Research articleBrief reports: Residents and community pediatrics; disparities in complementary and alternative medicine; health pormotion in child care; mental helath screening; primary care providers’ views of research priorityWhat Do Pediatric Primary Care Providers Think Are Important Research Questions? A Perspective From PROS Providers
Section snippets
Study Design and Subjects
This was a qualitative analysis of an open-ended survey question answered by PROS members in 2003. A written survey was mailed to 1785 members of the PROS research network in 2 waves. PROS members are full-time practitioners who participate in practice-based research.
Survey
The survey dealt with a variety of topics that addressed the network’s function and avenues for improvement. It also included one question aimed at assessing practitioners’ views on inadequately addressed primary care issues. This
Results
The response rate to the survey was 48.7% (868 surveys) after 2 waves; 495 respondents (57%) provided 1109 answers by writing 1 to 4 answers. Table 1 shows that those who completed the open-ended question did not differ greatly from the entire group that was surveyed except that males and physicians were more likely to complete the question of interest.
By use of the cutoff criteria described above, we found 6 issues of greatest interest to the respondents: anticipatory guidance, obesity,
Discussion
This study is one of the first to explore the research interests of pediatric primary care providers.
Notably, only 2 of the top research concerns identified by respondents were about a specific illness or condition. ADHD management was an important concern, suggesting that the fairly extensive literature that is available on ADHD is not yet hitting the mark with providers.10, 11, 12, 13, 14 In contrast, there may be less extensive literature on childhood obesity because this has only recently
Acknowledgments
This study was supported by the Agency for Healthcare Research and Quality, the Health Resources and Services Administration Maternal and Child Health Bureau, and the American Academy of Pediatrics. We acknowledge the PROS providers that participated in this study, and Reed Lowrie from the University of Chicago Libraries.
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Family, community and clinic collaboration to treat overweight and obese children: Stanford GOALS-A randomized controlled trial of a three-year, multi-component, multi-level, multi-setting intervention
2013, Contemporary Clinical TrialsCitation Excerpt :The content is based on methods used in the SPWCP, including instruction and practice in limit setting, modeling behavior, practice to promote enactive mastery, role-playing to overcome barriers, enlisting social support, and general problem solving to overcome environmental, social and cognitive barriers, especially those related to fast food, holidays, difficult family members, and lapses. Pediatricians and other child health professionals rate childhood obesity as a top priority for treatment but identify lack of time, reimbursement, children's and parents' motivation, and support services, and limited effectiveness, confidence and self-efficacy in their own skills, as barriers to addressing the problem [89–94]. Ultimately, providers are left frustrated with few effective tools or resources to help them [95].
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Drs Chien and Coker contributed equally to this work.