Medical Student Research Fellowship for Summer 2012
Mentor: Dr. Christy Boling Turer, MD, MHS
Department: Division of General Pediatrics
Room number: E3.518
Mail Code: 9063
Phone number: (214) 648-3405
Project title: Communication Content in Pediatric Primary Care Associated with Improvement in Weight Status among Overweight Children
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.
Sergio Montano’s role on the project is to develop a specific research question (noted above), develop a method to test his research question (noted above), draft a study protocol, recruit participants from primary care clinics, video-tape primary care visits, aid in the interpretation of the video-recordings, assist with statistical analyses, and report his findings in a study abstract.
Previous Research Activities or Publications with Medical Students:
Summer 2010: Junior Mentored Megha Mehta on a project entitled: “What Parents of Overweight Children Want: A Qualitative Study of Parental Expectations Regarding Weight Management in Overweight Children”
Megha was one of eight recipients (chosen among sixty students) of an award for best poster presentation at the 49th Annual Medical Student Research Forum