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
Identifying geographic differences in children’s sugar‐sweetened beverage and 100% fruit juice intake using health system data
This study aimed to demonstrate the feasibility of using health system data to examine the geographic distribution of sugar‐sweetened beverage intake and evaluate neighborhood characteristics associated with intake. Researchers extracted electronic health record data from a sugar‐sweetened beverage and 100% fruit juice screener used for children ages 1 to 17 years in … More
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
Promoting Responsive Bottle-Feeding Within WIC: Evaluation of a Policy, Systems, and Environmental Change Approach
Bottle-fed infants are at greater risk for overfeeding and rapid weight gain (RWG), so evidence-based strategies for promoting healthy bottle-feeding practices are needed. The aim of this study was to assess whether policy, systems, and environmental (PSE) strategies for promoting responsive bottle-feeding practices within the Special Supplemental Nutrition Program for … More