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Pediatricians' perceptions and practices regarding prevention and treatment of type 2 diabetes mellitus in children and adolescents.
Arch Pediatr Adolesc Med. 2003 Sep; 157(9):913-8.AP

Abstract

OBJECTIVE

To assess pediatricians' perceptions and practices regarding the prevention and treatment of type 2 diabetes mellitus in children and adolescents in a cross-sectional study.

DESIGN

A 3-wave mailing of a questionnaire to 550 pediatricians. Descriptive statistics, analysis of variance, and logistic regression were used for data analyses.

SETTING

A national random sample of pediatricians who work in private practice, hospital settings, and/or clinics.

RESULTS

Every 1 in 9 respondents referred their patients with type 2 diabetes mellitus for exercise, while most pediatricians referred their patients for dietary interventions (62.3%) and educational services (62.6%). Pediatricians who were confident during counseling and follow-up were significantly (P =.02) more likely than pediatricians who were less confident to refer their patients for exercise, dietary interventions, and educational services. Of the respondents, 15.3% perceived they were well prepared to counsel and provide follow-up to patients with type 2 diabetes mellitus. The leading perceived barriers to counseling and follow-up were inadequate time for counseling, poor adherence of patients, lack of family support, lack of familiarity of clinical practice recommendations, and lack of health care insurance coverage.

CONCLUSIONS

Pediatricians who had a higher perceived confidence level and who perceived they were better prepared for the counseling and follow-up of patients with type 2 diabetes mellitus had a greater potential to positively affect their diabetic patients. Improving continuing medical education and residency-based programs is imperative to adequately address the emerging epidemic of type 2 diabetes mellitus in children and adolescents.

Authors+Show Affiliations

College of Health and Human Services, Department of Public Health, Health Education Center,The University of Toledo, OH 43606, USA. mditmyer@earthlink.netNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12963598

Citation

Ditmyer, Marcia M., et al. "Pediatricians' Perceptions and Practices Regarding Prevention and Treatment of Type 2 Diabetes Mellitus in Children and Adolescents." Archives of Pediatrics & Adolescent Medicine, vol. 157, no. 9, 2003, pp. 913-8.
Ditmyer MM, Price JH, Telljohann SK, et al. Pediatricians' perceptions and practices regarding prevention and treatment of type 2 diabetes mellitus in children and adolescents. Arch Pediatr Adolesc Med. 2003;157(9):913-8.
Ditmyer, M. M., Price, J. H., Telljohann, S. K., & Rogalski, F. (2003). Pediatricians' perceptions and practices regarding prevention and treatment of type 2 diabetes mellitus in children and adolescents. Archives of Pediatrics & Adolescent Medicine, 157(9), 913-8.
Ditmyer MM, et al. Pediatricians' Perceptions and Practices Regarding Prevention and Treatment of Type 2 Diabetes Mellitus in Children and Adolescents. Arch Pediatr Adolesc Med. 2003;157(9):913-8. PubMed PMID: 12963598.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pediatricians' perceptions and practices regarding prevention and treatment of type 2 diabetes mellitus in children and adolescents. AU - Ditmyer,Marcia M, AU - Price,James H, AU - Telljohann,Susan K, AU - Rogalski,Francis, PY - 2003/9/10/pubmed PY - 2003/10/3/medline PY - 2003/9/10/entrez SP - 913 EP - 8 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 157 IS - 9 N2 - OBJECTIVE: To assess pediatricians' perceptions and practices regarding the prevention and treatment of type 2 diabetes mellitus in children and adolescents in a cross-sectional study. DESIGN: A 3-wave mailing of a questionnaire to 550 pediatricians. Descriptive statistics, analysis of variance, and logistic regression were used for data analyses. SETTING: A national random sample of pediatricians who work in private practice, hospital settings, and/or clinics. RESULTS: Every 1 in 9 respondents referred their patients with type 2 diabetes mellitus for exercise, while most pediatricians referred their patients for dietary interventions (62.3%) and educational services (62.6%). Pediatricians who were confident during counseling and follow-up were significantly (P =.02) more likely than pediatricians who were less confident to refer their patients for exercise, dietary interventions, and educational services. Of the respondents, 15.3% perceived they were well prepared to counsel and provide follow-up to patients with type 2 diabetes mellitus. The leading perceived barriers to counseling and follow-up were inadequate time for counseling, poor adherence of patients, lack of family support, lack of familiarity of clinical practice recommendations, and lack of health care insurance coverage. CONCLUSIONS: Pediatricians who had a higher perceived confidence level and who perceived they were better prepared for the counseling and follow-up of patients with type 2 diabetes mellitus had a greater potential to positively affect their diabetic patients. Improving continuing medical education and residency-based programs is imperative to adequately address the emerging epidemic of type 2 diabetes mellitus in children and adolescents. SN - 1072-4710 UR - https://www.unboundmedicine.com/medline/citation/12963598/Pediatricians'_perceptions_and_practices_regarding_prevention_and_treatment_of_type_2_diabetes_mellitus_in_children_and_adolescents_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/vol/157/pg/913 DB - PRIME DP - Unbound Medicine ER -