{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T15:36:42Z","timestamp":1793115402348,"version":"4.5.0"},"reference-count":50,"publisher":"Human Kinetics","issue":"11","funder":[{"name":"NIH\/National Center for Advancing Translational Sciences","award":["UL1TR002366"],"award-info":[{"award-number":["UL1TR002366"]}],"id":[{"id":"https:\/\/ror.org\/04pw6fb54","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:p>\n                    <jats:italic>\n                      <jats:bold>Background<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Approximately 1 in 5 US children have obesity. Primary care-based screening for healthy lifestyle behaviors is one way to identify children at risk of having obesity and related consequences; however, providers often lack tools to connect patients and families to obesity prevention. Our study sought to identify essential elements of an electronic health record-based screening and community referral system to help pediatric patients meet physical activity and nutrition guidelines.\n                    <jats:italic>\n                      <jats:bold>Methods<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Our mixed-methods study was conducted at a large, academic pediatric medical center in a Midwestern, US city. Qualitative data included in-depth interviews with health care workers (n\u2009=\u200917), focus groups with community organizations (n\u2009=\u200915), parents and guardians of pediatric patients (n\u2009=\u20099), and a bioinformatics team (n\u2009=\u20095). Data informed a subsequent survey with health care providers (n\u2009=\u200940). Multiple data collection methods and participant types triangulated findings.\n                    <jats:italic>\n                      <jats:bold>Results<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Participants indicated that a screening-referral system would need to be trusted, sustainable, and tailored. Screening should be anchored in a nonjudgmental conversation, streamlined and time efficient, and offer options that cater to individual circumstances and needs. Referrals to community resources would need to be sourced from a comprehensive and high-quality database, tailored to individuals\u2019 preferences, and kept up to date.\n                    <jats:italic>\n                      <jats:bold>Conclusions<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Overall, participants believed a system to facilitate community referrals for physical activity and nutrition would be valuable, and suggested ways to maximize acceptability. Our study explored a way to link pediatric patients to community resources to better meet physical activity and nutrition recommendations and guides future innovations to improve obesity-related lifestyle risk factors.\n                  <\/jats:p>","DOI":"10.1123\/jpah.2025-0497","type":"journal-article","created":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T16:10:12Z","timestamp":1784995812000},"page":"1575-1585","source":"Crossref","is-referenced-by-count":0,"title":["Designing a Healthy Lifestyle Assessment and Resource Referral System Within Pediatric Primary Care Settings"],"prefix":"10.1123","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3981-8411","authenticated-orcid":true,"given":"Nikolaus","family":"Schuetz","sequence":"first","affiliation":[{"name":"Division of Health Services and Outcomes Research, Children\u2019s Mercy, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4343-5330","authenticated-orcid":true,"given":"J. Nalubega","family":"Ross","sequence":"additional","affiliation":[{"name":"Division of Health Services and Outcomes Research, Children\u2019s Mercy, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4785-5909","authenticated-orcid":true,"given":"Lynette","family":"Lartey","sequence":"additional","affiliation":[{"name":"Division of Health Services and Outcomes Research, Children\u2019s Mercy, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4622-3608","authenticated-orcid":true,"given":"Jeffrey D.","family":"Colvin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1806-075X","authenticated-orcid":true,"given":"Emily A.","family":"Hurley","sequence":"additional","affiliation":[{"name":"Division of Health Services and Outcomes Research, Children\u2019s Mercy, Kansas City, MO, USA"},{"name":"Department of Pediatrics, University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA"},{"name":"Department of Population Health, University of Kansas Medical Center, Kansas City, KS, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5947-1198","authenticated-orcid":true,"given":"Robin P.","family":"Shook","sequence":"additional","affiliation":[{"name":"Division of Health Services and Outcomes Research, Children\u2019s Mercy, Kansas City, MO, USA"},{"name":"Department of Pediatrics, University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"158","key":"r1","series-title":"Natl Health Stat Report.","article-title":"National Health and Nutrition Examination Survey 2017\u2013March 2020 prepandemic data files\u2014development of files and prevalence estimates for selected health outcomes","volume":"14","author":"Stierman B","year":"2021","unstructured":"Stierman B, Afful J, Carroll MD, et al. National Health and Nutrition Examination Survey 2017\u2013March 2020 prepandemic data files\u2014development of files and prevalence estimates for selected health outcomes. Natl Health Stat Report. 2021;14(158). doi:10.15620\/cdc:106273"},{"key":"r2","series-title":"Tackling Obesities: Future Choices-Project Report","author":"Butland B","year":"2007","unstructured":"Butland B, Jebb S, Kopelman P, et\u00a0al. Tackling Obesities: Future Choices-Project Report. Vol. 10. Citeseer; 2007."},{"issue":"3","key":"r3","series-title":"Maturitas","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1016\/j.maturitas.2011.08.005","article-title":"Tracking of obesity-related behaviours from childhood to adulthood: a systematic review","volume":"70","author":"Craigie AM","year":"2011","unstructured":"Craigie AM, Lake AA, Kelly SA, Adamson AJ, Mathers JC. Tracking of obesity-related behaviours from childhood to adulthood: a systematic review. Maturitas. 2011;70(3):266\u2013284. PubMed ID: 21920682 doi:10.1016\/j.maturitas.2011.08.005"},{"key":"r4","series-title":"Adherence With Multiple National Healthy Lifestyle Recommendations in a Large Pediatric Center Electronic Health Record and Reduced Risk of Obesity","first-page":"1247","author":"Shook RP","year":"2018","unstructured":"Shook RP, Halpin K, Carlson JA, et\u00a0al. Adherence With Multiple National Healthy Lifestyle Recommendations in a Large Pediatric Center Electronic Health Record and Reduced Risk of Obesity. Elsevier; 2018:1247\u20131255."},{"issue":"12","key":"r5","series-title":"J Sports Sc","doi-asserted-by":"publisher","first-page":"1148","DOI":"10.1080\/02640414.2015.1093650","article-title":"What is really causing the obesity epidemic? A review of reviews in children and adults","volume":"34","author":"Ross SE","year":"2016","unstructured":"Ross SE, Flynn JI, Pate RR. What is really causing the obesity epidemic? A review of reviews in children and adults. J Sports Sc. 2016;34(12):1148\u20131153. doi:10.1080\/02640414.2015.1093650"},{"issue":"4","key":"r6","series-title":"Am J Prev Med","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1016\/j.amepre.2020.05.007","article-title":"US children meeting physical activity, screen time, and sleep guidelines","volume":"59","author":"Friel CP","year":"2020","unstructured":"Friel CP, Duran AT, Shechter A, Diaz KM. US children meeting physical activity, screen time, and sleep guidelines. Am J Prev Med. 2020;59(4):513\u2013521. PubMed ID: 32863080 doi:10.1016\/j.amepre.2020.05.007"},{"issue":"19","key":"r7","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"2020","DOI":"10.1001\/jama.2018.14854","article-title":"The physical activity guidelines for Americans","volume":"320","author":"Piercy KL","year":"2018","unstructured":"Piercy KL, Troiano RP, Ballard RM, et\u00a0al. The physical activity guidelines for Americans. JAMA. 2018;320(19):2020\u20132028. PubMed ID: 30418471 doi:10.1001\/jama.2018.14854"},{"issue":"1","key":"r8","series-title":"J Acad Nutr Diet","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1016\/j.jand.2015.08.010","article-title":"Poor adherence to US dietary guidelines for children and adolescents in the national health and nutrition examination survey population","volume":"116","author":"Banfield EC","year":"2016","unstructured":"Banfield EC, Liu Y, Davis JS, Chang S, Frazier-Wood AC. Poor adherence to US dietary guidelines for children and adolescents in the national health and nutrition examination survey population. J Acad Nutr Diet. 2016;116(1):21\u201327. PubMed ID: 26391469 doi:10.1016\/j.jand.2015.08.010"},{"issue":"3","key":"r9","series-title":"Prev Chronic Dis","article-title":"A systems-oriented multilevel framework for addressing obesity in the 21st century","volume":"6","author":"Huang TT","year":"2009","unstructured":"Huang TT, Drewnowski A, Kumanyika SK, Glass TA. A systems-oriented multilevel framework for addressing obesity in the 21st century. Prev Chronic Dis. 2009;6(3):A82."},{"issue":"1","key":"r10","series-title":"Child Obes","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1089\/chi.2013.9102","article-title":"Next steps in obesity prevention: applying the systems approach","volume":"9","author":"Huang MTT-K","year":"2013","unstructured":"Huang MTT-K, Brownson PR, Esposito L, Green L, Homer C. Next steps in obesity prevention: applying the systems approach. Child Obes. 2013;9(1):11\u201314. PubMed ID: 23327746 doi:10.1089\/chi.2013.9102"},{"issue":"4","key":"r11","series-title":"Child Obes","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1089\/chi.2020.0294","article-title":"Characterization of a regional childhood obesity prevention and treatment system","volume":"17","author":"Bozsik F","year":"2021","unstructured":"Bozsik F, Shook RP, Wilson EJ, et\u00a0al. Characterization of a regional childhood obesity prevention and treatment system. Child Obes. 2021;17(4):291\u2013297. PubMed ID: 33794109 doi:10.1089\/chi.2020.0294"},{"issue":"10","key":"r12","series-title":"Eur J Pediatr","doi-asserted-by":"publisher","first-page":"4749","DOI":"10.1007\/s00431-023-05126-6","article-title":"Development and evaluation study of FLY-Kids: a new lifestyle screening tool for young children","volume":"182","author":"Krijger A","year":"2023","unstructured":"Krijger A, Schiphof-Godart L, Elstgeest L, et\u00a0al. Development and evaluation study of FLY-Kids: a new lifestyle screening tool for young children. Eur J Pediatr. 2023;182(10):4749\u20134757. PubMed ID: 37580556 doi:10.1007\/s00431-023-05126-6"},{"issue":"24","key":"r13","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"2617","DOI":"10.1001\/jama.2015.16244","article-title":"Making physical activity counseling a priority in clinical practice: the time for action is now","volume":"314","author":"Berra K","year":"2015","unstructured":"Berra K, Rippe J, Manson JE. Making physical activity counseling a priority in clinical practice: the time for action is now. JAMA. 2015;314(24):2617\u20132618. PubMed ID: 26662069 doi:10.1001\/jama.2015.16244"},{"key":"r14","series-title":"BMJ","article-title":"Promoting physical activity to patients","volume":"366","author":"Haseler C","year":"2019","unstructured":"Haseler C, Crooke R, Haseler T. Promoting physical activity to patients. BMJ. 2019;366:l5230."},{"key":"r15","series-title":"Prog Cardiovasc Dis","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1016\/j.pcad.2020.12.006","article-title":"Physical activity assessment, prescription and referral in US healthcare: how do we make this a standard of clinical practice?","volume":"64","author":"Whitsel LP","year":"2021","unstructured":"Whitsel LP, Bantham A, Jarrin R, Sanders L, Stoutenberg M. Physical activity assessment, prescription and referral in US healthcare: how do we make this a standard of clinical practice? Prog Cardiovasc Dis. 2021;64:88\u201395. PubMed ID: 33383058 doi:10.1016\/j.pcad.2020.12.006"},{"key":"r16","article-title":"R3 Report","year":"2022","unstructured":"New Requirements to Reduce Health Care Disparities. R3 Report. 2022. https:\/\/www.jabfm.org\/content\/jabfp\/36\/4\/626.full.pdf"},{"issue":"4","key":"r17","series-title":"Health Affairs","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1377\/hlthaff.2017.1252","article-title":"Integrating data on social determinants of health into electronic health records","volume":"37","author":"Cantor MN","year":"2018","unstructured":"Cantor MN, Thorpe L. Integrating data on social determinants of health into electronic health records. Health Affairs. 2018;37(4):585\u2013590. PubMed ID: 29608369 doi:10.1377\/hlthaff.2017.1252"},{"issue":"1","key":"r18","series-title":"Annu Rev Public Health","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1146\/annurev-publhealth-090419-102204","article-title":"Addressing social needs in health care settings: evidence, challenges, and opportunities for public health","volume":"42","author":"Kreuter MW","year":"2021","unstructured":"Kreuter MW, Thompson T, McQueen A, Garg R. Addressing social needs in health care settings: evidence, challenges, and opportunities for public health. Annu Rev Public Health. 2021;42(1):329\u2013344. doi:10.1146\/annurev-publhealth-090419-102204"},{"issue":"1","key":"r19","series-title":"Health Equity","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1089\/heq.2022.0010","article-title":"Effectiveness of social needs screening and interventions in clinical settings on utilization, cost, and clinical outcomes: a systematic review","volume":"6","author":"Yan AF","year":"2022","unstructured":"Yan AF, Chen Z, Wang Y, et\u00a0al. Effectiveness of social needs screening and interventions in clinical settings on utilization, cost, and clinical outcomes: a systematic review. Health Equity. 2022;6(1):454\u2013475. PubMed ID: 35801145 doi:10.1089\/heq.2022.0010"},{"issue":"2","key":"r20","series-title":"Pediatrics","doi-asserted-by":"publisher","first-page":"e296","DOI":"10.1542\/peds.2014-2888","article-title":"Addressing social determinants of health at well child care visits: a cluster RCT","volume":"135","author":"Garg A","year":"2015","unstructured":"Garg A, Toy S, Tripodis Y, Silverstein M, Freeman E. Addressing social determinants of health at well child care visits: a cluster RCT. Pediatrics. 2015;135(2):e296\u2013e304. PubMed ID: 25560448 doi:10.1542\/peds.2014-2888"},{"key":"r21","series-title":"Med Care","doi-asserted-by":"publisher","first-page":"S133","DOI":"10.1097\/MLR.0000000000001029","article-title":"Implementing an EHR-based screening and referral system to address social determinants of health in primary care","volume":"57","author":"de la Vega PB","year":"2019","unstructured":"de la Vega PB, Losi S, Martinez LS, et\u00a0al. Implementing an EHR-based screening and referral system to address social determinants of health in primary care. Med Care. 2019;57:S133\u2013S139. doi:10.1097\/MLR.0000000000001029"},{"key":"r22","series-title":"AMIA Annu Symp Proc","first-page":"583","article-title":"More than a database: understanding community resource referrals within a socio-technical systems framework","volume":"2020","author":"Iott BE","year":"2020","unstructured":"Iott BE, Eddy C, Casanova C, Veinot TC. More than a database: understanding community resource referrals within a socio-technical systems framework. AMIA Annu Symp Proc; 2020;2020:583\u2013592. PubMed ID: 33936432"},{"issue":"1","key":"r23","series-title":"JAMA Network Open","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.44967","article-title":"Examination of stigmatizing language in the electronic health record","volume":"5","author":"Himmelstein G","year":"2022","unstructured":"Himmelstein G, Bates D, Zhou L. Examination of stigmatizing language in the electronic health record. JAMA Network Open. 2022;5(1):e2144967. doi:10.1001\/jamanetworkopen.2021.44967"},{"issue":"2","key":"r24","series-title":"Health Affairs","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1377\/hlthaff.2021.01423","article-title":"Negative patient descriptors: documenting racial bias in the electronic health record: study examines racial bias in the patient descriptors used in the electronic health record","volume":"41","author":"Sun M","year":"2022","unstructured":"Sun M, Oliwa T, Peek ME, Tung EL. Negative patient descriptors: documenting racial bias in the electronic health record: study examines racial bias in the patient descriptors used in the electronic health record. Health Affairs. 2022;41(2):203\u2013211. PubMed ID: 35044842 doi:10.1377\/hlthaff.2021.01423"},{"issue":"3","key":"r25","series-title":"Child Obes","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1177\/21532176261423258","article-title":"Adherence to health behavior recommendations among youth with obesity classes I, II, and III","volume":"22","author":"Peter LS","year":"2026","unstructured":"Peter LS, Vabishchevich V, Hampl S, et\u00a0al. Adherence to health behavior recommendations among youth with obesity classes I, II, and III. Child Obes. 2026;22(3):137\u2013145. PubMed ID: 41709506 doi:10.1177\/21532176261423258"},{"issue":"6","key":"r26","series-title":"PLoS One","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0303583","article-title":"Relationship between youth cardiometabolic health and physical activity in medical records","volume":"19","author":"Forseth B","year":"2024","unstructured":"Forseth B, Noel-MacDonnell JR, Hampl S, et\u00a0al. Relationship between youth cardiometabolic health and physical activity in medical records. PLoS One. 2024;19(6):e0303583. doi:10.1371\/journal.pone.0303583"},{"issue":"8","key":"r27","series-title":"Hum Relat","doi-asserted-by":"publisher","first-page":"783","DOI":"10.1177\/001872677602900806","article-title":"The principles of sociotechnical design","volume":"29","author":"Cherns A","year":"1976","unstructured":"Cherns A. The principles of sociotechnical design. Hum Relat. 1976;29(8):783\u2013792. doi:10.1177\/001872677602900806"},{"key":"r28","series-title":"Qualitative Methods in Social Work Research","author":"Padgett D","year":"2008","unstructured":"Padgett D. Qualitative Methods in Social Work Research. 2008."},{"issue":"6","key":"r29","series-title":"Int J Qual Health Care","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong A","year":"2007","unstructured":"Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349\u2013357. PubMed ID: 17872937 doi:10.1093\/intqhc\/mzm042"},{"key":"r30","series-title":"J Biomed Inform","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208","article-title":"The REDCap consortium: building an international community of software platform partners","volume":"95","author":"Harris PA","year":"2019","unstructured":"Harris PA, Taylor R, Minor BL, et\u00a0al. The REDCap consortium: building an international community of software platform partners. J Biomed Inform. 2019;95:103208. doi:10.1016\/j.jbi.2019.103208"},{"issue":"2","key":"r31","series-title":"J Biomed Inform","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris PA","year":"2009","unstructured":"Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377\u2013381. PubMed ID: 18929686 doi:10.1016\/j.jbi.2008.08.010"},{"key":"r32","series-title":"The coding manual for qualitative researchers","author":"Salda\u00f1a J","year":"2016","unstructured":"Salda\u00f1a J. The coding manual for qualitative researchers (3rd ed.). Sage; 2016."},{"issue":"1","key":"r33","series-title":"Couns Psychother Res","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1002\/capr.12360","article-title":"Can I use TA? Should I use TA? Should I not use TA? Comparing reflexive thematic analysis and other pattern\u2010based qualitative analytic approaches","volume":"21","author":"Braun V","year":"2021","unstructured":"Braun V, Clarke V. Can I use TA? Should I use TA? Should I not use TA? Comparing reflexive thematic analysis and other pattern\u2010based qualitative analytic approaches. Couns Psychother Res. 2021;21(1):37\u201347. doi:10.1002\/capr.12360"},{"issue":"4","key":"r34","series-title":"ECTJ","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1007\/BF02765185","article-title":"Epistemological and methodological bases of naturalistic inquiry","volume":"30","author":"Guba E","year":"1982","unstructured":"Guba E, Lincoln Y. Epistemological and methodological bases of naturalistic inquiry. ECTJ. 1982;30(4):233\u2013252. doi:10.1007\/BF02765185"},{"issue":"12","key":"r35","series-title":"Qual Life Res","doi-asserted-by":"publisher","first-page":"3395","DOI":"10.1007\/s11136-019-02285-8","article-title":"Viewing assessments of patient-reported heath status as conversations: Implications for developing and evaluating patient-reported outcome measures","volume":"28","author":"Weinfurt KP","year":"2019","unstructured":"Weinfurt KP. Viewing assessments of patient-reported heath status as conversations: Implications for developing and evaluating patient-reported outcome measures. Qual Life Res. 2019;28(12):3395\u20133401. PubMed ID: 31485914 doi:10.1007\/s11136-019-02285-8"},{"key":"r36","series-title":"Talk and social structure: studies in ethnomethodology and conversation analysis","first-page":"138","article-title":"Talk and institution: A reconsideration of the \u2018asymmetry\u2019of doctor\u2013patient interaction","author":"Ten Have P","year":"1991","unstructured":"Ten Have P. Talk and institution: A reconsideration of the \u2018asymmetry\u2019of doctor\u2013patient interaction. In: Boden D, Zimmerman DH, eds. Talk and social structure: studies in ethnomethodology and conversation analysis. 1991:138\u2013163."},{"key":"r37","first-page":"1","article-title":"Can I talk to you about your social needs? Understanding preference for conversational user interface in health","author":"Kocielnik R","year":"2021","unstructured":"Kocielnik R, Langevin R, George JS, et\u00a0al. Can I talk to you about your social needs? Understanding preference for conversational user interface in health. Proceedings of the 3rd Conference on Conversational User Interfaces; 2021:1\u201310."},{"key":"r38","series-title":"Patient Educ Couns","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2024.108298","article-title":"Unpacking patient perspectives on social needs screening: a mixed methods study in western colorado primary care practices","volume":"125","author":"Broaddus-Shea ET","year":"2024","unstructured":"Broaddus-Shea ET, Jimenez-Zambrano A, Holliman BD, Connelly L, Huebschmann AG, Nederveld A. Unpacking patient perspectives on social needs screening: a mixed methods study in western colorado primary care practices. Patient Educ Couns. 2024;125:108298. doi:10.1016\/j.pec.2024.108298"},{"issue":"8","key":"r39","series-title":"Arch Pediatr Adolesc Med","doi-asserted-by":"publisher","first-page":"794","DOI":"10.1001\/archpedi.156.8.794","article-title":"Mothers\u2019 and health care providers\u2019 perspectives on screening for intimate partner violence in a pediatric emergency department","volume":"156","author":"Dowd MD","year":"2002","unstructured":"Dowd MD, Kennedy C, Knapp JF, Stallbaumer-Rouyer J. Mothers\u2019 and health care providers\u2019 perspectives on screening for intimate partner violence in a pediatric emergency department. Arch Pediatr Adolesc Med. 2002;156(8):794\u2013799. PubMed ID: 12144370 doi:10.1001\/archpedi.156.8.794"},{"issue":"1","key":"r40","series-title":"Harm Reduct J","doi-asserted-by":"publisher","DOI":"10.1186\/s12954-021-00532-1","article-title":"Long-acting reversible contraceptives (LARCs) as harm reduction: a qualitative study exploring views of women with histories of opioid misuse","volume":"18","author":"Stancil SL","year":"2021","unstructured":"Stancil SL, Miller MK, Duello A, et\u00a0al. Long-acting reversible contraceptives (LARCs) as harm reduction: a qualitative study exploring views of women with histories of opioid misuse. Harm Reduct J. 2021;18(1):83. doi:10.1186\/s12954-021-00532-1"},{"issue":"2","key":"r41","series-title":"Focus","first-page":"3","article-title":"Documenting experiences and interactions with child protective services","volume":"37","author":"Merritt DH","year":"2021","unstructured":"Merritt DH. Documenting experiences and interactions with child protective services. Focus. 2021;37(2):3\u201310. PubMed ID: 38076721"},{"issue":"4","key":"r42","series-title":"J Patient Cent Res Rev","doi-asserted-by":"publisher","first-page":"307","DOI":"10.17294\/2330-0698.1782","article-title":"Communication skills training: a means to promote time-efficient patient-centered communication in clinical practice","volume":"8","author":"Iversen ED","year":"2021","unstructured":"Iversen ED, Wolderslund M, Kofoed P-E, et\u00a0al. Communication skills training: a means to promote time-efficient patient-centered communication in clinical practice. J Patient Cent Res Rev. 2021;8(4):307\u2013314. PubMed ID: 34722798 doi:10.17294\/2330-0698.1782"},{"issue":"16","key":"r43","series-title":"J Gen Intern Med","doi-asserted-by":"publisher","first-page":"4160","DOI":"10.1007\/s11606-022-07531-3","article-title":"\u201cMore than just giving them a piece of paper\u201d: interviews with primary care on social needs referrals to community-based organizations","volume":"37","author":"Beidler LB","year":"2022","unstructured":"Beidler LB, Razon N, Lang H, Fraze TK. \u201cMore than just giving them a piece of paper\u201d: interviews with primary care on social needs referrals to community-based organizations. J Gen Intern Med. 2022;37(16):4160\u20134167. PubMed ID: 35426010 doi:10.1007\/s11606-022-07531-3"},{"issue":"4","key":"r44","series-title":"J Am Board Fam Med","doi-asserted-by":"publisher","first-page":"793","DOI":"10.3122\/jabfm.2022.04.210462","article-title":"Patient barriers to accessing referred resources for unmet social needs","volume":"35","author":"Sandhu S","year":"2022","unstructured":"Sandhu S, Lian T, Smeltz L, Drake C, Eisenson H, Bettger JP. Patient barriers to accessing referred resources for unmet social needs. J Am Board Fam Med. 2022;35(4):793\u2013802. PubMed ID: 35896446 doi:10.3122\/jabfm.2022.04.210462"},{"issue":"2","key":"r45","series-title":"Pediatrics","article-title":"Clinical practice guideline for the evaluation and treatment of children and adolescents with obesity","volume":"151","author":"Hampl SE","year":"2023","unstructured":"Hampl SE, Hassink SG, Skinner AC, et\u00a0al. Clinical practice guideline for the evaluation and treatment of children and adolescents with obesity. Pediatrics. 2023;151(2):e2022060640."},{"key":"r46","article-title":"Health Care Providers: Making a difference in your health care setting","unstructured":"Exercise is Medicine. Health Care Providers: Making a difference in your health care setting. Accessed March 27, 2026. https:\/\/www.exerciseismedicine.org\/eim-in-action\/health-care\/health-care-providers\/"},{"key":"r47","article-title":"Healthcare","unstructured":"Physical Activity Alliance. Healthcare. Accessed March 27, 2026. https:\/\/paamovewithus.org\/healthcare\/"},{"issue":"18","key":"r48","series-title":"Circulation","doi-asserted-by":"publisher","first-page":"e495","DOI":"10.1161\/CIR.0000000000000559","article-title":"Routine assessment and promotion of physical activity in healthcare settings: a scientific statement from the American Heart Association","volume":"137","author":"Lobelo F","year":"2018","unstructured":"Lobelo F, Rohm Young D, Sallis R, et\u00a0al. Routine assessment and promotion of physical activity in healthcare settings: a scientific statement from the American Heart Association. Circulation. 2018;137(18):e495\u2013e522. PubMed ID: 29618598 doi:10.1161\/CIR.0000000000000559"},{"key":"r49","article-title":"Materials for Health Care Providers","unstructured":"ODPHP. Materials for Health Care Providers. Accessed March 27, 2026. https:\/\/odphp.health.gov\/our-work\/nutrition-physical-activity\/move-your-way-community-resources\/campaign-materials\/materials-health-care-providers#:\u223c:text=Health%20care%20providers%20have%20a,Physical%20Activity%20Guidelines%20for%20Americans."},{"key":"r50","article-title":"Active People Healthy Nation","unstructured":"CDC. Active People Healthy Nation. Accessed March 27, 2026. https:\/\/www.cdc.gov\/active-people-healthy-nation\/php\/tools\/health-care.html"}],"container-title":["Journal of Physical Activity and Health"],"original-title":[],"link":[{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/jpah\/23\/11\/article-p1575.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.humankinetics.com\/downloadpdf\/journals\/jpah\/23\/11\/article-p1575.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.humankinetics.com\/downloadpdf\/journals\/jpah\/23\/11\/article-p1575.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T15:31:29Z","timestamp":1793115089000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/jpah\/23\/11\/article-p1575.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11,1]]},"references-count":50,"journal-issue":{"issue":"11"},"URL":"https:\/\/doi.org\/10.1123\/jpah.2025-0497","relation":{},"ISSN":["1543-3080","1543-5474"],"issn-type":[{"value":"1543-3080","type":"print"},{"value":"1543-5474","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,11,1]]}}}