title: Physicians' perspectives on increasing the use of BMI charts for young children.
abstract: The objective of the study was to explore the barriers and facilitators to using body mass index (BMI) for preschoolers. A survey was administered to a random sample of 600 pediatricians and family physicians in Michigan addressing usual practice for BMI charting, barriers, perceived influence of BMI chart innovations on the likelihood of increasing use of BMI and participating in training regarding obesity management. The response rate was 52%. Few respondents report that they generally use BMI charts for preschoolers (24%). The most frequently endorsed barrier was time and complexity involved in explaining BMI (70%). Respondents endorsed innovations such as color-coded charts (60%), and the inclusion of management recommendations (61%) as strong influences on the likelihood of using BMI more often. Frequently endorsed training modalities were workshops (47%), online (45%), and DVD (43%). Efforts to increase physician use of BMI should address methods to simplify communication of BMI, such as with color-coded charts, and provision of management recommendations based on BMI findings.
authors.affiliation: Division of General Pediatrics, University of Michigan, Ann Arbor, Michigan, USA. swoolfor@med.umich.edu
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Woolford
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: Clark
authors.forename: Victor J
authors.initials: VJ
authors.lastname: Strecher
authors.forename: Achamyeleh
authors.initials: A
authors.lastname: Gebremariam
authors.forename: Matthew M
authors.initials: MM
authors.lastname: Davis
mesh_terms: D001291:Attitude of Health Personnel; D015992:Body Mass Index; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008824:Michigan; D050177:Overweight / Q000517:prevention & control*; D010372:Pediatrics / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011320:Primary Health Care; D011795:Surveys and Questionnaires