Woolford Susan J, Clark Sarah J, Strecher Victor J, Gebremariam Achamyeleh, Davis Matthew M
Division of General Pediatrics, University of Michigan, Ann Arbor, Michigan, USA.
Clin Pediatr (Phila). 2008 Jul;47(6):573-7. doi: 10.1177/0009922808314905. Epub 2008 May 12.
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.
该研究的目的是探讨在学龄前儿童中使用体重指数（BMI）的障碍和促进因素。对密歇根州600名儿科医生和家庭医生进行了随机抽样调查，内容涉及BMI图表记录的常规做法、障碍、BMI图表创新对增加使用BMI可能性的感知影响以及参与肥胖管理培训的情况。回复率为52%。很少有受访者表示他们通常会为学龄前儿童使用BMI图表（24%）。最常被认可的障碍是解释BMI所涉及的时间和复杂性（70%）。受访者认可诸如彩色编码图表（60%）以及纳入管理建议（61%）等创新对更频繁使用BMI的可能性有很大影响。经常被认可的培训方式是研讨会（47%）、在线培训（45%）和DVD（43%）。增加医生使用BMI的努力应解决简化BMI沟通的方法，例如使用彩色编码图表，并根据BMI结果提供管理建议。
