Pilot Project to Integrate Community and Clinical Level Systems to Address Health Disparities in the Prevention and Treatment of Obesity among Ethnic Minority Inner-City Middle School Students: Lessons Learned

Table 3

Implementation outcome metrics: Wellness Cascade.

Wellness cascade steps	Aim at each step
(1) Proportion of students screened	Screening all students in the school annually
(2) Proportion of students diagnosed with overweight or obesity	Identifying all students in the school with a BMI ≥ 85th percentile annually
(3) Proportion of students recruited and enrolled in the program	Recruitment aim of having at least 85% of the participants recruited annually with BMI ≥ 85th percentile
(4) Proportion of students that engaged in treatment and compliant with program	Aim for students to attend all clinic visits and at least 75% of afterschool sessions during the year
(5) Proportion that are retained in the program and thus completed the treatment	Aim for at least 75% of students retained in the program for the entire school year annually
(6) Proportion of youths that attain a successful outcome	Aim for at least 50% of participating youths achieve a BMI z-score reduction of 0.2 defined as clinically important change [54]. Aim for a 25% improvement in the attainment of 7 target behaviors