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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Article info
Publication history
Published online: January 27, 2016
Accepted:
January 21,
2016
Received:
July 31,
2015
Footnotes
Conflict of Interest: The authors declare that they have no conflict of interest.
Identification
Copyright
© 2016 Academic Pediatric Association.
