Graduation Year


Degree Type

Open Access Capstone

Document Type


Degree Name

Doctor of Nursing Practice (DNP)



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Baccalaureate and Graduate Nursing

First Advisor

Catherine Lynn Velotta

Department Affiliation

Baccalaureate and Graduate Nursing

Second Advisor

Mary DeLetter

Department Affiliation

Baccalaureate and Graduate Nursing

Third Advisor

Ida L. Slusher

Department Affiliation

Baccalaureate and Graduate Nursing


Obese youth have high rates of vitamin D and calcium deficiencies and are at risk for developing osteoporosis. Clinical guidelines are needed in primary pediatric care services to promote bone-healthy behaviors. The aim of this project was to: a) implement the infrastructure and processes for physiological monitoring, consistent parameter-based vitamin D & calcium supplementation, family education, and coaching, and b) evaluate the impact of bone promotion changes on patients and parents and the primary care delivery system. The project outcomes included modest gains in bone health awareness among staff, patients, and families. In addition, modifications to clinical pathways and related agency forms ensured that evidence-based guidelines were integrated into the Healthy Horizon Children’s Center system.