Human subjects IRB approved project number (where applicable): pending
Project Type Patient-based research
Brief Description of Project: This quantitative study aims to gain an understanding of factors (including patient centeredness, prior training/clinical experience in caring for Latino patients, Spanish-language proficiency, and concordant race/ethnicity) that are associated with pediatrician-patient communication regarding overweight status, and patient/parent self-reported intent to implement physician’s recommendations for lifestyle changes during pediatric primary care visits with overweight 2-8 year-old Latino children. Twenty video-recordings of pediatric primary care visits with overweight (body mass index [BMI]
85th percentile for age and gender) 2-8 year-old Latino children will be used to assess 1) pediatrician-patient communication content (conversations regarding overweight status, recommendations for diet and activity changes, and discussion of weight-related conditions), 2) primary language used by the pediatrician, and by the patient (Spanish or English, and presence of an interpreter), and 3) patient-centeredness score (the sum of time the pediatrician gives weight-related medical and behavioral information and the patient/parent gives behavioral/psychosocial information and asks questions, divided by the sum of time the pediatrician asks weight-related medical/behavioral questions and the patient/parent provides medical information). Pre-visit surveys will be obtained from pediatricians and parents of participating children to determine the pediatrician’s prior training/clinical experience caring for Latino children, and the pediatrician’s, parent’s, and participant’s race/ethnicities. Post-visit surveys will be obtained from parents of participating children to determine self-reported intent to implement any pediatrician-recommended changes to promote weight improvement, and to change dietary and/or activity practices.