We found substantially greater achievement of childhood obesity HEDIS measures in the CDS arm ( adjusted odds ratio , @ -LSB- @ % CI , @-@ @ -RSB- ) and CDS + coaching arm ( adjusted odds ratio , @ -LSB- @ % CI , @-@ @ -RSB- ) and higher use of HEDIS codes for nutrition or physical activity counseling ( CDS arm , @ % ; CDS + coaching arm , @ % ; P < @ compared with usual care arm ) .