Social and Behavioral Sciences Commons^™

From Childhood Obesity Risk To Healthy Growth In The U.S.: A 10-Year Social Work Research & Policy Update, Brittany R. Schuler, Christian E. Vazquez, Nicole O'Reilly

Social Work Faculty Publications and Presentations

Childhood obesity is a major health issue and a prominent chronic health condition for children in the United States (U.S.), caused by a multitude of factors. Most existing models of childhood obesity prevention have not worked, yielding little to no effect on improving weight status or the proximal health behaviors most attributed to obesity risk: nutritional intake, physical activity, sedentary behaviors, and sleep. There is an urgent need for new approaches to prevent health disparities that are responsive to impacts of economic inequality on healthy child growth in marginalized populations. In this Short Commentary, a social justice update is …

Sustainable Deimplementation Of Continuous Pulse Oximetry Monitoring In Children Hospitalized With Bronchiolitis: Study Protocol For The Eliminating Monitor Overuse (Emo) Type Iii Effectiveness-Deimplementation Cluster-Randomized Trial, Nathaniel J. Williams

Social Work Faculty Publications and Presentations

Background: Methods of sustaining the deimplementation of overused medical practices (i.e., practices not supported by evidence) are understudied. In pediatric hospital medicine, continuous pulse oximetry monitoring of children with the common viral respiratory illness bronchiolitis is recommended only under specific circumstances. Three national guidelines discourage its use for children who are not receiving supplemental oxygen, but guideline-discordant practice (i.e., overuse) remains prevalent. A 6-hospital pilot of educational outreach with audit and feedback resulted in immediate reductions in overuse; however, the best strategies to optimize sustainment of deimplementation success are unknown.

Methods: The Eliminating Monitor Overuse (EMO) trial will compare two …