Survey of Physician Attitudes and Practices Related to Pediatric Obesity

Clinical Pediatrics - Tập 42 Số 3 - Trang 235-245 - 2003
Elissa Jelalian1,2, Julie Boergers, C. Sloan Alday, Rachel Frank3,4
1Brown University Medical School
2Child and Family Psychiatry, Rhode Island Hospital, Coro West 2, 593 Eddy Street, Providence, Rhode Island 02903; Brown University Medical School
3Rhode Island Hospital
4Rhode Island Hospital; Brown University Medical School

Tóm tắt

The purpose of this study was to survey physicians regarding their attitudes and practices related to the treatment of pediatric obesity in a primary care setting. Surveys were sent to physicians who were members of the American Academy of Pediatrics and the American Academy of Family Physicians practicing in the Southern New England area (Connecticut, Massachusetts, and Rhode Island). The 14-item survey consisted of three main areas of focus: attitudes toward obesity, treatment and referral approaches, and barriers to addressing weight concerns in children and adolescents. Physicians estimated that 27.7% of their adolescent and 23% of their child patients are overweight. The frequency with which physicians address weight issues with both child and adolescent patients appears to increase incrementally with the patient's level of overweight. When addressing obesity, one fourth of physicians think that they are not at all or only slightly competent, while 20% report feeling not at all or only slightly comfortable. These findings suggest that physicians would benefit from additional training and education regarding safe and efficacious intervention strategies for pediatric obesity, to effectively integrate the discussion of weight issues into the primary care setting.

Từ khóa


Tài liệu tham khảo

10.1001/jama.284.13.1650

Troiano RP, 1998, Pediatrics, 101, 497S, 10.1542/peds.101.S2.497

2000, Healthy People 2010

Nader PR, 1987, Pediatrics, 79, 843, 10.1542/peds.79.6.843

Kluger CZ, 1991, J Fam Pract, 33, 65

10.1006/pmed.1997.0171

Cohen J, 1988, Statistical Power Analysis for the Behavioral Sciences

10.1093/ajcn/67.4.602

10.1111/j.1749-6632.1993.tb18840.x

10.2105/AJPH.82.3.358

10.1016/S0022-3476(96)80124-7

10.1056/NEJM197607012950102

Guo SS, 1994, Am J Clin Nutrition, 4, 810

10.1056/NEJM199211053271904

Mikhail C, 31st Annual Association for Advancement of Behavior Therapy Convention

10.1093/jpepsy/22.1.59

10.1111/j.1365-2214.1988.tb00572.x

10.1007/BF00931007

10.1002/j.1550-8528.1996.tb00513.x

10.1002/j.1550-8528.1994.tb00099.x

10.1002/j.1550-8528.1995.tb00179.x

Epstein LH, 1989, AJDC, 143, 454

10.1093/jpepsy/24.3.223

10.1037/0278-6133.13.5.373

10.1097/00000441-199512000-00008

Moran R, 1999, Am Fam Physician, 59, 861

10.1002/j.1550-8528.1998.tb00686.x

10.1002/j.1550-8528.1998.tb00685.x

10.1002/j.1550-8528.1997.tb00296.x

Mc Artor RE, 1992, Int J Obes, 16, 335

10.1016/0091-7435(85)90083-0

10.2466/pms.1997.84.3.848

Kann L, 2000, MMWR, 49, 1

10.1006/pmed.2000.0760

10.1037/0278-6133.13.3.278

10.1016/S0022-3476(99)70235-0

10.1016/S0022-3476(99)70243-X

10.1542/peds.107.5.1138

Thông tin
Thông tin xuất bản

Clinical Pediatrics

Tập 42 Số 3

235-245

Thông tin tác giả