Transcript Developed through the APTR Initiative to Enhance Prevention and Population Health Education in collaboration with the Brody School of Medicine at.

Developed through the APTR Initiative to Enhance Prevention and Population
Health Education in collaboration with the Brody School of Medicine at East
Carolina University with funding from the Centers for Disease Control and
Prevention
APTR wishes to acknowledge the following individual that
developed this module:

Suzanne Lazorick, MD, MPH
Departments of Pediatrics and Public Health
Brody School of Medicine at East Carolina University
This education module is made possible through the Centers for Disease Control and Prevention (CDC) and the
Association for Prevention Teaching and Research (APTR) Cooperative Agreement, No. 5U50CD300860. The module
represents the opinions of the author(s) and does not necessarily represent the views of the Centers for Disease
Control and Prevention or the Association for Prevention Teaching and Research.
Explain the role of the US Preventive Services Task
Force (USPSTF) in improving health outcomes
2. Become familiar with available resources and
support tools for evidence-based prevention
1.
1.
2.
Online tools including widget
Applications for mobile devices

Guide to Clinical Preventive Services
 http://www.ahrq.gov/clinic/cps3dix.htm

US Preventive Services Task Force
 http://www.ahrq.gov/clinic/uspstfix.htm

Electronic Preventive Services Selector (ePSS)
 http://www.ahrq.gov/PDA/index.jsp

Evaluate the benefits of individual services based on
age, gender, and risk factors for disease

Make recommendations about which preventive
services should be incorporated routinely into
primary medical care and for which populations

Identify a research agenda for clinical preventive
care

Conduct scientific evidence reviews of clinical
preventive services

Estimate the magnitude of benefits and harms for
each preventive service and determines the net
benefit

Issue a recommendation

The Task Force grades the strength of the evidence:
 "A" (strongly recommends)
 "B" (recommends)
 "C" (no recommendation for or against)
 "D" (recommends against)
 "I" (insufficient evidence to recommend for or against).

In January 2010, the USPSTF issued an update to the
July 2005 recommendations on screening and
interventions for overweight in children and
adolescents.

Recommendation based on targeted systematic
review of 13 studies of behavioral intervention in
1258 obese children and adolescents

Current research suggests that behavioral
interventions can be effective in managing weight in
obese children and adolescents.

Combined behavioral-pharmacological interventions
may be useful in very obese adolescents, particularly
if research confirms that weight loss is maintained.
“Effectiveness of Weight Management Interventions in
Children: A Targeted Systematic Review for the
USPSTF”

CONCLUSIONS: Over the past several years, research into
weight management in obese children and adolescents has
improved in quality and quantity. Despite important gaps,
available research supports at least short-term benefits of
comprehensive medium- to high-intensity behavioral
interventions in obese children and adolescents. Pediatrics
2010;125:e396–e418

Full Recommendation Statement, Supporting Article,
Evidence Synthesis, and Clinical Summary found
online:

http://www.ahrq.gov/clinic/uspstf/uspschobes.htm
Abraham Flexner, 1910
The USPSTF provides graded recommendations for
clinical preventive services based on an extensive
review of the evidence.
 Support tools to quickly determine an individuals
needed services include:

 Age-Specific Preventive History cards as described in
Module 3A
 ePSS provided via AHRQ website
▪ All that needs to be entered are: patient’s age, gender and Y/N for
use of tobacco and sexual activity
 Also available as application for mobile devices

Center for Public Health Continuing Education
University at Albany School of Public Health

Department of Community & Family Medicine
Duke University School of Medicine
Mike Barry, CAE
Lorrie Basnight, MD
Nancy Bennett, MD, MS
Ruth Gaare Bernheim, JD, MPH
Amber Berrian, MPH
James Cawley, MPH, PA-C
Jack Dillenberg, DDS, MPH
Kristine Gebbie, RN, DrPH
Asim Jani, MD, MPH, FACP
Denise Koo, MD, MPH
Suzanne Lazorick, MD, MPH
Rika Maeshiro, MD, MPH
Dan Mareck, MD
Steve McCurdy, MD, MPH
Susan M. Meyer, PhD
Sallie Rixey, MD, MEd
Nawraz Shawir, MBBS

Sharon Hull, MD, MPH
President

Allison L. Lewis
Executive Director

O. Kent Nordvig, MEd
Project Representative