overweight/obesity, especially in younger children (2 to 5 years). Digital and EHR-enabled technologies may prove useful for partnering health care teams and families in the important tasks of setting positive, family-centered healthy lifestyle behavioral goals and managing child overweight and obesity.