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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Victoria Britson


frontier, overweight, obese, pediatric, primary care, rural


The number of overweight and obese pediatric patients is on the rise in the United States (CDC, 2015b). These pediatric patients face an increase in co-morbidities such as cardiovascular disease, type II diabetes, orthopedic problems, gastrointestinal conditions, sleep apnea, and psychological health concerns (Foltz et al., 2012; Hopkins et al., 2011; Klish, 2016; Shreve, 2015), making it an important topic for primary care providers to address. Evidence-based practice interventions are in need to assist primary care providers with making the diagnosis and implementing interventions with this population. Correctly diagnosing a patient, is key to providing education and treatment (Gibson, 2016). Primary care providers took a pre-survey to assess their knowledge, then they received education on pediatric overweight and obesity. Included in the education was an overview on the 5-2-1-0 Pediatric Obesity Clinical Decision Support Chart. The 5-2-1-0 tool was part of the intervention used in this DNP project to provide education to primary care providers to increase their knowledge and recognition of pediatric patients that were in the overweight or obese category. It also provided them with an easy to remember algorithm to use to educate overweight and obese pediatric patients. Pediatric patients between the ages of 2-19 were screened by calculating their BMI%. If the patients were found to be overweight or obese, they were to receive a diagnosis code and documentation of interventions in the EHR. The author compiled the results by evaluating the electronic health record for diagnosis and documented interventions pre and post-intervention. This DNP project was able to show that primary care provider’s knowledge improved from pre to post-survey as well as improving on diagnosis and documented interventions for overweight and obese pediatric patients in the EHR.

Library of Congress Subject Headings

Overweight children.
Obesity in children.
Obesity in children -- Prevention.


Includes bibliographical references (pages 49-55)



Number of Pages



South Dakota State University


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