Back to Search
Start Over
Preventing and treating obesity: pediatricians' self-efficacy, barriers, resources, and advocacy.
- Source :
-
Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association [Ambul Pediatr] 2005 May-Jun; Vol. 5 (3), pp. 150-6. - Publication Year :
- 2005
-
Abstract
- Objective: With respect to obesity prevention and treatment, to determine pediatricians' 1) treatment self-efficacy; 2) perceived barriers and relationships to management self-efficacy; 3) desired resources; and 4) willingness to be involved in advocacy.<br />Methodology: A cross-sectional, self-administered mail survey queried members of the North Carolina Pediatrics Society and the American Academy of Pediatrics who were practicing routine care.<br />Results: The adjusted response rate was 71% (n = 356). Only 12% of respondents reported high self-efficacy in obesity management, yet 39% believed that physicians could potentially be effective. The most frequently encountered barriers to obesity management included availability of fast food (97%) and soft drinks (95%). However, some practice-based barriers were most strongly associated with self-efficacy. Odds of high self-efficacy were lower for respondents who reported lack of non-MD staff reimbursement (odds ratio [OR] = 0.73; 95% confidence interval [CI] = 0.58, 0.92), lack of on-site dietitian (OR = 0.65; 95% CI = 0.50, 0.83), or lack of patient educational materials (OR = 0.67; 95% CI = 0.50, 0.89), compared with those who reported encountering these barriers infrequently. Respondents chose better counseling tools (96%) as the most helpful clinical resource for obesity management. Most (89%) were willing to take at least a small role in advocacy efforts.<br />Conclusions: Most pediatricians reported feeling ineffective in their ability to treat obesity. Some practice-based barriers were specifically associated with low self-efficacy. However, pediatricians welcomed multiple clinical resources for obesity management and expressed willingness to advocate for policy change. Practice-based tool kits and efforts to engage willing participants in advocacy may help pediatricians combat this epidemic.
- Subjects :
- Analysis of Variance
Attitude of Health Personnel
Child
Child, Preschool
Confidence Intervals
Cross-Sectional Studies
Female
Humans
Male
North Carolina
Odds Ratio
Patient Education as Topic trends
Pediatrics trends
Practice Patterns, Physicians'
Risk Assessment
Self Efficacy
Severity of Illness Index
Surveys and Questionnaires
Obesity prevention & control
Obesity therapy
Outcome Assessment, Health Care
Patient Education as Topic standards
Pediatrics standards
Subjects
Details
- Language :
- English
- ISSN :
- 1530-1567
- Volume :
- 5
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association
- Publication Type :
- Academic Journal
- Accession number :
- 15913408
- Full Text :
- https://doi.org/10.1367/A04-104R.1