Name
Intensive Health Behavior and Lifestyle Treatment (IHBLT) Offered Through a Pediatric Integrated Nutrition Program: Improving Access to Care
Description

This presentation showcases an innovative integrated care delivery model that addresses the critical gap in pediatric obesity treatment access by embedding intensive health behavior and lifestyle treatment (IHBLT) within primary care pediatric practices. Burlington Pediatrics/Mebane Pediatrics has developed a comprehensive program integrating nutrition services, behavioral health support, and care management to deliver evidence-based obesity treatment based on American Academy of Pediatrics (AAP) guidelines. By delivering care within the medical home where families already receive services, the program reduces transportation barriers and missed appointments, and addresses food insecurity, housing instability, and other social determinants that disproportionately affect low-income and minority populations.

Speakers
Yun Boylston, MD
MoRhonda Foxx, CMA
Ashley Garrison, MS, RD, LDN
Content Level
All Audience
Tags
Innovations, Patient-centered care or Patient perspectives, Pediatrics
Session Type
Concurrent
Objective 1
Understand the key components of effective pediatric IHBLT programs and how integrated delivery within primary care improves access for vulnerable populations.
Objective 2
Apply practical billing and sustainability strategies for integrated nutrition and behavioral health services in pediatric primary care settings.
Objective 3
Recognize barriers to obesity pharmacotherapy access and develop approaches to improve medication coverage and health equity.
Content Reference 1

Perrin JM, Flanagan P, Katkin J, Barabell G, Price J. The Unique Value Proposition of Pediatric Health Care. Pediatrics. 2023;151(2):e2022060681. doi:10.1542/peds.2022-060681.

Content Reference 2

Curfman A, Hackell JM, Herendeen NE, et al. Telehealth: Opportunities to Improve Access, Quality, and Cost in Pediatric Care. Pediatrics. 2022;149(3):e2021056035. doi:10.1542/peds.2021-056035.

Content Reference 3

Poleshuck E, Possemato K, Johnson EM, et al. Leveraging Integrated Primary Care to Address Patients' and Families' Unmet Social Needs: Aligning Practice With National Academy of Sciences, Engineering and Medicine Recommendations. Journal of the American Board of Family Medicine : JABFM. 2022 Jan-Feb;35(1):185-189. doi:10.3122/jabfm.2022.01.210287.

Content Reference 4

Arbour MC, Floyd B, Morton S, et al. Cross-Sector Approach Expands Screening and Addresses Health-Related Social Needs in Primary Care. Pediatrics. 2021;148(5):e2021050152. doi:10.1542/peds.2021-050152.

Content Reference 5

5. O'Connor EA, Evans CV, Henninger M, Redmond N, Senger CA. Interventions for Weight Management in Children and Adolescents: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2024;332(3):233-248. doi:10.1001/jama.2024.6739. 6. Hampl SE, Hassink SG, Skinner AC, et al. Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity. Pediatrics. 2023;151(2):e2022060640. doi:10.1542/peds.2022-060640. 7. Hampl SE, Hassink SG, Skinner AC, et al. Executive Summary: Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity. Pediatrics. 2023;151(2):e2022060641. doi:10.1542/peds.2022-060641. 8. Hostutler CA, Shahidullah JD, Mautone JA, et al. A Systematic Review and Meta-Analysis of Pediatric Integrated Primary Care for the Prevention and Treatment of Physical and Behavioral Health Conditions. Journal of Pediatric Psychology. 2024;:jsae038. doi:10.1093/jpepsy/jsae038. 9. Henize AW, Beck AF, Klein MD, Adams M, Kahn RS. A Road Map to Address the Social Determinants of Health Through Community Collaboration. Pediatrics. 2015;136(4):e993-1001. doi:10.1542/peds.2015-0549. 10. Weghuber D, Barrett T, Barrientos-Pérez M, et al. Once-Weekly Semaglutide in Adolescents with Obesity. The New England Journal of Medicine. 2022;387(24):2245-2257. doi:10.1056/NEJMoa2208601.