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  • Children at risk for Type II diabetes were identified, referred, interviewed and selected to complete the WakeMed ENERGIZE! Program, a 12-week, 36-session course on healthy eating and physical activity. Parents were also involved in the program, which aimed at helping the family embrace lifestyle changes to improve their health.
  • Health care providers were recruited and trained on use of the Pediatric Obesity Clinical Tools. The tools include consultation tips for providers on how to motivate children, youth, and their parents to achieve a healthy weight.
  • The tools also include body mass index (BMI) and blood pressure charts for boys and girls and questions that parents might ask during the visit with their health care provider.

Lessons Learned:

  • With the exception of one county that had a pediatric endocrinologist, participant selection criteria was made less stringent in order to fill the class.
  • Large fitness facilities are not always necessary to implement the program.
  • More staff time would have been useful for planning lessons.
  • Physician participation in the training was enhanced when they were held in physician offices in a one-on-one format, lunch was provided and the timeframe was kept to less than one hour.
  • One of the greatest challenges for providers in the use of the tools was limited patient time.
  • A "Training of Trainers" for the tools would have been helpful so counties would not have to rely on other agencies to provide the training.
  • Providers were happy to have the WakeMed ENERGIZE! Program to refer overweight and obese children and youth (age 10-17).

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