French pediatricians’ knowledge, attitudes, beliefs towards and practices in the management of weight problems in children

Franc, Carine; Gerwen, Maaike van; Vaillant, Marc Le; Rosman, Sophia; Pelletier‐Fleury, Nathalie

doi:10.1016/j.healthpol.2008.12.005

Cited by 11 publications

(7 citation statements)

References 28 publications

(47 reference statements)

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“…Contributing factors include patient and family variables, for example, lack of perception of weight as a problem, lack of motivation and difficulty with compliance26 28; a lack of support services and options for referral; the sense that clinicians need to be part of a broader systemic effort to tackle obesity28 29; and the rather low efficacy of clinical intervention in randomised trials 18…”

Section: Discussionmentioning

confidence: 99%

How training affects Australian paediatricians' management of obesity

Wake

Campbell

Turner

et al. 2012

Archives of Disease in Childhood

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Section: Discussionmentioning

confidence: 99%

How training affects Australian paediatricians' management of obesity

Wake

Campbell

Turner

et al. 2012

Archives of Disease in Childhood

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“…This is because primary healthcare providers may often lack adequate knowledge, and/or harbor prejudicial attitudes toward pediatric overweight/obesity (162–166). For example, general practitioners and practice nurses may feel that overweight/obesity in children is a familial or social but not a medical problem (167).…”

Section: Intervention Programsmentioning

confidence: 99%

“…Research indicates that providing adequate training to health care practitioners does enhance their knowledge and communication skills (173) and increases their sense of self-efficacy (166). Supporting these findings, it has been shown that overweight/obese children whose parents and primary caretakers received training in motivational interviewing techniques had a greater reduction in their BMI in comparison to control participants (155).…”

Section: Intervention Programsmentioning

confidence: 99%

Psychosocial Perspectives and the Issue of Prevention in Childhood Obesity

Stein

Weinberger-Litman

Latzer

2014

Front. Public Health

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A dramatic increase in childhood overweight/obesity has been recognized globally over the past 50 years. This observed increase may reflect genetic, as well as psychological, environmental, and socio-cultural influences. In the first part of this review, we present an updated summary of the psychosocial factors associated with this change and discuss possible ways in which they operate. Among these factors, lower socio economic status (in both industrialized and non-industrialized countries), being female, belonging to a minority group, and being exposed to adverse life events may all be associated with a greater risk of childhood overweight/obesity. These influences may be mediated via a variety of mechanisms, in particular above-average food intake of low nutritional quality and reduction in physical activity. Other important psychosocial mediators include the influence of the family and peer environment, and exposure to the media. In the second part of the review, we discuss the potential of psychosocial prevention programs to intervene in the processes involved in the rise of childhood overweight/obesity. Two points are emphasized. First, prevention programs should be multidisciplinary, combining the knowledge of experts from different professions, and taking into consideration the important role of the family environment and relevant influential social organizations, particularly school. Second, effective change is unlikely to occur without large-scale programs carried out on a public policy level.

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“…While recent studies suggest increased provider comfort in screening and counseling for obesity [27, 28], rates of obesity prevention and treatment activities in primary care remain low in many countries, including the USA Israel, Australia, and several European countries [25, 29, 30•, 31–34]. Furthermore, primary care providers have expressed reservations about the effectiveness of provider-delivered obesity prevention and treatment strategies, citing concerns regarding the obesogenic environment, lack of parent motivation to make weight-related behavioral changes for themselves and their family, and low parent concern about child weight [16, 20, 22, 24, 27, 32, 34–36]. …”

Section: Introductionmentioning

confidence: 99%

A Review of Primary Care-Based Childhood Obesity Prevention and Treatment Interventions

et al. 2015

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Effective obesity prevention and treatment interventions targeting children and their families are needed to help curb the obesity epidemic. Pediatric primary care is a promising setting for these interventions, and a growing number of studies are set in this context. This review aims to identify randomized controlled trials of pediatric primary care-based obesity interventions. A literature search of 3 databases retrieved 2947 publications, of which 2899 publications were excluded after abstract (n=2722) and full-text review (n=177). Forty-eight publications, representing 31 studies, were included in the review. Eight studies demonstrated a significant intervention effect on child weight outcomes (e.g., BMI z-score, weight-for-length percentile). Effective interventions were mainly treatment interventions, and tended to focus on multiple behaviors, contain weight management components, and include monitoring of weight-related behaviors (e.g., dietary intake, physical activity, or sedentary behaviors). Overall, results demonstrate modest support for the efficacy of obesity treatment interventions set in primary care.

show abstract

French pediatricians’ knowledge, attitudes, beliefs towards and practices in the management of weight problems in children

Cited by 11 publications

References 28 publications

How training affects Australian paediatricians' management of obesity

How training affects Australian paediatricians' management of obesity

Psychosocial Perspectives and the Issue of Prevention in Childhood Obesity

A Review of Primary Care-Based Childhood Obesity Prevention and Treatment Interventions

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