Translation of Obesity Practice Guidelines: Measurement and Evaluation

Erickson, Kristin J.; Monsen, Karen A.; Attleson, Ingrid S.; Radosevich, David M.; Oftedahl, Gary; Neely, Claire; Thorson, Diane R.

doi:10.1111/phn.12169

Cited by 16 publications

(32 citation statements)

References 23 publications

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“…Several studies used charts posted above scales, in waiting rooms, in patient notes or on staff desks, acting as prompts for staff . Similarly, the relocation of scales to private locations within clinics and placement of working stadiometers conducive to work flow were found to facilitate BMI screening in the study by Erickson et al…”

Section: Resultsmentioning

confidence: 99%

“…As shown in Table S3, seven studies did not report any patient characteristics . Four studies reported on age and gender but did not provide any information on socio‐economic status (SES) or ethnicity .…”

Section: Resultsmentioning

confidence: 99%

“…There were a range of outcomes measured in the 30 studies, although most included at least one of the key outcomes of interest to this review, namely: Discussion of weight (including lifestyle advice); Measuring and recording of weight and/or BMI; and Referral to WMS …”

Section: Resultsmentioning

confidence: 99%

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What works and why in the identification and referral of adults with comorbid obesity in primary care: A realist review

2019

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Summary Primary care practitioners (PCPs) are well placed to identify individuals with obesity and weight‐related comorbidities and to refer them to weight management services (WMS), but this does not often happen in practice. In this realist review, we searched six databases for intervention studies targeted at PCPs to improve the identification and referral of adults with comorbid obesity. Realist analysis was used to identify context‐mechanism‐outcome (CMO) configurations across 30 included papers (reporting on 27 studies). Most studies used multiple intervention strategies, categorised into: (a) training, (b) tools to improve identification, (c) tools to improve ease of referral, (d) audit/feedback, (e) working in networks/quality circles, and (f) other. The realist synthesis identified 12 mechanisms through which interventions work to improve identification and referral, including increasing knowledge about obesity and awareness of and confidence in WMS among practitioners, improved communication and trust between practitioners and WMS, and higher priority given to weight management among primary care teams. The theory of “candidacy” (a person's eligibility for medical attention and intervention) provided a robust explanatory framework but required refinement: (a) to take account of the different services (primary care and weight management) that patients must navigate to access support; and (b) to acknowledge the importance of wider contextual factors.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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What works and why in the identification and referral of adults with comorbid obesity in primary care: A realist review

2019

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“…The final themes were approved by all team members. Triangulation was possible through evidence of changes in clinician knowledge, behavior, and status measured using the Omaha System Problem Rating Scale for Outcomes (Martin, 2005; reported separately in Erickson, et al in review). …”

Section: Methodsmentioning

confidence: 99%

“…The ICSI Guideline promotes routine assessment of Body Mass Index (BMI); comprehensive assessment of co-morbid conditions; and use of motivational interviewing techniques to assess readiness for change to assist in finding reasons for change, and build confidence in the ability to change (Fitch, Everling, Fox, et al, 2013). An evaluation of project outcomes was completed after 3 years of intervention, and findings are detailed in a separate publication (Erickson, Attleson, Monsen, et al, in review). …”

Section: Introductionmentioning

confidence: 99%

Translation of Obesity Practice Guidelines: Interprofessional Perspectives Regarding the Impact of Public Health Nurse System‐Level Intervention

Monsen

Attleson

Erickson

et al. 2014

Public Health Nursing

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Objective The purpose of the study was to investigate the perceptions of administrators and clinicians regarding a public health facilitated collaborative supporting the translation into practice of the Institute for Clinical Systems Improvement (ICSI) Adult Obesity Guideline. Design and Sample This qualitative study was conducted with ten healthcare organizations participating in a voluntary, interprofessional obesity management collaborative. A purposive sample of 39 participants included two to three clinicians and an administrator from each organization. Interview analysis focused on how the intervention affected participants and their practices. Results Four themes described participant experiences of obesity guideline translation: 1) a shift from powerlessness to positive motivation, 2) heightened awareness coupled with improved capacity to respond, 3) personal ownership and use of creativity, and 4) a sense of the importance of increased interprofessional collaboration. Conclusions The investigation of interprofessional perspectives illuminates the feelings and perceptions of clinician and administrator participants regarding obesity practice guideline translation. These themes suggest that positive motivation, improved capacity, personal creative ownership, and interprofessional collaboration may be conducive to successful evidence-based obesity guideline implementation. Further research is needed to evaluate these findings relative to translating the ICSI obesity guideline and other guidelines into practice in diverse clinical settings.

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Describe the Intervention (Worksheet C)

Monsen

2024

Intervention Effectiveness Research: Quality Improvement and Program Evaluation in Healthcare

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Translation of Obesity Practice Guidelines: Measurement and Evaluation

Abstract: System-level PHN practice facilitator interventions successfully translated clinical obesity guidelines into interprofessional use in health care organizations. The Omaha System Problem Rating Scale for Outcomes reliably measured system-level outcomes.

Cited by 16 publications

References 23 publications

What works and why in the identification and referral of adults with comorbid obesity in primary care: A realist review

What works and why in the identification and referral of adults with comorbid obesity in primary care: A realist review

Translation of Obesity Practice Guidelines: Interprofessional Perspectives Regarding the Impact of Public Health Nurse System‐Level Intervention

Describe the Intervention (Worksheet C)

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