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Feasibility and Acceptability of a 1-Page Tool to Help Physicians Assess and Discuss Obesity With Parents of Preschoolers

Pediatric Comprehensive Weight Management Center, swoolfor{at}med.umich.edu, Child Health Evaluation and Research Unit, Department of Pediatrics, University of Michigan, Ann Arbor, Michigan

Sarah J. Clark, MPH

Child Health Evaluation and Research Unit, Department of Pediatrics, University of Michigan, Ann Arbor, Michigan

Sana Ahmed, MD

Department of Pediatrics, University of Michigan, Ann Arbor, Michigan

Matthew M. Davis, MD, MAPP

Child Health Evaluation and Research Unit, Department of Pediatrics, University of Michigan, Ann Arbor, Michigan, Division of General Internal Medicine, University of Michigan, Ann Arbor, Michigan, Gerald R. Ford School of Public Policy, University of Michigan, Ann Arbor, Michigan

Objective. To assess the feasibility and acceptability of a brief tool to help pediatricians communicate with parents of preschoolers about obesity risk, prevention, and treatment. Methods. The 2-sided Assessment and Targeted Messages (ATM) tool developed by the investigators included sections to assess nutrition and physical activity, self-efficacy and readiness-to-change, obesity-related family history, and treatment/prevention recommendations. Twenty-five pediatricians were recruited to use the ATM and then surveyed regarding their opinions of its feasibility and acceptability. Results. Response rate was 60%. Most ATM features were considered somewhat or very useful by the majority of respondents. The majority of physicians (62%) indicated that they were somewhat likely to use the ATM in the future, with only 23% indicating that they were very likely to use it. The greatest barrier to its use was time. Conclusion. Pediatricians considered the ATM tool moderately feasible and acceptable. Time-efficient methods to help physicians address obesity should be explored.

Key Words: obesity • preschoolers • primary care • well-child visits

This version was published on November 1, 2009

Clinical Pediatrics, Vol. 48, No. 9, 954-959 (2009)
DOI: 10.1177/0009922809338060


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