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Clinician Attitudes and Knowledge of Pediatric Sleep-Disordered Breathing

Walter Nicholas Jungbauer1, Jenna H Barengo2, Paul J Nietert3

  • 1Mayo Clinic Arizona, Scottsdale, USA.

The Annals of Otology, Rhinology, and Laryngology
|November 25, 2025
PubMed

Insights

Primary care providers show low screening rates for pediatric obstructive sleep apnea (OSA). Increased provider confidence in managing OSA is linked to higher screening frequency, suggesting a need for targeted interventions.

Area of Science:

  • Pediatrics
  • Sleep Medicine
  • Primary Care

Background:

  • Pediatric obstructive sleep apnea (OSA) is a significant health concern.
  • Primary care providers (PCPs) play a crucial role in early identification and management.
  • Understanding PCP knowledge, attitudes, and practices is vital for improving pediatric OSA care.

Purpose of the Study:

  • To evaluate primary care provider (PCP) knowledge and attitudes regarding pediatric obstructive sleep apnea (OSA).
  • To identify current practice patterns and screening frequency for pediatric OSA among PCPs.
  • To explore factors associated with PCP screening behaviors for pediatric OSA.

Main Methods:

  • A cross-sectional survey utilizing the Obstructive Sleep Apnea Knowledge and Attitudes in Children (OSAKA-KIDS) questionnaire.
  • Data collected from PCPs between August and December 2021.
  • Statistical analyses included univariable and multivariable regressions to assess associations between PCP demographics, knowledge, attitudes, and screening practices.

Main Results:

  • PCPs demonstrated high knowledge scores (84.9%) but low screening rates for pediatric OSA (45.1% screened "most of the time" or "always").
  • Higher screening frequency was associated with clinics serving more Medicaid beneficiaries and fewer Black patients.
  • Provider confidence in managing OSA positively correlated with increased screening frequency.

Conclusions:

  • Guideline-recommended screening for pediatric OSA is underutilized by PCPs.
  • Enhancing PCP confidence in OSA management may increase screening rates.
  • Interventions targeting PCP education and confidence are needed to improve equitable pediatric OSA screening and care.
Abstract

Keywords:
barriershealth disparityobstructive sleep apneapediatricprimary carescreeningsleep-disordered breathing

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