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The goal of our Domain Analysis Model (DAM) is to improve data quality, standardization, and interoperability in school-based physical fitness testing (SB-PFT). SB-PFT is mandated in the 5th, 7th, and 9th grades in U.S., comprising about 60% of school-aged children including the range of social, racial, ethnic, socioeconomic, and environmental conditions. While a valuable data resource for both research and clinical application, the use of SB-PFT in research has been limited by a lack of standards in the collection, curation, interpretation, and dissemination of the SB-PFT.
Poor cardiorespiratory fitness (CRF) in children and adolescents puts them at high risk for both childhood disease (e.g., more serious morbidity to common respiratory infections) and pediatric origins of adult disease (e.g., hypertension, atherosclerosis, malignancies). Exacerbated by the COVID-19 pandemic shutdowns, poor CRF is more pronounced in communities with low socioeconomic status and wide health disparities. A key roadblock in addressing this health crisis has been the lack of data on physical fitness that (1) reflects a diverse pediatric population, (2) adheres to rigorous protocol, terminology, and curation standards, and (3) is readily linked to regional social determinants of health such as poverty, race, climate, and the built environment. Moreover, variable methodology in physical fitness testing among schools and communities, inadequate data entry and storage of physical fitness results, and insufficient dissemination of physical fitness results to parents, schools, and clinicians contribute to poor CRF in youth and risk further worsening of the current crisis.
The purpose of our proposed SB-PFT DAM in collaboration with HL7 is to initiate the standardization and a consensus approach to the required data elements, processes, and interoperability requirements related to the testing, collection, dissemination, transfer, and storage of physical fitness test results among key stakeholders, such as students, teachers, parents, school administrators, clinicians and researchers. The information can be provided to providers in EHR systems as supplemental information for healthcare and research purposes. The SB-PFT DAM will be used as a framework for subsequent clinical and SDoH research efforts related to establishing the core data elements as standard components of both research and clinical applications that focus on: (1) activities that define physical fitness testing, (2) data collection methodologies, and/or (3) dissemination of physical fitness testing results to parents, schools, researchers and clinicians.
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The goal of our Domain Analysis Model (DAM) is to improve data quality, standardization, and interoperability in school-based physical fitness testing (SB-PFT). SB-PFT is mandated in the 5th, 7th, and 9th grades in U.S., comprising about 60% of school-aged children including the range of social, racial, ethnic, socioeconomic, and environmental conditions. While a valuable data resource for both research and clinical application, the use of SB-PFT in research has been limited by a lack of standards in the collection, curation, interpretation, and dissemination of the SB-PFT.
Poor cardiorespiratory fitness (CRF) in children and adolescents puts them at high risk for both childhood disease (e.g., more serious morbidity to common respiratory infections) and pediatric origins of adult disease (e.g., hypertension, atherosclerosis, malignancies). Exacerbated by the COVID-19 pandemic shutdowns, poor CRF is more pronounced in communities with low socioeconomic status and wide health disparities. A key roadblock in addressing this health crisis has been the lack of data on physical fitness that (1) reflects a diverse pediatric population, (2) adheres to rigorous protocol, terminology, and curation standards, and (3) is readily linked to regional social determinants of health such as poverty, race, climate, and the built environment. Moreover, variable methodology in physical fitness testing among schools and communities, inadequate data entry and storage of physical fitness results, and insufficient dissemination of physical fitness results to parents, schools, and clinicians contribute to poor CRF in youth and risk further worsening of the current crisis.
The purpose of our proposed SB-PFT DAM in collaboration with HL7 is to initiate the standardization and a consensus approach to the required data elements, processes, and interoperability requirements related to the testing, collection, dissemination, transfer, and storage of physical fitness test results among key stakeholders, such as students, teachers, parents, school administrators, clinicians and researchers. The information can be provided to providers in EHR systems as supplemental information for healthcare and research purposes. The SB-PFT DAM will be used as a framework for subsequent clinical and SDoH research efforts related to establishing the core data elements as standard components of both research and clinical applications that focus on: (1) activities that define physical fitness testing, (2) data collection methodologies, and/or (3) dissemination of physical fitness testing results to parents, schools, researchers and clinicians.