Table 1.

Healthy Weight Clinic Pediatric Weight Management Intervention Functions and Forms

Intervention functions and forms
Core function	Form	CFIR construct
Offer multidisciplinary team support for children with overweight or obesity in the context of primary care that offers nutritional assessment, behavioral change counseling, goal setting, medical management and tracking of BMI, and linkage to community resources	Clinician, nutritionist/Registered Dietitian, Community Health Worker Offered in-person, virtual, telephone support	Inner Setting—Networks and communications Characteristics of individuals—Training
Ensure the child receives at least 26 contact hours of treatment consistent with the USPSTF recommendations	Individual and group visit curriculums Healthy lifestyle and wellness counseling, including: physical activity counseling, nutrition counseling, and mindfulness	Intervention characteristics—Evidence strength and quality
Coordinating care in the community and eliminating barriers to achieving a healthy lifestyle	Healthy Weight Clinic staff facilitates connections to community resources Addressing unmet social needs Phone contact in between visits to ensure families have access to the resources they need	Outer setting—Patient needs and resources and cosmopolitanism
Creating infrastructure for providers on how to identify, counsel, and refer a child with overweight/obesity	Electronic Health Record Clinical Decision Support tool to: (1) identify children with overweight or obesity, (2) Order recommended labs, (3) Provide healthy lifestyle counseling, and (4) Make appropriate referrals and follow-up Workflow modifications	Inner setting, implementation climate, workflow
Reinforcement of healthy lifestyle outside of clinic	Direct to patient family messaging campaign around healthy lifestyle changes Phone contact in between visits to check in on barriers and facilitators for healthy lifestyle change	Outer setting—Patient needs and resources

CFIR, Consolidated Framework for Implementation Research; USPSTF, United States Preventive Services Task Force.