Date of Doctor of Nursing Practice Project Completion

Spring 2026

Faculty Advisor

Dr. Susan Stafford

Abstract

PURPOSE The problem identified for this quality improvement project is the absence of a standardized protocol in the emergency center to identify at-risk young girls for obesity to increase parental engagement. The identified population was girls ages 6-12 years with a body mass index (BMI) at or above the upper end of the normal range.

BACKGROUND This project was implemented within a large, free-standing, academic pediatric hospital in Texas, in an Emergency Center.

METHODOLOGY Caregivers were evaluated using a modified section of the Motivational Interviewing Questionnaire to promote behavioral change. The intervention was a pre-questionnaire to assess parental engagement. The education and resources were provided before completing a post-intervention questionnaire. A PDSA cycle was conducted at the mid-intervention point to assess the intervention's effectiveness, and changes were made accordingly.

RESULTS Even with a small sample size, results showed a 25% increase in parental awareness post-implementation.  The results indicate that a brief interaction can improve parental engagement and serve as an opportunity for health promotion.

IMPLICATIONS Integrating BMI identification and preventive education into the emergency care visit may support long-term reductions in childhood obesity with minimal workflow disruption.

Keywords

obesity, girls, BMI, pediatrics, emergency room, parental engagement

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