Department of Psychology, University of Denver, Denver, CO.
J Dev Behav Pediatr. 2020 Oct-Nov;41(8):605-611. doi: 10.1097/DBP.0000000000000821.
To assess pediatric primary care providers' (PCPs) knowledge, perceived barriers, and needs related to child and adolescent anxiety in their practice.
Primary care providers licensed and practicing in the state of Colorado were invited to complete an online knowledge and needs assessment. The survey queried their knowledge of pediatric anxiety, experience in assessing and treating anxiety, perceived barriers in their practice setting to adequately addressing youth anxiety, and interest in additional training on this topic.
Survey completers included 115 PCPs (51 medical doctors and 64 nurses/nurse practitioners). PCPs had been practicing with their current medical license with pediatric patients for an average of 14 years (SD = 10.45), and 70% reported that they regularly discuss anxiety with patients and parents. Although PCPs had a basic knowledge of youth anxiety, there appeared to be significant gaps in PCP knowledge. Specifically, knowledge gaps included evidence-based assessment and treatment, how to differentiate between developmentally appropriate, transient episodes of anxiety versus anxiety disorders, and where and how to refer youth for specialty services. Nearly all (80%) PCPs indicated that they would be "extremely interested" in additional training in pediatric anxiety, particularly if it occurred in their organizational setting, at a nearby community setting, or online.
Primary care providers reported that a substantial proportion of the patients they see struggle with anxiety. PCPs also reported a growing need for training in how to assess, treat, and refer anxious youth. This needs assessment supports a need for the development of easily accessible training and resources for PCPs to better support their pediatric patients.
评估儿科初级保健提供者（PCP）在实践中与儿童和青少年焦虑相关的知识、感知障碍和需求。
邀请在科罗拉多州获得许可并执业的初级保健提供者完成在线知识和需求评估。该调查询问了他们对儿科焦虑的了解、评估和治疗焦虑的经验、在实践环境中解决青少年焦虑问题的感知障碍，以及对该主题的额外培训的兴趣。
完成调查的参与者包括 115 名 PCP（51 名医生和 64 名护士/护士从业者）。PCP 平均使用其当前的儿科医疗执照执业 14 年（SD=10.45），70%的人报告他们定期与患者和家长讨论焦虑问题。尽管 PCP 对青少年焦虑有基本的了解，但他们的知识似乎存在明显的差距。具体来说，知识差距包括基于证据的评估和治疗、如何区分发展性适当的、短暂的焦虑发作与焦虑障碍，以及在哪里以及如何将青少年转介给专业服务。近 90%的 PCP 表示他们对儿科焦虑的额外培训“非常感兴趣”，尤其是如果培训在他们的组织环境中、附近的社区环境中或在线进行。
初级保健提供者报告说，他们看到的相当一部分患者都在与焦虑作斗争。PCP 还报告说，他们越来越需要培训，以了解如何评估、治疗和转介焦虑的青少年。这项需求评估支持为 PCP 开发易于获取的培训和资源，以更好地支持他们的儿科患者。
