Search strategy

CINHAL,MEDLINE

[nurse OR nurse-led interventions] AND [obesity OR childhood obesity OR overweight] AND [child OR children or teenagers]

We found 6 papers in total, 2 were irrelevant, 2 failed to meet the outcome, leaving 2 sufficient to the question.

Including 1 randomised controlled trial

And 1 systemic review of a randomised controlled trail

P (Population) Clinicians interested in obesity rates in children/adolescents

I (Intervention) Nurse-led interventions to reduce obesity rates

C (Comparison) No comparator

O (Outcome)Clinicians ability to reduce obesity rates in children/adolescents

Implementation of a school nurse- led intervention for children with severe obesity in New York schools

The effectiveness of nurse-led interventions to prevent childhood obesity in children and adolescents

-Clinicians were not blinded.

-P values <0.05.

-All children were accounted for at the end of study including participants who were excluded

 Absence of conflict of interest

 Electronic health record quicker to use and parents were able to upload information themselves.

.

-Small sample size.

- Began with 20,518 participants eligible but only 1054 used

Electronic health record therefore it might not be accurate recordings

HOP is set in a large, diverse, urban, public school system and the findings of this research may not be generalisable to all school settings.

Title is relevant to outcome

Nurse-led interventions conducted at home, childcare and school settings

Layout of findings easy to follow

Systemic review are at the top of the hierarchy of evidence generally the best form of evidence

No mela analysis

RCTS are gold standard