Effect of Child Overweight/Obesity Didactic Session on Resident Confidence and Detection

Global Pediatric Health. 2019;6 DOI 10.1177/2333794X19840360

 

Journal Homepage

Journal Title: Global Pediatric Health

ISSN: 2333-794X (Online)

Publisher: SAGE Publishing

LCC Subject Category: Medicine: Pediatrics

Country of publisher: United States

Language of fulltext: English

Full-text formats available: PDF, HTML, ePUB

 

AUTHORS


Rebecca Carter MD (University of Maryland, Baltimore, MD, USA)

Molly Silber MD (University of Maryland, Baltimore, MD, USA)

Lindsay Weiss MD (University of Maryland, Baltimore, MD, USA)

Salma Sharaf BS (University of Maryland, Baltimore, MD, USA)

Yan Wang MD, DrPH (University of Maryland, Baltimore, MD, USA)

Erin Hager PhD (University of Maryland, Baltimore, MD, USA)

EDITORIAL INFORMATION

Blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 12 weeks

 

Abstract | Full Text

Objective . To evaluate the impact of an obesity didactic session for pediatric physicians on confidence in counseling and identified overweight/obesity and follow-up recommendations. Methods . Pediatric residents underwent training and completed pre/post online surveys evaluating confidence in obesity prevention and identification. A booster training occurred 1 year later. Pre-/post-training scores were compared using χ 2 or Fisher’s exact tests. Electronic medical records data for patients ≥3 years with BMI-for-age percentile ≥85 during 3 months prior/following the training/booster compared frequency of overweight/obesity identification and follow-up recommendations (≤3 months recommended vs longer) using logistic regression adjusting for age and overweight/obese status. Results . Post trainings, improvements in confidence to define/screen for obesity were observed, with a decline between trainings. Overweight/obese identification and follow-up time recommendations improved post-training (identification: 14.2% to 27.4%, adjusted odds ratio [aOR] = 3.16, 95% confidence interval [CI] = 1.54-6.51; follow-up: 48.9% to 58.9%, aOR = 1.63, 95% CI = 1.01-2.64), aOR = 1.77, 95% CI = 1.10-2.85, and identification remained stable/above pre-training rates both pre-/post-booster (25.8%, aOR = 3.14, 95% CI = 1.53-6.45; and 22.1%, aOR = 2.57, 95% CI = 1.25-5.30, respectively). Recommended follow-up time rates continued to rise when measured pre-booster (60.6%, aOR = 1.77, 95% CI = 1.10-2.85), then declined (46.0%, aOR = 0.95, 95% CI = 0.60-1.52). Conclusion . This didactic session improved resident confidence in defining/screening, identification of overweight/obesity and follow-up recommendations; however, rates of identification remained low. The successes of this intervention support similar didactic sessions in residency programs and identifies opportunities for improved resident/attending education.