Date of Conferral

2020

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Trinity Ingram-Jones

Abstract

Obesity significantly increases morbidity and mortality, and its incidence amongHispanic-American children and adolescents exceeds that of any other ethnic group in the United States. Without proper intervention, these children and adolescents will experience the burden of costly comorbidities across the lifespan. Guided by Leininger’s theory of culture care diversity and universality, the purpose of this project was to identify evidence-based, culturally sensitive strategies to prevent and treat obesity among Hispanic-American pediatric patients in the primary care setting through a systematic review of the literature utilizing the Joanna Briggs Institute method. The practice-focused question that guided this review focused on finding the culturally- sensitive strategies that are effective in preventing and treating obesity in the primary care setting among Hispanic-American pediatric patients. After screening 644 single, relevant studies for inclusion and exclusion based on predetermined criteria, a total of 16 articles were chosen for the review. This review identified 4 specific, evidence-based strategies to successfully prevent and treat obesity among Hispanic-American pediatric patients in the primary care setting, including the provision of anticipatory guidance in Spanish, involvement of the family when devising the plan of care, use of a promotora, and follow-up home visits or phone calls. Each of these strategies can be incorporated into most pediatric primary care settings without incurring significant additional costs, and their implementation is recommended. Successful prevention and treatment of pediatric obesity among the Hispanic-American pediatric population will reduce the physical, psychological, social, and economic burden on patients, their families, and society as a whole, thereby creating positive social change.

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