TABLE 1.
Components of the STAR Intervention, Including Point-of-Care Electronic Decision Support for Clinicians and Self-Guided Behavior-Change Support for Parents
| Intervention Components | Details |
|---|---|
| EHR modifications | Best Practice Advisory in the Epic EHR |
| Alerts pediatrician of BMI ≥95th percentile when height and weight are measured and documented into the EHR for children ages 6–12 y | |
| Includes links to the following: | |
| 1. A prepopulated SmartSet order entry and note template (see below for details) | |
| 2. Centers for Disease Control and Prevention growth charts | |
| 3. Evidence-based childhood obesity screening and management guidelines2,4 | |
| 4. The STAR study Web site, which housed: | |
| Printable patient-education handouts on obesity-related behavior change | |
| A list of local weight management programs | |
| Searchable database of local physical activity programs near a given address | |
| Training materials on the EHR tools and how to use them | |
| Additional resources to aid clinicians during follow-up obesity visits (an outline for how to structure visits) | |
| SmartSet well child visit order entry and note template specific for obesity that facilitates: | |
| Documentation and coding of BMI percentile categories and nutrition and physical activity counseling (to comply with HEDIS recommendations) as well as obesity and obesity-related comorbidities | |
| Referrals to weight management programs, nutritionists, or subspecialty clinics (eg cardiology and endocrinology) | |
| Orders for obesity-related screening laboratory tests, if appropriate | |
| Text on healthy behaviors for inclusion in the after-visit summary routinely provided to families | |
| Clinician training | On-site presentations to pediatric practices to demonstrate EHR modifications and resources |
| Biweekly performance feedback e-mails regarding adherence to HEDIS performance measures | |
| Materials for families | Posters displayed in pediatric practices promoting health behavior change |
| Materials mailed to families quarterly, including 4 newsletters and 4 magazines about healthy eating |
HEDIS, Healthcare Effectiveness Data and Information Set.