Development and evaluation of a training program for pediatric residents on physical activity interventions

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Kimberly V. McNally (Creator)
The University of North Carolina at Greensboro (UNCG )
Web Site:
Diane Gill

Abstract: Physical activity (PA) provides numerous health benefits; however, PA levels decline as children age. Primary care-based physical activity interventions (PAI) are moderately effective in increasing youth PA levels. Medical organizations recommend that physicians provide PAI; however, physician PAI rates are low. There are several barriers to PAI, including physicians' lack of PAI knowledge and skills. PAI medical education is severely limited. Therefore, there is a need to develop and evaluate medical education PAI curricula. The primary purpose of this study was to develop, implement, and evaluate a PAI curriculum for pediatric residents; focusing on pre to posttest changes in residents' PAI knowledge, attitudes, and behaviors (KAB). The secondary purpose was to determine residents' perceptions of the instructional strategies. An embedded mixed methods design was used, with qualitative data embedded in quantitative data. Participants (n = 13) were administered the KAB Assessment before and after the program and a Participant Feedback form after the program. Additionally, instructor field notes and focus group responses were collected. A paired t test showed a significant pretest to posttest increase in PAI knowledge scores. A MANOVA indicated a significant increase in positive PAI attitudes. Follow-up univariate analyses showed significant effects and near significant effects for the attitudes constructs of perceived knowledge and feasibility, respectively. Paired t tests showed a significant increase only for the PAI behavior of PA prescription. However, participants reported higher rates of PAI behaviors than in previous literature. Most useful, least useful, and alternative instructional strategies were considered; along with limitations, strengths, and future directions for this PAI curriculum study.

Additional Information

Language: English
Date: 2012
Behavioral health counseling, Exercise, Medical education, Pediatric, Physical activity, Physical activity counseling
Pediatricians $x Training of
Health counseling
Physical fitness for children

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