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Table 3 Significant Barriers to Implementation of Obesity Training

From: Training in childhood obesity management in the United States: a survey of pediatric, internal medicine-pediatrics and family medicine residency program directors

  Pediatrics a Internal Medicine-
Pediatrics
Family Medicine a
Barrier b Sample
N
N (%) Sample
N
N (%) Sample
N
N (%)
Other competing curricular demands 86 54 (62.8) 34 15 (44.1) 174 106 (60.9)
Lack of insurance reimbursement for childhood obesity interventions 85 40 (47.1) 34 21 (61.8) 172 73 (42.4)
Inadequate financial resources for program development c 86 42 (48.8) 34 16 (47.1) 174 61 (35.1)
Availability of faculty with experience in childhood obesity treatment and prevention 86 21 (24.4) 34 8 (23.5) 174 42 (24.1)
Lack of administrative support d 86 23 (26.7) 34 13 (38.2) 172 27 (15.7)
Unclear evidence-base for childhood obesity treatment interventions 86 18 (20.9) 34 5 (14.7) 172 37 (21.5)
Lack of training sites for seeing obese pediatric patients c 85 9 (10.6) 34 3 (8.8) 174 36 (20.7)
Unclear evidence-base for childhood obesity prevention interventions 86 15 (17.4) 34 5 (14.7) 172 27 (15.7)
Attitudes of faculty regarding importance of childhood obesity 86 2 (2.3) 34 1 (2.9) 174 8 (4.6)
Availability of appropriate patients 86 0 (0.0) 34 0 (0.0) 174 6 (3.5)
Attitudes of residents regarding importance of childhood obesity 86 0 (0.0) 34 0 (0.0) 174 4 (2.3)
  1. Data are proportion of respondents endorsing barrier as "significant" as defined in the Methods section
  2. a Sample size varies due to missing data
  3. b Ordered based on the priority in the overall sample
  4. Difference of Family Medicine vs. Pediatrics and IM-Peds, χ2 c p < 0.05 d p < 0.01