ISSN: 2165-7904
Journal of Obesity & Weight Loss Therapy
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Quality improvement project: Together against childhood obesity
Joint Event on 12th International Conferences on Childhood Obesity and Nutrition & 3rd World Congress on Diabetes and Obesity
Q Nahar, H Nassaf and A Setti
Withybush General Hospital, UK
Posters & Accepted Abstracts: J Obes Weight Loss Ther
Abstract
Background: The prevalence of obesity in children with autism is almost as high as general population. Obesity and its complications poses significant threats to independent living, self-care, quality of life, and long-term health outcomes for children with autism. Whilst appreciating the multifactorial nature of childhood obesity, we reviewed the rate of obesity in children with autism and their management planning in the community paediatric departmet in a district general hospital in Wales and disegined a quailty improvement project to improve the service.Aim: Improve the understanding among medical professionals in early detection and efficient intervention to prevent obesity in children with autism.
Methods: Baseline data collection revealed that amongst local children with autism, the rate of obesity/overweight was 20.5%. Focussed history taking including documentation of BMI, co-morbidities and management planning were identified as areas of improvement. And also there were limited understanding about the available local resources and the referral pathway for high risk cases. The quality Improvement project was implemented over a period of six months. A multifaceted approach to improvement was carried out. This included the designing of a history taking proforma, display of posters highlighting local resources and teaching for all clinical staff.
Outcome: The outcome was measured by a repeat retrospective notes review. There was significant improvement in recording of BMI in children with autism, identification of high risk cases and co morbidities. There was also marked improvement in focused history taking and management planning for children with obesity. The outcome will be measured in regular interval to ensure sustainibility.
Conclusion: Obesity in children with autism is multifactorial and require unique approach. Our quality improvement project has enabled medical staff to have a clear understanding of the prevalence of obesity amongst local children with autism and also made them aware of the available local resources which is evidenced by the improvement in focused history taking and management planning. Our next step would be multidisciplinary working and innovative approaches to involve patient and family members. We have researched how we can all work together to reduce obesity in children with autism and would like to share our model of change.
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