Implementing the 5-2-1-0 Healthy Habits Toolkit for Enhanced Detection and Management of Childhood Obesity: A Quality Improvement Project in a Pediatric Clinic
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Authors
Stephens, Madisen
Issue Date
2025-05
Type
Thesis
Language
en_US
Keywords
Alternative Title
Description/Abstract
Abstract
Background: The prevalence of pediatric obesity continues to rise. This increases the risk of health complications. There is a lack of appropriate screening and multimodal interventions by health care providers to reduce the rates of pediatric obesity (Thomas et al., 2022).
Method: The 5-2-1-0 Algorithm for the Assessment and Management of Childhood Obesity for providers was implemented in a pediatric clinic. A random sample of 36 children, aged 5-12 years with weight percentiles >95%, completed the 5-2-1-0 Healthy Habits questionnaire, which was reviewed with their medical provider. A three-month pre-intervention retrospective chart review was conducted to assess baseline practices, followed by a three-month post-intervention review to compare changes in assessment and management of childhood obesity.
Results: Post-intervention analysis of 35 children revealed a significant increase in the documentation of obesity education, with 98.46% of participants having obesity education documented compared to 98.36% in the pre-intervention group (p = .028). However, while the use of the 5-2-1-0 algorithm resulted in a slight increase in obesity management orders (37.14% vs. 21.31%), these orders remained underutilized, with 62.86% of post-intervention participants not having orders placed, similar to pre-intervention trends.
Conclusion: The 5-2-1-0 Healthy Habits Toolkit effectively improved documentation of obesity education in pediatric primary care, but further efforts are needed to increase the use of obesity management orders. The toolkit's simplicity and efficiency make it a valuable tool for ensuring appropriate documentation and treatment plans for obese pediatric patients.