Kathy Ireland's research while affiliated with Boston Medical Center and other places
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Publications (14)
Objectives
Disparities in obesity care exist among African-American children and adults. We sought to test the feasibility of a pilot program, a 1-year family-based intervention for African-American families with obesity [shape up and eat right (SUPER)], adopting the shared medical appointment model (SMA) at an urban safety net hospital.OutcomesPri...
Since the "2007 summary report of child and adolescent overweight and obesity treatment" published by Barlow, many obesity intervention studies have been conducted in pediatric ambulatory care. Although several meta-analyses have been published in the interim, many studies were excluded because of the focus and criteria of these meta-analyses. Ther...
Medical nutrition education in most US medical schools is lacking, despite an epidemic of lifestyle related chronic conditions and high rates of malnutrition in hospitals. In a unique response to this deficit, students at Boston University School of Medicine have created a novel student interest group entitled Student Nutrition Awareness and Action...
Introduction: To describe recruitment difficulties in a pediatric clinical trial targeting underserved pediatric obese populations.
Methods: We planned a 6-month randomized, double-blind, placebo-controlled clinical trial of glutamine vs.
placebo, to reduce HOMA-IR and weight gain in obese adolescents. Participation required 5 visits at a research...
Medical nutrition education in most US medical schools is lacking, despite an epidemic of lifestyle related chronic conditions and high rates of malnutrition in hospitals. In a unique response to this deficit, students at Boston University School of Medicine have created a novel student interest group entitled Student Nutrition Awareness and Action...
Medical nutrition education in most US medical schools is lacking, despite an epidemic of lifestyle related chronic conditions and high rates of malnutrition in hospitals. In a unique response to this deficit, students at Boston University School of Medicine have created a novel student interest group entitled Student Nutrition Awareness and Action...
Pediatric obesity is a growing problem in the United States, primarily resulting from increased food intake, decreased physical activity, and increased sedentary behaviors. Several system-based initiatives are underway at national, state, and community levels to prevent it. Evidence on how to best treat pediatric obesity is limited, but expert opin...
Citations
... Shared medical appointments (SMAs) are increasingly used to improve the health and daily living of patients with common chronic diseases, such as cardiovascular disease, obesity, diabetes, and breast cancer [14][15][16][17][18]. It has been reported previously that patients with chronic pain participating in the SMAs were treated with integrative medical modalities, including mindfulness practices, self-massage, acupuncture, and similar approaches, as education only [19], education plus an individual integrative modality [20], or a combination of different therapies [21][22][23][24][25]. Improvements in pain severity, depression, and quality of life, as well as reduced pain medication use and fewer emergency department visits, were documented. ...
... Nevertheless, service users including healthcare professionals (HPs), parents, and young people are too frequently left out of, or insufficiently acknowledged in, health policies and plans, affecting their access to and the delivery of health and social care. Evidence suggests that many HPs are not adequately trained or otherwise equipped to deliver evidence-informed care (16)(17)(18)(19). Optimal implementation of innovations and changes in practice for healthcare necessitates co-design and collaboration with frontline healthcare professionals who understand the contextual factors that might facilitate or hamper change in service design or delivery in their respective settings (20,21). ...
... Halen altı çocuk ve ergenden yaklaşık biri veya 2 ila 19 yaşları arasındaki 12,7 milyon genç aşırı kilolu veya obezdir. İnsidans, önleme çalışmalarına rağmen bazı alt yaş gruplarında son 20 yılda iki kat artmıştır (Elizabeth & al., 2019). Çocuklukta obezite erişkinlikte obezite için bir risk faktörü olduğundan, günümüzde pediatrik yaşta aşırı kilo ve obezite prevalansının yüksek olması, gelecek yıllarda yetişkinlikte obezite prevalansının daha da artmasına yol açması beklenmektedir. ...
... Furthermore, though the urban innercity academic hospital where the study took place serves a diverse racial/ethnic minority underserved population, efforts to engage the commu nity in recruitment of communitybased participatory research needs attention. A previous study from this institution has cited challenges in recruitment for pediatric obesity trials even with financial incentives (out of 179 eligible, only 4 attended the visits) (37). Recently, the Communication, Awareness, Relationships, and Empowerment (C.A.R.E.) model to engage atrisk African American population in the Washington, DC area cultivated not only a visible presence at community events, but also through partnerships with churches, health organization, academic institutions, and governmental agencies, was able to successfully recruit and retain the study participants (38). ...
... Many students also suggested adding nutrition as a core module in their curriculum to help patients focus on disease prevention. Modern-day educational models now focus more than before and have increased teaching time for nutrition courses in medical school (Schoettler et al., 2015). ...
... However, teachers have paid less attention to practical aspects [16]. Some interventions in the community by medical and nutrition students are required.These students can hold a community nutrition cooking class for low-income population in some medical and nutrition schools such as Brown and Boston medical schools [30,31]. This kind of activity may improve undergraduate and graduate medical nutrition education by integrating theoretical and practical learning along with community health management activities [29]. ...
... Various US national accreditation boards including the LCME and the NBME have suggested inclusion of active learning strategies in the teaching curriculum (41). Based on these recommendations, modern day educational models now focus more than before and have increased teaching time for nutrition courses in the medical school (42,43). Our study found prevalence of adult-onset diabetes, hypertension, and nutritional imbalance in the local community. ...
... Surgeons were especially disinterested in nutrition knowledge over the years of training reflecting the trend of leaving this part of practice to others, perhaps nutrition specialists [34]. It would be interesting to study if the patterns of referrals reflected this Our results are similar to other studies around the world where the scores obtained reflected on the average, about 48.5% scores on the nutritional knowledge quiz [2,4,5,35]. ...