title: Child overweight interventions in rural primary care practice: a survey of primary care providers in southern Appalachia.
abstract: Child overweight has reached an epidemic level throughout the United States. A total of 65 primary care providers in southern Appalachia were surveyed to understand current issues in addressing child overweight in rural primary care practice. The study shows that while providers realized the importance of child overweight intervention, many were not ready and did little to address child overweight in their practices. The providers' skill levels in addressing child overweight were generally less than sufficient. Common barriers to child overweight treatment included lack of parental motivation and involvement, lack of supportive services, and lack of clinician time. In conclusion, rural primary care is facing many challenges in addressing child overweight. However, with more training in behavioral intervention skills and through establishing a family-based intervention and a group visit approach, primary care providers could play a more active role in the fight against the epidemic of child overweight.
authors.affiliation: Department of Family Medicine, East Tennessee State University, Johnson City, Tennessee 37614, USA. wut@etsu.edu
authors.forename: Tiejian
authors.initials: T
authors.lastname: Wu
authors.forename: Fred
authors.initials: F
authors.lastname: Tudiver
authors.forename: Jim L
authors.initials: JL
authors.lastname: Wilson
authors.forename: Jose
authors.initials: J
authors.lastname: Velasco
mesh_terms: D001061:Appalachian Region / Q000453:epidemiology; D002648:Child; D002983:Clinical Competence; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D050177:Overweight / Q000517:prevention & control*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011314:Preventive Health Services; D011320:Primary Health Care; D019035:Rural Health Services; D012424:Rural Population; D011795:Surveys and Questionnaires