An Innovation Driven by Research; Spread to Care and Education
| Healthy Lifestyles for Kids—the “5-2-1-0” Protocol | |
|---|---|
| Research/scholarship | Driven by the research mission and “to practice what we know,” this proven intervention was based in a motivational interviewing framework. The 5-2-1-0 protocol brings child health promotion messages to well-child visits. “5” or more fruits or vegetables; “2” or less hours of screen time; “1” or more hour(s) of physical activity; and “0” sugar-sweetened beverages per day. |
| Education | Residents were first taught motivational interviewing skills for the 5-2-1-0 intervention and how to apply in well-child visits that include goal setting. |
| Care | Residents (and faculty) used the 5-2-1-0 intervention in well-child visits (aged 2-18 years) that included goal setting with parent and child around one of the 5-2-1-0 recommendations. This intervention was tracked in the electronic health record, indicating the parent/child goal, progress on the goal in follow-up visits, and child anthropometry. |
Result: This intervention was implemented simultaneously by 4 of the department’s residency clinics, stimulating mutual learning, care improvement, and coalescing findings for more robust results. Medical record evidence supported 2 published papers and multiple presentations on a population-level approach to child health promotion.38,39