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
Wheeler, Kenlea
Issue Date
2025-04
Type
Thesis
Language
en_US
Keywords
Alternative Title
Description/Abstract
Background
The rate of childhood and adolescent obesity in the United States has increased by 9.09% from 11.5% [10.1% - 13%] in 1990 to 20.6% [16.9% - 24.4%] in 2022 (World Health Organization, 2024). Additionally, 99% of children lack a diagnosis related to being overweight or obese as screening measures are not being used appropriately (Guardi et al., 2020).
Methods
The 5-2-1-0 Healthy Habits Toolkit (Appendix A) was implemented in a pediatric clinic for children at or above the 95th weight percentile. A random sample of 35 children (ages 5–12) completed a 10-question survey with their provider to identify obesity-related factors. A three-month pre-intervention chart review established baseline practices, followed by a three-month post-intervention review to assess changes in obesity education, assessment, and management.
Results
Post-intervention analysis showed a slight increase in documented obesity education (98.46% vs. 98.36%, p = .028) among 35 children. Obesity management orders also rose (37.14% vs. 21.31%) but remained underutilized, with 62.86% of post-intervention participants still lacking orders.
Conclusion
The 5-2-1-0 Healthy Habits Toolkit effectively improved documentation of obesity education in pediatric primary care offices, but further efforts are needed to increase the use for 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.