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  11. Knowledge, Attitudes, And Practices In The Management Of Childhood And Adolescent Obesity: A Survey Of Primary Care Providers In The State Of Oklahoma, Usa

Knowledge, Attitudes, and Practices in the Management of Childhood and Adolescent Obesity: A Survey of Primary Care Providers in the State of Oklahoma, USA

Zachary Arnold1,2, Brianna Fleshman3, Carson Loncarich3

  • 1Department of Surgery, University of Oklahoma School of Community Medicine, Tulsa, OK, USA. Zachary-Arnold@ouhsc.edu.

Journal of Community Health
|December 30, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Primary care providers show gaps in knowledge and confidence for managing pediatric obesity. Improved education and resources are crucial for effective, evidence-based interventions in children.

Area of Science:

  • Public Health
  • Pediatrics
  • Medical Education

Background:

  • Pediatric obesity is a significant public health issue linked to cardiometabolic and psychosocial problems.
  • Effective management requires primary care provider (PCP) preparedness, which varies.
  • Evidence-based interventions are recommended but underutilized.

Purpose of the Study:

  • To assess the knowledge, attitudes, and practices (KAP) of PCPs in managing pediatric obesity.
  • To evaluate PCP familiarity with pharmacologic and surgical treatment options.
  • To identify barriers to effective pediatric obesity management in primary care.

Main Methods:

  • A cross-sectional, anonymous electronic survey was administered to pediatric and family medicine providers in Oklahoma.
  • The survey assessed knowledge of obesity definitions, comfort with treatments, practice patterns, and resource access.
Keywords:
Anti-obesity pharmacotherapyObesity managementPediatric obesitySevere obesity

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  • Quantitative data were analyzed descriptively, and qualitative data underwent thematic analysis.

    • Main Results:

    • Most providers correctly identified obesity thresholds, but only 60% defined severe obesity accurately.
    • Familiarity with pediatric metabolic and bariatric surgery was limited (65%).
    • Providers reported low comfort (55%) and poor access to resources like exercise counseling (83%) and surgical consultation (61%).

    Conclusions:

    • PCPs exhibit knowledge deficits, limited confidence, and insufficient resources for pediatric obesity management.
    • Underutilization of pharmacotherapy and surgical referrals was observed.
    • Enhanced provider education and system-level support are essential for improving pediatric obesity care.