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Key Predictors of Primary Care Providers' Self-Efficacy in Caring for Children with Overweight or Obesity

Janice L Liebhart1, Alyson B Goodman2, Jeanne Lindros1

  • 1Institute for Healthy Childhood Weight, American Academy of Pediatrics (JL Liebhart, J Lindros, A Baker, and SG Hassink), Itasca, Ill.

Academic Pediatrics
|March 5, 2022
PubMed

Insights

Pediatric primary care providers' (PCPs) self-efficacy in treating childhood obesity improves with training and awareness of resources. Lack of time and inadequate referrals hinder their confidence in providing obesity care.

Area of Science:

  • Pediatric primary care
  • Obesity medicine
  • Healthcare provider self-efficacy

Background:

  • Self-efficacy is vital for pediatric primary care providers (PCPs) delivering obesity care.
  • Understanding factors influencing PCP self-efficacy is crucial for improving care for children with overweight and obesity.

Purpose of the Study:

  • To identify key factors influencing PCP self-efficacy in managing childhood obesity.
  • To explore barriers and facilitators to obesity-related care among PCPs.

Main Methods:

  • A national survey of 704 American Academy of Pediatrics members in 2017.
  • Factor analysis and multivariable linear regression were used to identify predictors of PCP self-efficacy.

Main Results:

  • PCP self-efficacy in health risk assessment and counseling was positively associated with training and belief in the importance of obesity care.
  • Lack of time, inadequate referral resources, and payment barriers negatively impacted self-efficacy.
  • Electronic health record supports and patient social disadvantage did not predict self-efficacy.

Conclusions:

  • Training, resource availability, and addressing systemic barriers are key to enhancing PCP self-efficacy in childhood obesity care.
  • Interventions should focus on improving provider confidence and capacity to manage pediatric obesity.
Abstract

Keywords:
childhood obesityprimary care providersrecommended careself-efficacy

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