Pediatric Obesity Management in Rural Clinics in California and the Role of Telehealth in Distance Education

Autor/inn/en	Shaikh, Ulfat; Nettiksimmons, Jasmine; Romano, Patrick
Titel	Pediatric Obesity Management in Rural Clinics in California and the Role of Telehealth in Distance Education
Quelle	In: Journal of Rural Health, 27 (2011) 3, S.263-269 (7 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-765X
DOI	10.1111/j.1748-0361.2010.00335.x
Schlagwörter	Patient Education; Obesity; Distance Education; Self Efficacy; Physicians; Family Involvement; Continuing Education; Family Practice (Medicine); Adolescents; Pediatrics; Health Education; Health Services; Children; Rural Areas; Patients; Clinics; Low Income Groups; Web Based Instruction; Video Technology; Internet; Educational Technology; California + Suchen Sie Ihr Suchwort? Adipositas; Distance study; Distance learning; Fernunterricht; Self-efficacy; Selbstwirksamkeit; Physician; Doctor; Arzt; Weiterbildung; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Klinische Sozialpädiatrie; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Health service; Gesundheitsdienst; Gesundheitswesen; Child; Kind; Kinder; Rural area; Ländlicher Raum; Patient; Web Based Training; Unterrichtsmedien; Kalifornien
Abstract	Objective: To determine health care provider needs related to pediatric obesity management in rural California and to explore strategies to improve care through telehealth. Methods: Cross-sectional survey of health care providers who treated children and adolescents at 41 rural clinics with existing telehealth connectivity. Results: Most of the 135 respondents were family physicians at designated rural health clinics serving low-income families. Respondents had practiced in rural areas for an average of 10 years. Most providers rated their self-efficacy in managing pediatric obesity as 2 or 3 on a 5-point scale. The barriers most frequently reported by health care providers were lack of local weight management programs, lack of patient motivation, and lack of family involvement in treatment. Providers reported that the resources they would find most helpful were readily accessible patient education materials, strategies to link patients with community treatment programs and training in brief, focused counseling skills. Three-quarters of providers already used telehealth for distance learning. Providers reported very high interest in participating in continuing education on pediatric obesity delivered by telehealth, specifically Internet communication with specialists, web-based education, and interactive video case-conferencing. Conclusions: Rural health care providers face several barriers related to pediatric obesity management. Targeted interventions provided via telehealth to rural health care providers may enhance the care of obese children and adolescents. The results of this study provide directions and priorities for the design of appropriate interventions. (As Provided).
Anmerkungen	Wiley-Blackwell. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8598; Fax: 781-388-8232; e-mail: cs-journals@wiley.com; Web site: http://www.wiley.com/WileyCDA/
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10