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Sleep disorders in children: a national assessment of primary care pediatrician practices and perceptions
Firoza Faruqui1, Jagdish Khubchandani, James H Price
1Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Insights
Pediatricians often neglect sleep disorder screening due to lack of training and perceived barriers. Formal education on pediatric sleep issues is crucial for improving screening practices and patient care.
Area of Science:
- Pediatric Sleep Medicine
- General Pediatrics
- Medical Education
Background:
- Sleep problems are common in children and impact overall health.
- General pediatricians play a key role in identifying and managing pediatric sleep issues.
- Current screening practices and knowledge gaps among pediatricians regarding sleep disorders are not well understood.
Purpose of the Study:
- To evaluate general pediatricians' screening habits for sleep-related issues in children.
- To assess pediatricians' knowledge of common childhood sleep complaints.
- To identify barriers to sleep screening and the impact of formal training on sleep disorders.
Main Methods:
- A national random sample of 700 general pediatricians was surveyed.
- A validated questionnaire assessed sleep screening practices, knowledge, barriers, and training.
- Response rate was 49% (n=346).
Main Results:
- Most pediatricians (96%) believe counseling on sleep hygiene is their responsibility, but only 18% received formal sleep disorder training.
- Pediatricians who did not screen spent less time with patients and perceived more barriers.
- Trained pediatricians demonstrated higher knowledge, fewer perceived barriers, and greater confidence in counseling on sleep problems.
Conclusions:
- Formal education on sleep disorders is essential for all pediatricians.
- Improving pediatrician training can enhance sleep screening and management in children.
- Addressing barriers to screening is necessary to improve pediatric sleep health outcomes.
Objectives:
To assess general pediatricians' screening practices for sleep-related issues and assess their knowledge on common sleep complaints in children, their perceived barriers to screening for sleep issues, and whether they have received training regarding sleep issues.
Methods:
A national random sample (n = 700) of general pediatricians who were members of the American Academy of Pediatrics were sent a valid and reliable questionnaire on sleep problems in youth.
Results:
A total of 346 pediatricians (49%) responded. The vast majority (96%) indicated that they believed it was their job to counsel patients/guardians regarding sleep hygiene, yet few pediatricians (18%) had ever received formal training on sleep disorders. Those who did not screen for sleep problems spent significantly less time with each patient and perceived significantly more barriers to screening. Pediatricians who had received training about sleep disorders had significantly higher knowledge scores on sleep problems, perceived significantly fewer barriers to screening, and reported significantly higher confidence scores regarding counseling patients/guardians on sleep problems.
Conclusion:
These findings support the need for formal education on sleep disorders for all pediatricians.
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