Evidence map›Paper›PMID 35247645›Full record

ArticleAcademic pediatrics

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

Janice L Liebhart, Alyson B Goodman, Jeanne Lindros, Catherine Krafft, Stephen R Cook, Alison Baker, Sandra G Hassink

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Janice L LiebhartInstitute for Healthy Childhood Weight, American Academy of Pediatrics (JL Liebhart, J Lindros, A Baker, and SG Hassink), Itasca, Ill. Electronic address: jliebhart@aap.org.
Alyson B GoodmanDivision of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention (AB Goodman), Atlanta, Ga.
Jeanne LindrosInstitute for Healthy Childhood Weight, American Academy of Pediatrics (JL Liebhart, J Lindros, A Baker, and SG Hassink), Itasca, Ill.
Catherine KrafftGolisano Children's Ambulatory Care Facility, University of Rochester Medical Center (C Krafft and SR Cook), Rochester, NY.
Stephen R CookGolisano Children's Ambulatory Care Facility, University of Rochester Medical Center (C Krafft and SR Cook), Rochester, NY.
Alison BakerInstitute for Healthy Childhood Weight, American Academy of Pediatrics (JL Liebhart, J Lindros, A Baker, and SG Hassink), Itasca, Ill.
Sandra G HassinkInstitute for Healthy Childhood Weight, American Academy of Pediatrics (JL Liebhart, J Lindros, A Baker, and SG Hassink), Itasca, Ill.
American Academy of Pediatrics · USUniversity of Rochester Medical Center · US

Funding

OSTLTS CDC HHS U38 OT000167
6 · The paper itself

Abstract

objectiveSelf-efficacy is a crucial factor in enabling pediatric primary care providers (PCPs) to deliver recommended care to children with overweight and obesity. This study, conducted with a large, national sample of PCPs, aimed to identify key factors, which may contribute to PCP self-efficacy for obesity-related care, from a list of previously reported barriers and facilitators.

methodsA national random sample of American Academy of Pediatrics members was surveyed in 2017 (analytic n = 704). Factor analysis was used to identify self-efficacy variables from relevant indicators and assess fit. Multivariable linear regression analyses were conducted to identify key predictors of PCP self-efficacy from reported facilitators or barriers to care, including characteristics of the PCP, practice, community, and payment systems.

resultsTwo PCP self-efficacy variables were identified: health risk assessment and patient-centered counseling. Both were positively predicted by relevant training, the belief that pediatricians play an important role in obesity, and awareness of barriers to payment for dietitians or weight management programs. Both were negatively predicted by a perceived lack of available PCP time for counseling and inadequacy of available referral resources to assist with treatment. Additional predictors of counseling self-efficacy included PCP beliefs that they are paid for treatment (+) and that patients/families lack time for healthy behaviors (-). Electronic health record clinical decision supports or registries and patient social disadvantage were not predictive.

conclusionsResults suggest multiple potential roles and strategies for local and national organizations seeking to facilitate improvements to PCP self-efficacy in caring for children with overweight and obesity.

Indexed as

OverweightSelf EfficacyChildCounselingHumansObesityPrimary Health Carechildhood obesityprimary care providersrecommended careself-efficacy

Identifiers

PMID35247645
PMCPMC10291564
OpenAlexW4214889616

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.