Factors influencing probiotics recommendation among pediatricians in Indonesia

Abstract

Purpose: To help pediatrician utilize probiotic use correctly, it is important for them to keep updated about new knowledge through various sources and methods. This study aimed to evaluate clinical behavior and factors influencing pediatricians to consider probiotic recommendation in infants and toddlers patients. Patients and methods:A cross-sectional study conducted to 99 pediatricians attended Probiotic Summit in Jakarta on July 2018. Data collection aimed to gather characteristics of the subject's age, employment and affiliation status and years having pediatric practice through self-administered questionnaire. The current knowledge, clinical behavior and others factors influencing pediatricians to consider recommendation collected using modified 12-items questionnaire by Legare et al, 2014Results: about 99 pediatricians participated in the study; of which 58 subjects worked in private hospital and 41 subjects were government hospital-based pediatricians. Majority of subjects were aged between 40-60 years old and 71% had been worked in pediatric clinical practice for more than 10 years. Almost all of subjects showed confident with scientific evidences (99%) and agreement on ethical importance of probiotic in infants and toddlers (98%), which was reflected to their positive prescribing consideration. From self-assurance perspective, 97% of subjects convinced with probiotic usage in infants and toddler, and hence consider to prescribe probiotic to their patients [OR (CI95%):0.50 (0.12-1.99); P=0.02). The multivariate analysis comparing the outcome variables to subject's consideration to prescribe found that knowledge (P=0.05), ethical consideration (P<0.001), self-assurance (P<0.001), clinical behavior (P<0.001), and attitude (P<0.001) were factors that strongly associated with subject's consideration to prescribing probiotic to their patients. Conclusion:Knowledge, scientific evidences and ethical point of view were key factors influencing pediatricians to recommend probiotic to their patients. and even direct information via interaction with representatives from nutrition companies [9,10]. CME interventions have limited impact [11].Studies show that the prescribing pattern of physicians strongly depend on a series complex factors, including personal motivation as well as external factors such as requests from patients [12]. Doctors' prescription patterns are not standardized but are dynamic and individual [13][14][15].This study aimed to evaluate the attitude of pediatricians to recommend probiotics, specifically to infants and toddlers. Material and methodsData were collected from 99 pediatricians attending a Probiotic Summit in Jakarta in July 2018. Data collection aimed to gather information on the age, employment and affiliation status, and years in pediatric practice through a questionnaire.Basrowi RW (2019) Factors influencing probiotics recommendation among pediatricians in Indonesia

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