RT Journal Article
SR Electronic
T1 Australian GPs' perceptions about child and adolescent overweight and obesity the Weight of Opinion study
JF British Journal of General Practice
JO Br J Gen Pract
FD British Journal of General Practice
SP 124
OP 129
VO 57
IS 535
A1 Lesley A King
A1 Julika HM Loss
A1 Rachel L Wilkenfeld
A1 Deanna L Pagnini
A1 Michael L Booth
A1 Susan L Booth
YR 2007
UL http://bjgp.org/content/57/535/124.abstract
AB Background GPs can potentially play a significant role in assessing weight status, providing advice, and making referrals to address overweight and obesity and its consequences among children and adolescents.Aim To investigate the perceptions of GPs about overweight and obesity in children and adolescents, including the extent to which they perceive it as a concern, the factors they see as causal, what actions they consider might be needed, and their sense of responsibility and self-efficacy.Design of study A cross-sectional qualitative study of GPs' perceptions.Setting General practice and primary health care services in the state of New South Wales, Australia.Method Focus groups using a structured protocol were conducted with samples of GPs. Groups comprised a mix of male and female GPs from a range of cultural backgrounds and working in practices in low, medium and high socioeconomic areas. Data were recorded and transcribed. Content analysis was used to identify key themes.Results Many GPs are concerned about the increasing prevalence of childhood overweight and obesity. They are committed to dealing with the medical consequences, but are aware of the broad range of social causes. GPs perceived that parents are sensitive about this topic, making it difficult for them to raise the issue directly in clinical practice, unless they use lateral strategies. GPs were confident about providing advice, with some managing the problem independently, while others preferred to refer to specialised services. GPs perceived that there were significant barriers to patient compliance with advice.Conclusion Whereas some GPs manage patients' lifestyle change directly, including children's weight management, others prefer to refer. Programmes, service delivery systems, and resources to support both approaches are required.