5-2-1–Almost None: Parents’ Perceptions of Changing Health-Related Behaviors in Their Obese Child.
Michael Campbell, PhD, LCSW; Jane M Benton, MD; Lloyd N Werk, MD, MPH

Clinical guidelines to prevent childhood overweight and obesity are clear but parents’ perception of these key messages are less clear. Parents from 193 families indicated the importance of changing eating habits and increasing physical activity (63%), however eliminating sugary drinks (4%) was the only actionable behavior in the 5-2-1–Almost None message parents felt significantly more confident they could achieve.
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Using Implementation and Dissemination Concepts to Spread 21st-Century Well-Child Care at a Health Maintenance Organization.
Arne Beck, PhD; David A Bergman, MD; Alanna K Rahm, MS; James W Dearing, PhD; Russell E Glasglow, PhD

Twenty-First Century Well-Child Care is a parent-centered, team-based, primary care model that includes online previsit assessments, facilitated through a Web-based diagnostic, management, tracking, and resource information tool. Validated models of team-based health care have multiple components that must be made compatible with complex sociotechnical systems-- interpersonal communication, work, coordination, and judgment.
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A Quality Improvement Project
Use of a Computerized Medical Database and Reminder Letters to Increase Preventive Care Use in Kaiser Permanente Patients.
Cecily Y L Ling, MD; Eric Kajioka, MD; Van Luu, MD; Wipat Phanthawimol, MD; Hitoshi Honda, MD; Linda Kuribayashi, MD

Patients not seen by their primary care physician in more than one year (“low-utilizing patients”) and overdue for preventive health care services were identified using Kaiser Permanente’s electronic medical database. Outreach letters that target these patients may be an efficient and cost-effective way of improving patient use rates of preventive health care.
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Reducing Newborn Office Visits and Improving Satisfaction through Parent Education and Learning Communities.
Andrea Rudominer, MD, MPH

A pilot program targeted at parents of newborns tested the hypothesis that education, specifically group education with phone follow-up, could reduce unnecessary newborn office visits while simultaneously increasing member satisfaction. Satisfaction was significantly higher in the intervention group, and there were 52% fewer unnecessary visits by parents, with even greater reduction in visits among those participating in at least one follow-up conference call.
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Nursing Responses to Transcultural Encounters: What Nurses Draw on When Faced with a Patient from Another Culture.
Celeste Cang-Wong, RN, MS Candidate; Susan O Murphy, RN, DNS; Toby Adelman, RN, PhD

In exploring nurses’ experiences when they encounter patients from cultures other than their own and their perception of what helps them deliver culturally competent care, this research confirmed that nurses are drawing heavily on prior experience, including family experiences and experiences with friends and coworkers from different cultures. Schools of nursing are also providing valuable preparation for working with diverse populations.
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