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PediatricObesityisontheriseintheUnitedStatesandisacontinuingprobleminourhealthcaresystem.Mostchildreninruralareashavelimitedaccessorlacktheincometoreceiveongoingcare.WehavedecidedtoresearchtelehealthintheUnitedStatestostudyitseffectsonpediatricobesity.Thisstudytriestoshowtheeffectsoftelehealthvs.traditionalphysicianvisits.Wetakeintoconsiderationsocio-economicalvaluesforpediatricsdietarychanges.Wealsotakeintoconsiderationparentseffectsonchildren'sdiets.

ABSTRACT

ObesityisoneofthebiggestdriversofpreventablechronicdiseasesandhealthcarecostsintheUnitedStates.Currently,estimatesforthesecostsrangefrom$147billiontonearly$210billionperyear.Inaddition,obesityisassociatedwithjobabsenteeism,costingapproximately$4.3billionannuallyandwithlowerproductivitywhileatwork,costingemployers$506perobeseworkerperyear.5

Asaperson'sBMIincreases,sodothenumberofsickdays,medicalclaimsandhealthcarecosts.Reducingobesity,improvingnutritionandincreasingactivitycanhelplowercoststhroughfewerdoctor'sofficevisits,tests,prescriptiondrugs,sickdays,emergencyroomvisitsandadmissionstothehospitalandlowertheriskforawiderangeofdiseases. 5

ObesityratesintheUnitedStateshavemorethandoubledinthelast40yearsinchildrenaswellasadults.Recentestimatesshowaplateaueffectamongsomegroupsofthepopulation,butobesityisstillrampantandcontinuestobeaprominentpublichealthproblemintheU.S.OnethirdofadultsinAmericaareobeseandonesixthofchildrenandadolescentsareobese.

INTRODUCTION

RESULTS DISCUSSIONANDCONCLUSIONS

REFERENCES

ACKNOWLEDGMENTSWewouldliketothankDr.RickNauert andNicoleAvellanet fortheirguidanceandsupportthroughthisproject.

TheUniversityofTexasatAustin,HealthInformaticsandHealthITCertificateProgram,Fall2016

Najib Momin andJacobDeering

TelehealthandPediatricObesity

ThisprojectwascompletedwithguidancefromDr.RickNauert.WeusedGoogleScholartolocatearticlesforthisposter.Weusedkeywordstelemedicine,pediatricobesity,andrural.WereviewedarticlesfromtheJournalofPediatricPsychology,theJournalofTelemedicineandTelecare,theClinicalPediatricsJournal,andtheJournalofCurrentDiabetesReports.Weusedarticlespublishedbetween2013and2015thatreportedontelemedicine’soutcomeonpediatricobesityinruralareas.

WehavedecidedtoresearchtelehealthintheUnitedStatestostudyitseffectsonPediatricObesitycomparedtoconventionalmedicine.Ourresearchforoutcomemeasuresincludedchildbodymassindexz-score(BMIz),24-hrdietaryrecalls,accelerometerdata,ChildBehaviorChecklist,BehavioralPediatricsFeedingAssessmentScale,andfeasibilityandfidelity.12

HealthBehaviorChangesFromPretreatmenttoPosttreatmentInterventionbyGroup• showedadecreaseinKilocalories,%ofKilocaloriesfromfat,sugar-sweetened

beverages,redfoodforthetelemedicinegroup• showedanincreaseinfruitandvegetableservingsandphysicalactivitiesforthe

telemedicinegroupSocio-EcologicalModelFoodandFamily• showedhowparentscaninfluencetheirchildrenforhealthylifestylechanges

andresistancetothosechanges.UsingTelehealthtoIncreaseParticipationinWeightMaintenancePrograms• showsthedifferenceinbetweenweightchangesinTraditional,Telehealth,and

NoProgramparticipants.

Theuseoftelehealthcanhelpimproveaccess,quality,andcostamongpediatricobesitypatients.Achild’sacceptanceofdietarychangesisakeyfactorinchangesinBMI.Ourresultsshowthattelehealthisjustaseffectiveasatraditionalofficevisit.

Figure1.HealthBehaviorChangesFromPretreatmenttoPosttreatmentInterventionbyGroup

1.Davis,A.M.,M.Sampilo,K.S.Gallagher,Y.Landrum,andB.Malone."TreatingRuralPediatricObesityThroughTelemedicine:OutcomesFromaSmallRandomizedControlledTrial."JournalofPediatricPsychology 38.9(2013):932-43.Web.

2.Davis,A.M.,M.Sampilo,K.S.Gallagher,K.Dean,M.B.Saroja,Q.Yu,J.He,andN.Sporn."TreatingRuralPaediatricObesitythroughTelemedicinevs.Telephone:OutcomesfromaClusterRandomizedControlledTrial."JournalofTelemedicineandTelecare 22.2(2015):86-95.Web.

3.Slusser,W.,M.Whitley,N.Izadpanah,S.L.Kim,andD.Ponturo."MultidisciplinaryPediatricObesityClinicviaTelemedicineWithintheLosAngelesMetropolitanArea:LessonsLearned."ClinicalPediatrics 55.3(2015):251-59.Web.

4.Pulgaron,ElizabethR.,andAlanM.Delamater."ObesityandType2DiabetesinChildren:EpidemiologyandTreatment."Curr Diab RepCurrentDiabetesReports 14.8(2014):n.pag.Web.

5."TheHealthcareCostsofObesity:TheStateofObesity."TheStateofObesity:ObesityDataTrendsandPolicyAnalysis,stateofobesity.org/healthcare-costs-obesity/.

6.OgdenC.L.,Carroll,M.D.,Lawman,H.G.,Fryar,C.D.,Kruszon-Moran,D.,Kit,B.K.,&Flegal K.M.(2016).TrendsinobesityprevalenceamongchildrenandadolescentsintheUnitedStates,1988-1994through2013-2014. JAMA,315(21),2292-2299.

7.Haugen,H.A.,Tran,Z.V.,Wyatt,H.R.,Barry,M.J.andHill,J.O.(2007),UsingTelehealthtoIncreaseParticipationinWeightMaintenancePrograms.Obesity,15:3067–3077.doi:10.1038/oby.2007.365

8.Fiese,B.H."ContextMattersinPediatricObesity:CommentaryonInnovativeTreatmentandPreventionProgramsforPediatricOverweightandObesity."Journal ofPediatricPsychology 38.9(2013):1037-043.Web.

PURPOSETheobjectiveofthisposterwastoinvestigatetheeffectivenessoftelehealthvs.telephoneconsultationandtelehealthvsastandardphysicianvisitinterventiontotreatpediatricobesity.

Showstheresultsofthedietarybehaviorsofthechildrenperday.Itcomparesthepretreatmentfigureswiththeposttreatmentfiguresforthetelemedicinegroupvsthephysicianvisitgroup

Figure2.Socio-EcologicalModelFoodandFamily

Showstherolefamilyplaysinregulatingeatingbehaviorsinchildren.Childrendifferintermsoftheiracceptanceofnewfoodsandabilitytoself-regulatefoodintake.

Figure3.UsingTelehealthtoIncreaseParticipationinWeightMaintenancePrograms

Jacobsdeering@gmail.com NajibMomin@gmail.comShowstheThemeandifferenceinweightchangebetweenthetelehealth,traditional,andnoprogramgroups

ChildSelfRegulationFoodSensitivities

FamilyStructure

FeedingPracticesProcess-Communication

CommunityAccesstoFoodSocialNorms

CultureTraditionsBeliefs

METHODS

REFERENCES

ACKNOWLEDGMENTS

CONTACTINFORMATION