Table 1.
Participating pediatric weight management programs.
| Brenner FIT Winston-Salem, NC |
OWL Boston, MA |
PHIT Kids Kansas City, MO |
CHWN Columbus, Ohio |
|
|---|---|---|---|---|
| Clinicians | Nurses | Pediatricians, Nurse | Pediatricians, Nurse | Nurses |
| Pediatricians | practitioners | Practitioners | Pediatricians, Nurse | |
| Dietitians | Nurse educator | Dietitians | Practitioners Dietitians | |
| Behavioral Counselors | Dietitians | Social Workers Available- Psychologist, | Psychologists | |
| Exercise Specialist | Psychologists | Physical Therapist | Physical Therapist, | |
| Available- Physical Therapist, | Exercise Specialist | Social Worker | ||
| Social Worker | Resource Specialist | Athletic trainer | ||
| Available- Physical | ||||
| Therapist, Social Work | ||||
| Behavioral approach | Motivational interviewing (MI), | MI, Family counseling As needed- CBT | MI, Parenting | MI, CBT |
| Cognitive Behavioral Therapy | As needed- CBT, | Family counseling | ||
| (CBT), Parenting, Family Counseling | Family counseling | |||
| Dietary approach | General recommendations (GR)a | GRa | GRa | GRa |
| Low-glycemic index | Low glycemic index, | |||
| Protein-sparing diet | ||||
| Activity/Exercise | Increased time spent in moderate-vigorous physical activity (MVPA) Family-based activity | Decreased sedentary activity | Decreased sedentary activity | Decreased sedentary activity |
| Increased time spent in MVPA | Increased time spent in MVPA | Increased time spent in MVPA | ||
| Duration | 6 months with optional longterm follow-up | No set duration; minimum of 6 months | 6–12 months | No set duration; minimum of 3–6 months |
| Frequency of visits | Once-monthly clinic Once-monthly class | Twice-monthly clinic recommended | Once every 4–6 weeks | Every 4–6 weekly |
| Other | Group orientation, Parent-only class, Family-based activity programs, cooking classes (optional) | Physical activity Classes | Optional group programming | Linkages to community programs (e.g. cooking classes, grocery store tours) |
| Volume | ~200 new patients/year | ~500 new patients/year | ~500 new patients/year | ~750 new patients/year |
a
Decrease sugar-sweetened beverages, increased fruits and vegetables, lean proteins, family meals, decrease foods away from home, meal schedule and structure, decreased snacking, balanced plate model.