Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
J Immigr Minor Health. 2012 Jun;14(3):512-5. doi: 10.1007/s10903-011-9526-x.
Pediatric obesity continues to be an epidemic, affecting Hispanic children disproportionately. Recent recommendations outline a step-wise approach to the treatment of overweight and obese children, culminating in tertiary-care, multidisciplinary programs. We detail here how our tertiary-care, family-based, pediatric weight management clinic addressed the problem of few Spanish-speaking families enrolling in treatment after referral by adding a Bilingual Case Manager. Utilizing a family-centered, high-contact, personal approach, our program increased the number of Hispanic families enrolling over ten-fold. Further, outcomes in Hispanic families were equal to or better than other racial/ethnic groups. Lessons learned from this experience may benefit other obesity treatment programs trying to improve care of Spanish-speaking families.
儿科肥胖仍然是一个流行问题，影响到不成比例的西班牙裔儿童。最近的建议概述了超重和肥胖儿童治疗的逐步方法，最终形成三级护理、多学科的项目。我们在这里详细介绍我们的三级护理、以家庭为基础的儿科体重管理诊所如何通过增加双语个案经理来解决西班牙语家庭在转介后参与治疗的人数较少的问题。我们的方案利用以家庭为中心、高接触、个人化的方法，将西班牙语裔家庭的参与人数增加了十倍以上。此外，西班牙裔家庭的结果与其他种族/族裔群体一样或更好。从这一经验中吸取的教训可能有益于其他试图改善西班牙语裔家庭护理的肥胖治疗项目。
