Carson Valerie, Barnes Joel, LeBlanc Claire M A, Moreau Elizabeth, Tremblay Mark S
Faculty of Physical Education and Recreation, University of Alberta, Edmonton, Alberta.
Healthy Active Living and Obesity Research Group, CHEO Research Institute, Ottawa, Ontario.
Paediatr Child Health. 2017 Mar;22(1):17-22. doi: 10.1093/pch/pxx006. Epub 2017 Mar 30.
To examine changes in the awareness, use, feasibility, and barriers associated with the Canadian Physical Activity and Sedentary Behaviour Guidelines for Children and Youth ages 0-17 years in a sample of Canadian paediatricians, and to assess tools/resources developed by the Canadian Paediatric Society (CPS).
Practicing paediatricians who were members of the CPS were invited to complete an on-line survey in February 2013. In response to survey findings, the CPS developed and promoted tools/resources to increase and improve paediatricians' counselling of the guidelines. The CPS membership was surveyed again in September-October 2014. Findings are based on responses from 331 and 217 (23% and 16% participation rate) Canadian paediatricians who completed the survey in 2013 and 2014, respectively.
No significant differences were observed for awareness, use, or feasibility associated with the physical activity or sedentary behaviour guidelines between 2013 and 2014. However, a lack of knowledge/training was reported as a barrier sometimes/often/always by paediatricians significantly less in 2014 (14%) compared to 2013 (32%). Insufficient motivation/lack of support from parents/caregivers/youth was also reported as a barrier less frequently in 2014 (64%) compared to 2013 (75%) but it was borderline non-significant (=0.05). Only 9% of paediatricians were unaware of the new CPS tools/resources.
The new tools/resources developed by the CPS appeared to reduce some barriers experienced by paediatricians in counselling families about the guidelines. However, this did not appear to translate into greater awareness or use of the guidelines. Continued tool/resource development and training initiatives may be required.
在加拿大儿科医生样本中,研究与0至17岁儿童及青少年的加拿大身体活动和久坐行为指南相关的认知、使用情况、可行性及障碍的变化,并评估加拿大儿科学会(CPS)开发的工具/资源。
邀请身为CPS成员的执业儿科医生于2013年2月完成一项在线调查。针对调查结果,CPS开发并推广了工具/资源,以增加并改善儿科医生对该指南的咨询服务。2014年9月至10月再次对CPS成员进行调查。研究结果基于分别于2013年和2014年完成调查的331名和217名加拿大儿科医生的回复(参与率分别为23%和16%)。
2013年至2014年期间,在身体活动或久坐行为指南的认知、使用或可行性方面未观察到显著差异。然而,与2013年(32%)相比,2014年报告有时/经常/总是将知识/培训不足作为障碍的儿科医生显著减少(14%)。与2013年(75%)相比,2014年报告家长/照顾者/青少年动力不足/缺乏支持作为障碍的频率也较低(64%),但接近无显著性差异(P = 0.05)。只有9%的儿科医生不知道CPS的新工具/资源。
CPS开发的新工具/资源似乎减少了儿科医生在为家庭提供指南咨询时遇到的一些障碍。然而,这似乎并未转化为对该指南更高的认知度或使用率。可能需要持续开展工具/资源开发和培训活动。