Utilizing a Reminder To Improve Childhood Obesity Screening in Native American Children

Abstract

Improving the screening and management of childhood obesity among Native American children is critical in addressing the significant health disparities in this population. This quality improvement project implemented a pediatric obesity screening reminder and provided targeted education to healthcare providers. Childhood obesity is a significant public health concern, with the Native American population being disproportionately affected. The quality improvement project measured the impact of the two interventions through pre- and post- intervention self-administered questionnaires and chart audits. The findings showed a slight increase in the detection rate of obesity at well-child visits and increased referral to the registered dietitian (RD). However, there were issues, such as culture, practicality, and patients’ involvement. The outcomes of the project demonstrated that the interventions were effective in increasing the rate of obesity screening and RD referral, but highlighted the need for another PDSA cycle with modifications. The results of the project revealed that childhood obesity is not easily manageable, especially where the community is culturally diverse. A higher rate of declined RD referrals further necessitates enhanced engagement strategies such as improved patient education, motivational interviewing, and family involvement. Subsequent endeavors should include collaborating with obesity specialists and community resources. Providing walk-in or same day access to the RD and increased telehealth services can also assist in navigating logistical challenges that may hinder families from receiving initial and ongoing nutritional education.