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
Start Date: February 2017
ID #: 74370
Principal Investigator: Kristina Lewis, MD, MPH, SM
Organization: Wake Forest University Health Sciences
Funding Round: Round 10
Race/Ethnicity: African American or Black, American Indian, Asian, Latino(a) or Hispanic, White, Multi-racial/ethnic
Age Groups: Pregnant women, infants and toddlers (ages 0 to 2), Preschool-age children (ages 3 to 5), Elementary-age children (grades K to 5), Young adolescents (grades 6 to 8), Adolescents (grades 9 to 12)
Focus Area: Beverages
Resource Type: Grant Summary
Keywords: Body mass index (BMI), Health Care, Nutrition standards, Sugar-sweetened beverages, Taxes
State: North Carolina
Related Research
October 2020
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
June 2018
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
June 2021
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