Understanding academic clinicians' intent to treat pediatric obesity

作     者：Claudia Frankfurter Charles Cunningham Katherine M Morrison Heather Rimas Karen Bailey 

作者机构：Faculty of MedicineUniversity of Toronto Department of Psychiatry and Behavioral NeurosciencesMcM aster University Department of PediatricsMc Master University Division of Pediatric SurgeryDepartment of SurgeryMc Master University 

出 版 物：《World Journal of Clinical Pediatrics》 (世界临床儿科杂志)

年 卷 期：2017年第6卷第1期

页      面：60-68页

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

基　　金：Supported by the Hamilton Health Sciences New Investigator Award,No.NIF-N10-240 the Mc Master Surgical Associates Innovation Grant the Jack Laidlaw Chair in Patient-Centered Health Care the Mc Master Children’s Hospital Foundation 

主　　题：Pediatric obesity Therapeutics Intention Decision Making Behavior 

摘      要：AIM To examine the extent to which the theory of planned behavior(TPB) predicts academic clinicians intent to treat pediatric *** A multi-disciplinary panel iteratively devised a Likert scale survey based on the constructs of the TPB applied to a set of pediatric obesity themes.A cross-sectional electronic survey was then administered to academic clinicians at tertiary care centers across Canada from January to April *** statistics were used to summarize demographic and item agreement data.A hierarchical linear regression analysis controlling for demographic variables was conducted to examine the extent to which the TPB subscales predicted intent to treat pediatric *** A total of 198 physicians,surgeons,and allied healthprofessionals across Canada(British Columbia,Alberta,Manitoba,Saskatchewan,Nova Scotia,Ontario and Quebec) completed the *** step 1,demographic factors accounted for 7.4% of the variance in intent *** in step 2,demographic variables and TPB subscales predicted 56.9% of the variance in a measure of the intent to treat pediatric *** behavioral control,that is,confidence in one s ability to manage pediatric obesity,and subjective norms,congruent with one s context of practice,were the most significant predictors of the intent to treat pediatric *** and barriers did not predict the intent to treat pediatric obesity in this *** Enhancing self-confidence in the ability to treat pediatric obesity and the existence of supportive treatment environments are important to increase clinician s intent to treat pediatric obesity.