Bibeau Wendy S, Moore Justin B, Caudill Paul, Topp Robert
School of Public Health, University of Maryland, College Park, MD, USA.
J Pediatr Nurs. 2008 Apr;23(2):92-100. doi: 10.1016/j.pedn.2007.08.006.
Childhood obesity is an increasing health concern that is strongly associated with chronic health problems persisting into adulthood. Obesity in childhood is resistant to interventions that involve only recommendations to decrease caloric intake and to increase caloric expenditure. The challenge with this approach to childhood obesity is twofold: It is neither theoretically based nor does it consider the children's or their parent's perceptions of their health problems. Of significance, this traditional approach also ignores the transition along the stages of behavioral change. Case management has proven to be successful in managing various chronic health problems in both adults and children. This case study will present a new intervention model to treat childhood obesity based on the transtheoretical framework utilizing case management in a primary care setting.
儿童肥胖是一个日益严重的健康问题，与持续到成年期的慢性健康问题密切相关。儿童肥胖对仅涉及减少热量摄入和增加热量消耗建议的干预措施具有抗性。这种应对儿童肥胖的方法面临两方面挑战：它既没有理论依据，也没有考虑儿童或其父母对自身健康问题的认知。重要的是，这种传统方法还忽视了行为改变各阶段的转变。病例管理已被证明在管理成人和儿童的各种慢性健康问题方面是成功的。本案例研究将基于跨理论框架，在初级保健环境中利用病例管理，提出一种治疗儿童肥胖的新干预模型。
