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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Management of child and adolescent obesity: attitudes, barriers, skills, and training needs among health care professionals.
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Management of child and adolescent obesity: attitudes, barriers, skills, and training needs among health care professionals.

机译：儿童和青少年肥胖的管理：医疗保健专业人员的态度，障碍，技能和培训需求。

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OBJECTIVE: The primary aim of this study was to evaluate among health care professionals their attitudes, perceived barriers, perceived skill level, and training needs in the management of child and adolescent obesity. METHODS: A national needs assessment consisting of a mailed questionnaire was conducted among a random sample of health care professionals. The survey was completed by 202 pediatricians, 293 pediatric nurse practitioners, and 444 registered dietitians. RESULTS: The majority of all respondents felt that childhood obesity was a condition that needs treatment (75%-93%), and affects chronic disease risk (76%-89%) and future quality of life (83%-93%). The most frequent barriers were lack of parent involvement, lack of patient motivation, and lack of support services. Registered dietitians were less likely to identify barriers to treatment compared with pediatricians or pediatric nurse practitioners. The most common areas of self-perceived low proficiency were in the use of behavioral management strategies, guidance in parenting techniques, and addressing family conflicts. All 3 groups expressed high interest in additional training on obesity management of children and adolescents, especially in the area of behavioral management strategies and parenting techniques. Those practitioners with >10 years of practice reported the greatest interest in training. CONCLUSIONS: Pediatric practitioners view child and adolescent obesity with concern and feel that intervention is important. However, several important barriers interfere with treatment efforts and will need to be addressed. There is also a need for increased training opportunities related to obesity prevention and treatment. The results of this study provide directions and priorities for training, education, and advocacy efforts.
机译：目的：本研究的主要目的是评估医疗保健专业人员在儿童和青少年肥胖管理中的态度，感知障碍，感知技能水平以及培训需求。方法：在随机抽取的卫生保健专业人员样本中进行了由邮寄问卷组成的国家需求评估。该调查由202位儿科医生，293位儿科护士从业人员和444位注册营养师完成。结果：大多数受访者认为儿童肥胖是一种需要治疗的疾病（75％-93％），并且会影响慢性疾病风险（76％-89％）和未来的生活质量（83％-93％）。最常见的障碍是缺乏父母的参与，缺乏患者的积极性以及缺乏支持服务。与儿科医生或儿科执业医师相比，注册营养师不太可能发现治疗障碍。自我感知能力低下的最常见领域是行为管理策略的使用，育儿技巧的指导以及解决家庭冲突的能力。所有这三个小组都对儿童和青少年肥胖管理的额外培训特别是在行为管理策略和育儿技术领域表示了浓厚的兴趣。那些具有10年以上实践经验的从业者表示，他们对培训的兴趣最大。结论：儿科医师对儿童和青少年肥胖症表示关注，并认为干预很重要。但是，一些重要的障碍会干扰治疗工作，因此需要解决。还需要增加与肥胖症预防和治疗有关的培训机会。这项研究的结果为培训，教育和倡导工作提供了方向和重点。

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