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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