Date Available


Year of Publication


Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Judith Daniels

Clinical Mentor

Dr. Megan Engbring

Committee Member

Dr. ElizabethTovar


Background- Kentucky ranks third in the nation for childhood overweight and obesity. . Consumption of high dietary fat, excessive use of electronics, low levels of physical activity and consumption of sugar filled drinks are modifiable behaviors believed to be the biggest culprits behind these statistics.

Purpose- The purpose of this evaluation was to assess the implementation of the 5-2-1-0 plan in the management of childhood overweight or obesity within an urban primary care clinic.

Methods- After initiation of the program by the clinic focused interviews with the primary care providers were conducted to evaluate barriers and benefits to using the program. The interviews were conducted 6 weeks after the program was initiated.

Results- Several themes were identified from the providers’ interview regarding the 5-2-1-0 program. The program required changes in the clinic processes which were difficult to establish as an automatic habit when rooming the patient. Overall the program was viewed as helpful in reminding providers to address weight, was simple to use and had measurable goals.

Conclusion- The program, though beneficial to providers and patients, requires changes within the clinic which can be cumbersome. There needs to be constant reinforcement of using the 5-2-1-0 tools until they become part of a provider’s routine care. Once established, measurable results of using the program can be evaluated.