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Are Graduating Pediatric Residents Prepared to Engage in Obesity Prevention and Treatment?

Published:January 27, 2016DOI:https://doi.org/10.1016/j.acap.2016.01.016

      Abstract

      Background

      Little information is available to gauge residents' perceived receipt of comprehensive training and preparedness to manage children with obesity in practice.

      Methods

      A national, random sample of 1000 graduating pediatric residents were surveyed in 2013 on childhood overweight/obesity and preparedness to prevent and treat obesity. A composite training measure was created by summing the number of areas (10 possible) where training on overweight/obesity was received. Multivariable logistic regression explored relationships of resident and training characteristics to residents' belief that their own counseling on prevention and treatment of overweight/obesity is very effective (vs somewhat/slightly/not effective).

      Results

      Of 625 survey respondents (63% response), most (68–92%) reported receipt of training in each of 10 assessed areas on overweight/obesity prevention, assessment, and treatment. Most residents did not desire more training in the assessed areas; however, 54% wanted more training in motivational interviewing. About one-fourth believed that their own counseling on the prevention of overweight/obesity (26%) and treatment of obesity (22%) was very effective. Residents who rated their ability to use motivational interviewing as very good/excellent were more likely to rate their counseling on both the prevention and treatment of overweight/obesity as very effective (adjusted odds ratio [aOR] 4.33, 95% confidence interval [CI] 2.63–7.13; and aOR 4.69, 95% CI 2.72–8.07, respectively). Residents who received training in all 10 assessed areas were also more likely to rate their counseling on both prevention and treatment as very effective (aOR 2.58, 95% CI 1.61–4.14; aOR 2.41, 95% CI 1.46–3.97, respectively).

      Conclusions

      Comprehensive training on overweight/obesity and inclusion of training in motivational interviewing may help residents feel better prepared to care for children with overweight/obesity.

      Keywords

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