2024
External Validation of an Electronic Phenotyping Algorithm Detecting Attention to High Body Mass Index in Pediatric Primary Care
Barron A, Fenick A, Maciejewski K, Turer C, Sharifi M. External Validation of an Electronic Phenotyping Algorithm Detecting Attention to High Body Mass Index in Pediatric Primary Care. Applied Clinical Informatics 2024, 15: 700-708. PMID: 39197473, PMCID: PMC11387092, DOI: 10.1055/s-0044-1787975.Peer-Reviewed Original ResearchMeSH KeywordsAlgorithmsBody Mass IndexChildComorbidityElectronic Health RecordsFemaleHumansMalePhenotypePrimary Health CareConceptsElectronic health recordsBody mass indexPediatric primary careElevated body mass indexWeight-related comorbiditiesPrimary carePediatric primary care practicesElectronic health record dataBody mass index categoriesMass indexImprove obesity managementPrimary care practicesWell-child visitsHigher body mass indexChart reviewLikelihood of classificationElectronic phenotyping algorithmsFree-text componentsClinician typeCare practicesHealth recordsClinician behaviorLaboratory ordersProgress notesObesity managementCost‐effectiveness of a primary care‐based Healthy Weight Clinic compared with usual care
Sharifi M, Fiechtner L, Barrett J, O'Connor G, Perkins M, Reiner J, Luo M, Taveras E, Gortmaker S. Cost‐effectiveness of a primary care‐based Healthy Weight Clinic compared with usual care. Obesity 2024, 32: 1734-1744. PMID: 39192764, PMCID: PMC11361715, DOI: 10.1002/oby.24111.Peer-Reviewed Original ResearchConceptsHealthy weight clinicHealth care sectorObesity prevalenceIntervention costsCare sectorReducing obesity disparitiesNational implementationHealth care costsObesity disparitiesUsual careBMI changeCare costsFQHCsCost-effectiveSocietal perspectiveWhite populationHealthHealthyObesityQALYEstimated costInterventionClinicChildrenGreater reductions
2023
Effect Measure Modification by Birth Weight on the Association Between Overweight or Obesity and Hypertension in Children and Adolescents
Nugent J, Lu Y, Deng Y, Sharifi M, Greenberg J. Effect Measure Modification by Birth Weight on the Association Between Overweight or Obesity and Hypertension in Children and Adolescents. JAMA Pediatrics 2023, 177: 735-737. PMID: 37155182, PMCID: PMC10167596, DOI: 10.1001/jamapediatrics.2023.0799.Peer-Reviewed Original ResearchCost-Effectiveness and Long-Term Savings of the Bright Bodies Intervention for Childhood Obesity
Pryor S, Savoye M, Nowicka P, Price G, Sharifi M, Yaesoubi R. Cost-Effectiveness and Long-Term Savings of the Bright Bodies Intervention for Childhood Obesity. Value In Health 2023, 26: 1183-1191. PMID: 36967028, PMCID: PMC10518029, DOI: 10.1016/j.jval.2023.03.006.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentBody Mass IndexChildCost-Benefit AnalysisFollow-Up StudiesHumansPediatric ObesityConceptsBody mass indexClinical controlMedical Expenditure Panel Survey dataClinical weight managementHealth system perspectivePrevention growth chartsParticipants' body mass indexFamily-based interventionsMass indexChildhood obesityBMI trajectoriesWeight managementHealthcare costsPrimary analysisGrowth chartsObesityTrial dataDisease controlMedical expendituresBright bodiesHealthcare expendituresIncremental costIntervention costsBody interventionsChildren
2022
Real‐world effectiveness of the Bright Bodies healthy lifestyle intervention for childhood obesity
Samuels S, Hu P, Maciejewski K, Li F, Dziura J, Savoye M, Sharifi M. Real‐world effectiveness of the Bright Bodies healthy lifestyle intervention for childhood obesity. Obesity 2022, 31: 203-213. PMID: 36502287, PMCID: PMC9780185, DOI: 10.1002/oby.23627.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentBlack PeopleBody Mass IndexChildFemaleHumansMaleObesity, MorbidPediatric ObesityTreatment OutcomeConceptsPediatric weight management interventionsHealthy lifestyle interventionReal-world effectivenessWeight management interventionsLifestyle interventionChildhood obesityClinical effectivenessFemale sexInsurance categoriesBMIp95Mixed-effects modelsGreater reductionBMIBright bodiesInterventionSexParticipantsManagement interventionsObesityReal-world adaptationYearsTrialsKeys to Achieving Clinically Important Weight Loss: Perceptions of Responders and Nonresponders in the Clinic and Community Approaches to Healthy Weight Trial
Fay C, Castro I, Velez D, Ruggiero C, O'Connor G, Perkins M, Luo M, Sharifi M, Mini F, Taveras E, Kuhlthau K, Fiechtner L. Keys to Achieving Clinically Important Weight Loss: Perceptions of Responders and Nonresponders in the Clinic and Community Approaches to Healthy Weight Trial. Childhood Obesity 2022, 19: 507-514. PMID: 36315223, PMCID: PMC10698771, DOI: 10.1089/chi.2022.0112.Peer-Reviewed Original ResearchConceptsPediatric weight management interventionsBody mass index improvementWeight management interventionsImportant weight lossUnmet social needsPerspectives of caregiversHealthy weightHealth behaviorsNonrespondersSemistructured guideThematic saturationWeight lossWeight stigmaRespondersMindful eating
2021
Changes in Weight-Related Health Behaviors and Social Determinants of Health among Youth with Overweight/Obesity during the COVID-19 Pandemic
Hu P, Samuels S, Maciejewski KR, Li F, Aloe C, Van Name M, Savoye M, Sharifi M. Changes in Weight-Related Health Behaviors and Social Determinants of Health among Youth with Overweight/Obesity during the COVID-19 Pandemic. Childhood Obesity 2021, 18: 369-382. PMID: 34919458, PMCID: PMC9492789, DOI: 10.1089/chi.2021.0196.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentBody Mass IndexCOVID-19Health BehaviorHumansOverweightPandemicsPediatric ObesitySocial Determinants of HealthConceptsOverweight/obesityWeight-related health behaviorsHealth behaviorsSocial determinantsExact testObesity-related comorbiditiesCoronavirus disease 2019 (COVID-19) pandemicRecreational screen timeVigorous physical activityFisher's exact testMultivariable regression modelsDisease 2019 pandemicStress Scale scoresBehavior changeHigher caregiver stressPhysical activityFood insecurityScale scoreAdolescents 13Caregiver stressObesityScreen timePsychosocial stressorsMost mealsHealth disparitiesComparative Effectiveness of Clinical and Community-Based Approaches to Healthy Weight
Fiechtner L, Perkins M, Biggs V, Langhans N, Sharifi M, Price S, Luo M, Locascio JJ, Hohman KH, Hodge H, Gortmaker S, Torres S, Taveras EM. Comparative Effectiveness of Clinical and Community-Based Approaches to Healthy Weight. Pediatrics 2021, 148: e2021050405. PMID: 34470816, PMCID: PMC8573851, DOI: 10.1542/peds.2021-050405.Peer-Reviewed Original ResearchConceptsHealthy weightHealth centersPediatric weight management interventionsConfidence intervalsWeight management interventionsIntervention participantsEffective treatmentLow-income childrenBMIBMI effectsComparative effectivenessMean differencePercentile changeComparison groupComparison sitesNoninferiority testLinear mixed modelsNoninferiorityChild interventionChildrenInterventionMixed modelsManagement interventionsPrevious dataImportant differencesCharacteristics of achieving clinically important weight loss in two paediatric weight management interventions
Fiechtner L, Castro I, Cheng ER, Sharifi M, Gerber MW, Luo M, Goldmann D, Sandel M, Block J, Orav EJ, Taveras EM. Characteristics of achieving clinically important weight loss in two paediatric weight management interventions. Pediatric Obesity 2021, 16: e12784. PMID: 33734583, PMCID: PMC8355061, DOI: 10.1111/ijpo.12784.Peer-Reviewed Original ResearchConceptsPediatric weight management interventionsWeight management interventionsSevere obesityImportant weight lossSugary beveragesWeight lossBMI z-scoreLog-binomial regressionYears of ageHealth trialsMultivariable analysisLower BMILifestyle behaviorsAssociation of childAnalysis of childrenYounger ageZ-scoreObesityManagement interventionsLower likelihoodInterventionChildrenAgeBeveragesYears
2020
Unmet Social Needs and Adherence to Pediatric Weight Management Interventions: Massachusetts, 2017–2019
Atkins M, Castro I, Sharifi M, Perkins M, O’Connor G, Luo M, Sandel M, Taveras E, Fiechtner L. Unmet Social Needs and Adherence to Pediatric Weight Management Interventions: Massachusetts, 2017–2019. American Journal Of Public Health 2020, 110: s251-s257. PMID: 32663093, PMCID: PMC7362692, DOI: 10.2105/ajph.2020.305772.Peer-Reviewed Original ResearchConceptsPediatric weight management interventionsBody mass indexUnmet social needsWeight management interventionsIntervention adherenceParents' body mass indexComparative effectiveness trialHousing insecurityIntervention armMass indexChildhood obesityPositive screenEffectiveness trialMean differenceParental depressionManagement interventionsAdherenceChild's ageParental stressSignificant differencesChildrenTrialsIndividual associationsHoursInterventionFamily-centeredness of childhood obesity interventions: psychometrics & outcomes of the family-centered care assessment tool
Simione M, Sharifi M, Gerber MW, Marshall R, Avalon E, Fiechtner L, Horan C, Orav EJ, Skelton J, Taveras EM. Family-centeredness of childhood obesity interventions: psychometrics & outcomes of the family-centered care assessment tool. Health And Quality Of Life Outcomes 2020, 18: 179. PMID: 32527270, PMCID: PMC7291578, DOI: 10.1186/s12955-020-01431-y.Peer-Reviewed Original ResearchConceptsChildhood obesity interventionsCare Assessment ToolBody mass indexPrimary careObesity interventionsParents of childrenHealth coachingFamily-centered care principlesPrimary care armPediatric weight managementFamily-centered careOne-year interventionFamily-centered approachImproved clinical decisionAssessment toolPsychometric propertiesCare armTool's psychometricsMass indexRandomized trialsMean ageWeight managementBetter outcomesCare principlesCoaching armDifferences in Frequency of Visits to Pediatric Primary Care Practices and Emergency Departments by Body Mass Index
Kovalerchik O, Powers E, Holland ML, Sharifi M, Langhan ML. Differences in Frequency of Visits to Pediatric Primary Care Practices and Emergency Departments by Body Mass Index. Academic Pediatrics 2020, 20: 532-539. PMID: 31904438, DOI: 10.1016/j.acap.2019.12.011.Peer-Reviewed Original ResearchConceptsPrimary care visitsCare visitsBMI percentile categoryED visitsNormal BMISevere obesityBMI categoriesIndex primary care visitPediatric primary care practicesBody mass index categoriesEmergency department visitsRisk of hospitalizationPediatric weight managementPrevalence of overweightBody mass indexHealth care utilizationNormal BMI rangeCare-seeking patternsPrimary care practicesChildren’s BMI categoryHealth care settingsRace/ethnicityElectronic health recordsImpact of stigmaIndex visit
2019
Parent-Perceived Stress and Its Association With Children’s Weight and Obesity-Related Behaviors
Baskind MJ, Taveras EM, Gerber MW, Fiechtner L, Horan C, Sharifi M. Parent-Perceived Stress and Its Association With Children’s Weight and Obesity-Related Behaviors. Preventing Chronic Disease 2019, 16: e39. PMID: 30925139, PMCID: PMC6464048, DOI: 10.5888/pcd16.180368.Peer-Reviewed Original ResearchConceptsBody mass indexParent-perceived stressNon-Hispanic black childrenFast food consumptionChild body mass indexPhysical activity recommendationsDaily physical activity recommendationsMultivariable regression modelsObesity-related behaviorsRace/ethnicityBlack childrenAnnual household incomeMass indexPediatric populationObesity interventionsActivity recommendationsChild obesityChild weightPhysical activityObesityPsychosocial stressParent-reported stressChild's ageParents' perceived stressChildren
2018
Rationale and design of the Clinic and Community Approaches to Healthy Weight Randomized Trial
Fiechtner L, Perkins M, Biggs V, Langhans N, Sharifi M, O'Connor G, Price S, Locascio J, Kuhlthau K, Kwass JA, Nelson C, Land T, Longjohn M, Lawson V, Hohman K, Taveras EM. Rationale and design of the Clinic and Community Approaches to Healthy Weight Randomized Trial. Contemporary Clinical Trials 2018, 67: 16-22. PMID: 29330083, PMCID: PMC5871582, DOI: 10.1016/j.cct.2018.01.002.Peer-Reviewed Original ResearchConceptsPediatric weight management programBody mass indexWeight management programLow-income childrenHealth Insurance ProgramChildhood obesityQualified health centersTwo-arm trialChildren's Health Insurance ProgramMass indexRandomized trialsHealthy weightPrimary careEligible childrenHealth centersMAIN OUTCOMEComparative effectivenessObesityPercent changeCommunity settingsClinicOne-yearTrialsManagement programCommunity approach
2017
Cost-Effectiveness of a Clinical Childhood Obesity Intervention
Sharifi M, Franz C, Horan CM, Giles CM, Long MW, Ward ZJ, Resch SC, Marshall R, Gortmaker SL, Taveras EM. Cost-Effectiveness of a Clinical Childhood Obesity Intervention. Pediatrics 2017, 140: e20162998. PMID: 29089403, PMCID: PMC5654390, DOI: 10.1542/peds.2016-2998.Peer-Reviewed Original ResearchConceptsPrimary care providersChildhood obesity interventionsBehaviour change supportObesity interventionsObesity prevalenceCare providersPopulation-level prevention strategiesPediatric primary care providersCluster-randomized trialElectronic decision supportMaintenance of effectsElectronic health recordsUsual careChildhood obesityBMI unitsPediatric practiceObesityPrevention strategiesFunctional EHRPopulation reachClinical interventionsIntervention effectsNational implementationIntervention costsHealth recordsMultilevel Correlates of Healthy BMI Maintenance and Return to a Healthy BMI among Children in Massachusetts
Fiechtner L, Cheng ER, Lopez G, Sharifi M, Taveras EM. Multilevel Correlates of Healthy BMI Maintenance and Return to a Healthy BMI among Children in Massachusetts. Childhood Obesity 2017, 13: 146-153. PMID: 28075151, PMCID: PMC5369391, DOI: 10.1089/chi.2016.0261.Peer-Reviewed Original ResearchConceptsHealthy BMIBMI maintenanceHigher oddsHealth-promoting neighborhoodsNon-Hispanic white childrenChildren 13 yearsNeighborhood median household incomeHealthy BMI rangeNeighborhood-level factorsClinic visitsInitial BMIBMI rangeObesity preventionLower oddsMultinomial logistic regressionBMIMedian household incomeLogistic regressionAge 2Multilevel correlatesOddsWhite childrenEarly childhood interventionChildrenChildhood intervention
2016
The role of neighborhood characteristics and the built environment in understanding racial/ethnic disparities in childhood obesity
Sharifi M, Sequist TD, Rifas-Shiman SL, Melly SJ, Duncan DT, Horan CM, Smith RL, Marshall R, Taveras EM. The role of neighborhood characteristics and the built environment in understanding racial/ethnic disparities in childhood obesity. Preventive Medicine 2016, 91: 103-109. PMID: 27404577, PMCID: PMC5270384, DOI: 10.1016/j.ypmed.2016.07.009.Peer-Reviewed Original ResearchConceptsBody mass indexBMI z-scoreNeighborhood socioeconomic statusPhysical activity environmentsRace/ethnicityEthnic disparitiesSocioeconomic statusZ-scoreObesity disparitiesChild body mass indexBMI z-score changeChildhood obesity disparitiesChildhood obesity prevalenceZ-score changeMultivariable linear regressionActivity environmentsZ-score differencesElectronic health recordsMass indexChildhood obesityObesity prevalencePediatric practiceMAIN OUTCOMEChildren 4Geocoded addressesEffects of Proximity to Supermarkets on a Randomized Trial Studying Interventions for Obesity
Fiechtner L, Kleinman K, Melly SJ, Sharifi M, Marshall R, Block J, Cheng ER, Taveras EM. Effects of Proximity to Supermarkets on a Randomized Trial Studying Interventions for Obesity. American Journal Of Public Health 2016, 106: 557-62. PMID: 26794159, PMCID: PMC4880218, DOI: 10.2105/ajph.2015.302986.Peer-Reviewed Original ResearchConceptsBMI z-scoreSugar-sweetened beverage intakeBody mass indexVegetable intakeZ-scoreObesity interventionsBeverage intakeClinician decision supportPractice-based interventionsMass indexWeight statusHealth coachingIntervention participantsClosest supermarketObesity trialsIntakeInterventionGreater improvementBehavior changeObesityTrials
2015
Connect for Health: Design of a clinical-community childhood obesity intervention testing best practices of positive outliers
Taveras EM, Marshall R, Sharifi M, Avalon E, Fiechtner L, Horan C, Orav J, Price SN, Sequist T, Slater D. Connect for Health: Design of a clinical-community childhood obesity intervention testing best practices of positive outliers. Contemporary Clinical Trials 2015, 45: 287-295. PMID: 26427562, PMCID: PMC4753774, DOI: 10.1016/j.cct.2015.09.022.Peer-Reviewed Original ResearchConceptsBody mass indexObesity-related outcomesHealth coachesHealth StudyOne-year intervention periodHealth-related qualityChildhood obesity interventionsChild-reported outcomesAge-associated increaseParents/guardiansCommunity resourcesIntervention armMass indexYear old childrenCommunity-level resourcesObesity interventionsIntervention periodHealth coachingTwo-armPediatric carePediatric practiceSupport modalitiesHealth behaviorsControl groupVirtual visitsFood Environments and Childhood Weight Status: Effects of Neighborhood Median Income
Fiechtner L, Sharifi M, Sequist T, Block J, Duncan DT, Melly SJ, Rifas-Shiman SL, Taveras EM. Food Environments and Childhood Weight Status: Effects of Neighborhood Median Income. Childhood Obesity 2015, 11: 260-268. PMID: 25923838, PMCID: PMC4559156, DOI: 10.1089/chi.2014.0139.Peer-Reviewed Original ResearchConceptsBMI z-scoreLower BMI z-scoreNeighborhood median incomeZ-scoreHigher BMI z-scoreAdverse effectsChildhood weight statusPotential effect modificationFood environmentFood establishmentsLow-income neighborhoodsFull-service restaurantsElectronic health recordsMedian incomePrimary outcomeMultivariable analysisPatient's residenceEffect modificationWeight statusHealth behaviorsHealth recordsFast foodConvenience storesStrong adverse effectsObesity