Perceived Barriers, Resources, and Training Needs of Rural Primary Care Providers Relevant to the Management of Childhood Obesity

Background The demand for complementary and integrative health (CIH) is increasing by patients who want to receive more CIH referrals, in-clinic services, and overall care delivery. To promote CIH within the context of primary care, it is critical that providers have sufficient knowledge of CIH, access to CIH-trained providers for referral purposes, and are comfortable either providing services or co-managing patients who favor a CIH approach to their healthcare. Objective The main objective was to gather primary care providers’ perspectives across the northwestern region of the United States on their CIH familiarity and knowledge, clinic barriers and opportunities, and education and training needs. Methods We conducted an online, quantitative survey through an email invitation to all primary care providers (n = 483) at 11 primary care organizations from the WWAMI (Washington, Wyoming, Alaska, Montana and Idaho) region Practice and Research Network (WPRN). The survey questions covered talking about CIH with patients, co-managing care with CIH providers, familiarity with and training in CIH modalities, clinic barriers to CIH integration, and interest in learning more about CIH modalities. Results 218 primary care providers completed the survey (45% response rate). Familiarity with individual CIH methods ranged from 73% (chiropracty) to 8% (curanderismo). Most respondents discussed CIH with their patients (88%), and many thought that their patients could benefit from CIH (41%). The majority (89%) were willing to co-manage a patient with a CIH provider. Approximately one-third of respondents had some expertise in at least one CIH modality. Over 78% were interested in learning more about the safety and efficacy of at least one CIH modality. Conclusion Primary care providers in the Northwestern United States are generally familiar with CIH modalities, are interested in referring and co-managing care with CIH providers, and would like to have more learning opportunities to increase knowledge of CIH.

Download Full-text

Rural Primary Care Providers’ Experience and Usage of Clinical Recommendations in the CDC Pediatric Mild Traumatic Brain Injury Guideline: A Qualitative Study

The Journal of Rural Health ◽

10.1111/jrh.12530 ◽

2020 ◽

Author(s):

Jill Daugherty ◽

Dana Waltzman ◽

Shena Popat ◽

Amy Horn Groenendaal ◽

Margaret Cherney ◽

...

Keyword(s):

Primary Care ◽

Traumatic Brain Injury ◽

Brain Injury ◽

Qualitative Study ◽

Mild Traumatic Brain Injury ◽

Primary Care Providers ◽

Care Providers ◽

Clinical Recommendations ◽

Rural Primary Care

Download Full-text

WIC Nutritionist Perspectives on Opportunities and Challenges Regarding Care Coordination With Primary Care Providers for Early Childhood Obesity Prevention

Journal of Patient-Centered Research and Reviews ◽

10.17294/2330-0698.1386 ◽

2016 ◽

Vol 3 (3) ◽

pp. 219 ◽

Cited By ~ 1

Author(s):

Lisa Bailey-Davis ◽

Lindsey B Hess ◽

Michele Marini ◽

Jacob Mowery ◽

Shawnee Lutcher ◽

...

Keyword(s):

Primary Care ◽

Early Childhood ◽

Childhood Obesity ◽

Obesity Prevention ◽

Care Coordination ◽

Primary Care Providers ◽

Care Providers ◽

Childhood Obesity Prevention ◽

Early Childhood Obesity

Download Full-text

Adoption of an Electronic Medical Record Tool for Childhood Obesity by Primary Care Providers

Applied Clinical Informatics ◽

10.1055/s-0040-1705106 ◽

2020 ◽

Vol 11 (02) ◽

pp. 210-217

Author(s):

Amy Williams ◽

Christy Turer ◽

Jamie Smith ◽

Isabelle Nievera ◽

Laura McCulloch ◽

...

Keyword(s):

Primary Care ◽

Childhood Obesity ◽

Medical Record ◽

Electronic Medical Record ◽

Primary Care Providers ◽

Perceived Usefulness ◽

Intention To Use ◽

Care Providers ◽

Perceived Usability ◽

Strongly Agree

Abstract Background Primary care providers are tasked with the increasingly difficult job of addressing childhood obesity during clinic visits. Electronic medical record (EMR)-enabled decision-support tools may aid providers in this task; however, information is needed regarding whether providers perceive such tools to be useful for addressing nutrition and physical activity lifestyle behaviors. Objectives This study aimed to evaluate the usefulness and usability of FitTastic, an EMR-enabled tool to support prevention and management of childhood obesity in primary care. Methods In this mixed-method study, we implemented the FitTastic tool in two primary-care clinics, then surveyed and conducted focused interviews with providers. Validated Technology Acceptance Model perceived usefulness and National Aeronautics and Space Administration (NASA) perceived usability survey questions were e-mailed to 60 providers. In-depth provider interviews with family medicine and pediatric physicians (n = 12) were used to further probe adoption of FitTastic. Results Surveys were completed by 73% of providers (n = 44). The mean score for FitTastic's usefulness was 3.3 (standard deviation [SD] = 0.54, scale 1–5, where 5 is strongly agree) and usability, 4.8 (SD = 0.86, scale 1–7, where 7 is strongly agree). Usefulness and usability scores were associated with intention to use FitTastic (correlation for both, p < 0.05). Data from provider interviews indicated that useful features of FitTastic included: standardizing the approach to childhood obesity, and facilitating conversations about weight management, without increasing cognitive workload. However, use of FitTastic required more time from nurses to input lifestyle data. Conclusion FitTastic is perceived as a useful and usable EMR-based lifestyle behavior tool that standardizes, facilitates, and streamlines healthy lifestyle conversations with families. Perceived usability and usefulness scores correlated with provider intention-to-use the technology. These data suggest that EMR-based child obesity prevention and management tools can be feasible to use in the clinic setting, with potential for scalability. Usefulness can be optimized by limiting amount of time needed by staff to input data.

Download Full-text

Rural primary care providers’ attitudes about depression.

Rural Mental Health ◽

10.1037/h0095937 ◽

2007 ◽

Vol 31 (3) ◽

pp. 6-18

Author(s):

Carolyn M. Pepper ◽

Jason A. Nieuwsma ◽

Vanessa M. Thompson

Keyword(s):

Primary Care ◽

Primary Care Providers ◽

Care Providers ◽

Rural Primary Care

Download Full-text

Online training needs of primary care providers in pain and addiction

Journal of Pain ◽

10.1016/j.jpain.2010.01.087 ◽

2010 ◽

Vol 11 (4) ◽

pp. S20

Author(s):

K. Rossie ◽

M. Metcalf ◽

T. Tanner

Keyword(s):

Primary Care ◽

Online Training ◽

Primary Care Providers ◽

Training Needs ◽

Care Providers

Download Full-text

Attitudes and perceived barriers to firearm safety anticipatory guidance by pediatricians: a statewide perspective

Injury Epidemiology ◽

10.1186/s40621-021-00319-9 ◽

2021 ◽

Vol 8 (S1) ◽

Author(s):

Bijan Ketabchi ◽

Michael A. Gittelman ◽

Hayley Southworth ◽

Melissa Wervey Arnold ◽

Sarah A. Denny ◽

...

Keyword(s):

Primary Care ◽

Care Provider ◽

Care Setting ◽

Primary Care Setting ◽

Primary Care Providers ◽

Perceived Barriers ◽

Pediatric Primary Care ◽

Care Providers ◽

Safety Education ◽

Firearm Safety

Abstract Background Firearms are the second leading cause of injury-related death in American children. Safe storage of firearms is associated with a significantly decreased odds of firearm-related death, however more than half of US firearm owners store at least one firearm unlocked or accessible to a minor. While guidance by primary care providers has been shown to improve storage practices, firearm safety counseling occurs infrequently in the primary care setting. The primary objective of this study was to describe pediatricians’ perceived barriers to providing firearm safety education to families in the pediatric primary care setting. Secondary objectives included identifying pediatric provider attitudes and current practices around firearm counseling. Methods This was a cross-sectional survey of pediatric primary care providers in Ohio. Participants were recruited from the Ohio AAP email list over a 3-month period. Only pediatric primary care providers in Ohio were included; subspecialists, residents and non-practicing physicians were excluded. Participants completed an anonymous online survey detailing practice patterns around and barriers to providing firearm safety counseling. Three follow-up emails were sent to pediatricians that failed to initially respond. Response frequencies were calculated using Microsoft Excel. Results Two hundred eighty-nine pediatricians completed the survey and 149 met inclusion criteria for analysis. One hundred seven (72%) respondents agreed that it is the responsibility of the pediatric primary care provider to discuss safe storage. Counseling, however, occurred infrequently with 119 (80%) of respondents performing firearm safety education at fewer than half of well child visits. The most commonly cited barriers to providing counseling were lack of time during office visits, lack of education and few resources to provide to families. A majority, 82 of pediatric providers (55%), agreed they would counsel more if given additional training, with 110 (74%) conveying they would distribute firearm safety devices to families if these were available in their practice. Conclusion Ohio pediatricians agree that it is the responsibility of the primary care provider to discuss firearm safety. However, counseling occurs infrequently in the primary care setting due to a lack of time, provider education and available resources. Improving access to resources for primary care pediatricians will be critical in helping educate families in order to protect their children through improved storage practices.

Download Full-text