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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Australian General Practitioners' Perspectives on Childhood Obesity Management
Stephanie Lee1, Jasveen Kaur2, Hasnain Bhurawala3
1Queensland Children's Hospital, South Brisbane, Queensland, Australia.
Insights
Australian GPs face challenges managing childhood obesity, citing difficulties engaging families and limited referral pathways. Improving resource awareness and multidisciplinary care is crucial for effective interventions.
Area of Science:
- Public Health
- Pediatrics
- General Practice
Background:
- Childhood obesity is a significant public health issue in Australia, affecting over a quarter of children aged 2-17 years.
- General Practitioners (GPs) are primary healthcare providers for children, making their role in obesity management critical.
- Understanding current GP practices, barriers, and enablers is essential for developing effective childhood obesity strategies.
Purpose of the Study:
- To investigate contemporary childhood obesity management practices among Australian General Practitioners (GPs).
- To identify perceived barriers and enablers influencing GPs' ability to manage childhood obesity.
- To inform strategies for enhancing GP support in addressing this public health challenge.
Main Methods:
- A 20-question survey was developed by a multidisciplinary team and distributed to Australian GPs.
- Responses were collected via the HealthMap database using a Quality Audit Reporting System.
- Qualitative thematic analysis using Braun and Clarke's methodology was applied to free-text responses.
Main Results:
- 199 GPs responded, predominantly GP Fellows, with most practicing in major cities or outer regional areas.
- Key barriers identified include difficulties engaging families, limited multidisciplinary referral pathways, inadequate public health interventions, and underutilization of national resources.
- Respondents indicated limited awareness of available resources and referral options for childhood obesity management.
Conclusions:
- Australian GPs encounter substantial challenges in managing childhood obesity.
- Enhancing the dissemination of existing services and strengthening multidisciplinary care pathways are vital.
- Improved clinical support and resource awareness can empower GPs to provide more effective obesity-targeted care for children.
Aim:
Childhood obesity is a public health challenge, with 26.1% of Australian children aged between 2 and 17 years classified as overweight or obese in 2022. General practitioners (GPs) are the most frequently accessed healthcare providers for children. This project aims to provide a contemporary insight into current childhood obesity management practices among Australian GPs, including perceived barriers and enablers.
Method:
A 20-question survey was developed by a multidisciplinary team including a paediatric endocrinologist, GP registrar, paediatric registrar and medical student. The HealthMap database distributed the survey to registered Australian GPs using a Quality Audit Reporting System. Free-text responses were thematically analysed using Braun and Clarke's qualitative descriptive methodology. Ethics approval was granted by the Nepean Blue Mountains Local Health District Human Research Ethics Committee.
Results:
There were 199 responses, of which 92% (n = 183) were GP Fellows. Most respondents were from New South Wales (34.7%, n = 69) and Victoria (27.6%, n = 55). A majority (60.3%, n = 120) practised in major cities, with 18.1% (n = 36) based in outer regional areas. Thematic analysis identified key barriers to obesity management: difficulty engaging families, limited referral pathways for multidisciplinary care, inadequate public health interventions and underutilisation of national resources.
Conclusion:
Participating Australian GPs identified significant challenges in managing childhood obesity, particularly limited awareness of available resources and referral pathways. Improving the dissemination of existing services, strengthening clinical support and enhancing multidisciplinary care pathways may help support GPs in delivering effective, obesity-targeted care.
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