Sugar-sweetened beverage (SSB) consumption is a risk factor for childhood obesity. Including this measure in electronic health records (EHR) could enhance clinical care and facilitate research on this topic. We implemented a single-item, EHR screening question for SSB and 100% fruit juice at 8 pediatric practices affiliated with a North Carolina academic medical center. From March-December 2017, we evaluated SSB screening of children 6 months-17 years of age. In a sub-sample of screened patients, we also conducted a telephone-based validation survey, comparing EHR-based responses to a lengthier beverage questionnaire. 22,626 children (91% of all seen) were screened for SSB intake. The screened population was diverse – 35% non-Hispanic White, 26% African-American, and 30% Hispanic. Consistent with national estimates, reported intake was typically higher than recommended: 41% (n = 9220) reported consuming SSB or fruit juice >1×/day in the past month, and consumption was higher among race/ethnic minorities. Of 201 validation survey respondents, direct correlation between their beverage survey and EHR screener responses was moderate. EHR-based screening for SSBs and fruit juice was successfully implemented, generating a large volume of SSB consumption data in a diverse patient population.
Implementing a novel electronic health record approach to track child sugar-sweetened beverage consumption
Studying the Novel Approach of Using Electronic Health Records From Pediatric Primary Care to Measure Children’s Consumption of Sugary Beverages
Electronic health record (EHR) screening for sugar-sweetened beverage (SSB) intake may be a novel intervention for reducing SSB intake in children, and would result in longitudinal databases of individual-level consumption that could enhance the ability the evaluate local or regional SSB policies. This study aims to: 1) implement and evaluate … More
Drinking water access in California schools: Room for improvement following implementation of school water policies
This study aimed to investigate how access to free drinking water in California public schools changed after implementation of 2010 federal and state school water policies. Repeated cross-sectional surveys were conducted with administrators in a random sample of California public schools, stratified by school type and urban-centric geography, from 2010 … More
Assessing the Implementation of Kids’ Meals Healthy Default Beverage Policies in the State of California and City of Wilmington, Del.
Healthy default beverage (HDB) policies are one policy approach to limiting kids’ sugary drink consumption and encouraging healthier beverage consumption. These policies specifically require restaurants to offer only healthier drinks (e.g., water, milk, 100% juice) instead of sugary drinks as the default options with kids’ meals, a combination of food … More