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 the uptake of a single point-of-care SSB screening question using the EHR in a large health system in North Carolina for children 6 months through 17 years old; and 2) evaluate the validity and utility of an SSB screening measure for observational research by studying the accuracy of the EHR measure and its correlation with body mass index (BMI) z-score over a 12 month period. This study will take place in seven pediatric and family medicine practices affiliated with the Wake Forest Baptist Health system. All practices use the same integrated EHR and serve a diverse population of over 24,000 children from the Piedmont and Appalachian regions of North Carolina.
Studying the Novel Approach of Using Electronic Health Records From Pediatric Primary Care to Measure Children’s Consumption of Sugary Beverages
Implementing a novel electronic health record approach to track child sugar-sweetened beverage consumption
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 … 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