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Talking About Weight With Families-Helping Health Care Professionals Start the Conversation: A Nonrandomized Controlled Trial.

Authors
  • Bernard-Genest, Julie1, 2
  • Chu, Lisa2
  • Dettmer, Elizabeth2
  • Walsh, Catharine M2
  • McPherson, Amy C3, 4
  • Strub, Jonah2
  • Steinberg, Alissa2
  • Steinegger, Cathleen2
  • Hamilton, Jill K2, 4
  • 1 Centre Hospitalier universitaire de Québec, Université Laval, Québec City, Québec, Canada. , (Canada)
  • 2 The Hospital for Sick Children, Toronto, Ontario, Canada. , (Canada)
  • 3 Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada. , (Canada)
  • 4 University of Toronto, Toronto, Ontario, Canada. , (Canada)
Type
Published Article
Journal
Clinical Pediatrics
Publisher
SAGE Publications
Publication Date
Sep 01, 2020
Volume
59
Issue
9-10
Pages
910–917
Identifiers
DOI: 10.1177/0009922820922844
PMID: 32475155
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Health care professionals (HCPs) and trainees feel ill-equipped to discuss weight-related issues with children and their families. A whiteboard video for HCPs and trainees outlining strategies to communicate about weight was developed and evaluated. Seventy HCPs, including 15 trainees, participated in the baseline assessment and 39 repeated measures 4 to 6 months later. HCP self-efficacy for initiating conversations with overweight and underweight patients, measured immediately following the video, significantly improved from pre-video values (Z = -5.6, P ≤ .001, and Z= -3.3, P = .001, respectively). Although improvements were not sustained 4 to 6 months later (overweight: P = .143, and underweight: P = .846), no significant decline was observed, suggesting retention of the skill. A majority of HCP respondents would recommend the video to a colleague and feel it will affect their practice. Thus, the present study suggests educational videos may be an effective tool for facilitating healthy weight-related conversations between HCPs and their pediatric patients.

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