{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T22:30:51Z","timestamp":1779316251592,"version":"3.51.4"},"reference-count":40,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T00:00:00Z","timestamp":1709856000000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007165","name":"University of Missouri","doi-asserted-by":"crossref","award":["TRIUMPH (Translational Research Informing Useful a"],"award-info":[{"award-number":["TRIUMPH (Translational Research Informing Useful a"]}],"id":[{"id":"10.13039\/100007165","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100017618","name":"Division of Diabetes, Endocrinology, and Metabolic Diseases","doi-asserted-by":"crossref","award":["P30DK092950"],"award-info":[{"award-number":["P30DK092950"]}],"id":[{"id":"10.13039\/100017618","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Clinicians play an important role in addressing pediatric and adolescent obesity, but their effectiveness is restricted by time constraints, competing clinical demands, and the lack of effective electronic health record (EHR) tools. EHR tools are rarely developed with provider input.<\/jats:p><jats:p>\n          Objectives\u2003We conducted a mixed method study of clinicians who provide weight management care to children and adolescents to determine current barriers for effective care and explore the role of EHR weight management tools to overcome these barriers.<\/jats:p><jats:p>\n          Methods\u2003In this mixed-methods study, we conducted three 1-hour long virtual focus groups at one medium-sized academic health center in Missouri and analyzed the focus group scripts using thematic analysis. We sequentially conducted a descriptive statistical analysis of a survey emailed to pediatric and family medicine primary care clinicians (n\u2009=\u200952) at two private and two academic health centers in Missouri.<\/jats:p><jats:p>\n          Results\u2003Surveyed clinicians reported that they effectively provided health behavior lifestyle counseling at well-child visits (mean of 60 on a scale of 1\u2013100) and child obesity visits (63); however, most felt the current health care system (27) and EHR tools (41) do not adequately support pediatric weight management. Major themes from the clinician focus groups were that EHR weight management tools should display data in a way that (1) improves clinical efficiency, (2) supports patient-centered communication, (3) improves patient continuity between visits, and (4) reduces documentation burdens. An additional theme was (5) clinicians trust patient data entered in real time over patient recalled data.<\/jats:p><jats:p>\n          Conclusion\u2003Study participants report that the health care system status quo and currently available EHR tools do not sufficiently support clinicians working to manage pediatric or adolescent obesity and provide health behavior counseling. Clinician input in the development and testing of EHR weight management tools provides opportunities to address barriers, inform content, and improve efficiencies of EHR use.<\/jats:p>","DOI":"10.1055\/a-2283-9036","type":"journal-article","created":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T23:58:14Z","timestamp":1709942294000},"page":"368-377","source":"Crossref","is-referenced-by-count":6,"title":["Clinician Needs for Electronic Health Record Pediatric and Adolescent Weight Management Tools: A Mixed-Methods Study"],"prefix":"10.1055","volume":"15","author":[{"given":"Amy S.","family":"Braddock","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Missouri, Columbia, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. Taylor","family":"Bosworth","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Missouri, Columbia, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parijat","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Missouri, Columbia, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Proffitt","sequence":"additional","affiliation":[{"name":"School of Health Professions, University of Missouri, Columbia, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Flowers","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Missouri, Columbia, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Montgomery","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Missouri, Columbia, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gwendolyn","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Missouri, Columbia, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aneesh K.","family":"Tosh","sequence":"additional","affiliation":[{"name":"Department of Child Health, University of Missouri, Columbia, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richelle J.","family":"Koopman","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Missouri, Columbia, Missouri, United 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