Table 3:
Clinical practice patterns, perceptions, and barriers of pediatric obesity management
| Obesity training hours (Quartiles) | |||||
|---|---|---|---|---|---|
| 1st | 2nd | 3rd | 4th | Overall | |
| N=22 | N=18 | N=16 | N=17 | N=73 | |
| I feel it is too difficult for children, adolescents, and young adults to change their behavior (n, %) | |||||
| Strongly disagree/ Disagree | 11 (50.0) | 11 (61.1) | 10 (62.5) | 10 (13.7) | 42 (57.5) |
| Neutral | 4 (18.2) | 3 (16.7) | 1 (6.3) | 1 (5.9) | 9 (12.3) |
| Strongly agree/ Agree | 7 (31.8) | 4 (22.2) | 5 (31.3) | 6 (35.3) | 22 (30.1) |
| Frequency of overweight or obesity to the EMR (n, %) | |||||
| <50% of the time | 4 (18.2) | 1 (5.6) | 1 (6.3) | 6 (8.2) | |
| 50–75% of the time | 3 (13.6) | 6 (33.3) | 1 (6.3) | 1 (5.9) | 11 (15.1) |
| >75% of the time | 15 (68.2) | 11 (61.1) | 14 (87.5) | 16 (94.1) | 56 (76.7) |
| I think patients are generally not interested in improving their weight status. (n, %) | |||||
| Strongly disagree/ Disagree | 17 (77.3) | 16 (88.9) | 11 (68.8) | 9 (52.9) | 53 (72.6) |
| Neutral | 1 (4.6) | 1 (5.6) | 2 (12.5) | 4 (23.5) | 8 (11.0) |
| Strongly agree/ Agree | 4 (18.2) | 1 (5.6) | 3 (18.8) | 4 (23.5) | 12 (16.4) |
| I would treat obesity more regularly if there was reimbursement set aside for that purpose (n, %) | |||||
| Strongly disagree/ Disagree | 8 (36.4) | 5 (27.8) | 10 (62.5) | 11 (64.7) | 34 (46.6) |
| Neutral | 9 (40.9) | 11 (61.1) | 4 (25.0) | 3 (17.7) | 27 (37.0) |
| Strongly agree/ Agree | 5 (22.7) | 2 (11.1) | 2 (12.5) | 3 (17.7) | 12 (16.4) |
| Trust of weight loss advice from physicians with overweight/obesity (n, %) | |||||
| More likely to trust | 3 (13.6) | 1 (5.6) | 2 (12.5) | 1 (5.9) | 7 (9.6) |
| Equally likely to trust | 7 (31.8) | 10 (55.6) | 8 (50.0) | 3 (17.7) | 28 (38.4) |
| Less likely to trust | 12 (54.6) | 7 (38.9) | 6 (37.5) | 13 (76.5) | 38 (52.1) |
| I feel there is a lack of adequate referral services for diet, physical activity, and weight management (n, %) | |||||
| Strongly disagree/ Disagree | 0 | 2 (11.1) | 1 (6.3) | 2 (11.8) | 5 (6.9) |
| Neutral | 0 | 0 | 0 | 1 (5.9) | 1 (5.9) |
| Strongly agree/ Agree | 22 (100) | 16 (88.9) | 15 (93.8) | 14 (82.4) | 67 (82.4) |
| I think there are long wait times for referrals to obesity medicine specialists (n, %) | |||||
| Strongly disagree/ Disagree | 2 (9.1) | 0 | 2 (12.5) | 3 (17.7) | 7 (9.6) |
| Neutral | 9 (40.9) | 5 (27.8) | 2 (12.5) | 5 (29.4) | 21 (28.8) |
| Strongly agree/ Agree | 11 (50.0) | 13 (72.2) | 12 (75.0) | 9 (52.9) | 45 (61.6) |
| I feel there is a lack of effective tools and information to give to pediatric patients regarding obesity (n, %) | |||||
| Strongly disagree/ Disagree | 0 | 1 (5.6) | 2 (12.5) | 3 (17.7) | 6 (8.2) |
| Neutral | 3 (13.6) | 3 (16.7) | 4 (25.0) | 6 (35.3) | 16 (21.9) |
| Strongly agree/ Agree | 19 (86.4) | 14 (77.8) | 10 (62.5) | 8 (47.1) | 51 (69.9) |
| I feel there is a lack of effective treatment options in children, adolescents, and young adults with obesity (n, %) | |||||
| Strongly disagree/ Disagree | 3 (13.6) | 3 (16.7) | 1 (6.3) | 7 (41.2) | 14 (19.2) |
| Neutral | 4(18.2) | 1 (5.6) | 2 (12.5) | 3 (17.7) | 10 (13.7) |
| Strongly agree/ Agree | 15 (68.2) | 14 (77.8) | 13 (81.3) | 7 (41.2) | 49 (67.1) |
| I feel bariatric surgery is a safe option for treating obesity in children, adolescents, and young adults (n, %) | |||||
| Strongly disagree/ Disagree | 4 (18.2) | 2 (11.1) | 4 (25.0) | 4 (25.5) | 14 (19.2) |
| Neutral | 11 (50.) | 6 (33.3) | 7 (43.8) | 5 (29.4) | 29 (39.7) |
| Strongly agree/ Agree | 7 (31.8) | 10 (55.6) | 5 (31.3) | 8 (47.1) | 30(41.1) |
| I feel bariatric surgery is a useful tool for treating obesity in children, adolescents, and young adults (n, %) | |||||
| Strongly disagree/ Disagree | 3 (13.6) | 1 (5.6) | 1 (6.3) | 3 (17.7) | 8 (11.0) |
| Neutral | 8 (36.4) | 9 (50.0) | 6 (37.5) | 5 (29.4) | 28 (38.4) |
| Strongly agree/ Agree | 11 (50.0) | 8 (44.4) | 9 (56.3) | 9 (52.9) | 37 (50.7) |