Vitamin D Prescribing Practices in Primary Care Pediatrics: Underpinnings From the Health Belief Model and Use of Web-Based Delphi Technique for Instrument Validity
Autor: | Ronald J. Torchia, Nancy J. DelGiudice, Susan S. Sawyer, Sylvia Allison Bernard, Nancy Street, Michael F. Holick |
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Rok vydání: | 2018 |
Předmět: |
Male
0301 basic medicine medicine.medical_specialty Adolescent Delphi Technique Delphi method Primary care vitamin D deficiency 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Pandemic medicine Vitamin D and neurology Humans Health belief model Pediatric Nurse Practitioner Web application Practice Patterns Physicians' Vitamin D Child 030109 nutrition & dietetics business.industry Pediatric Nurse Practitioners Infant Reproducibility of Results people.profession Vitamin D Deficiency medicine.disease United States Child Preschool Health Care Surveys Family medicine Dietary Supplements Pediatrics Perinatology and Child Health Female people business |
Zdroj: | Journal of Pediatric Health Care. 32:536-547 |
ISSN: | 0891-5245 |
Popis: | Vitamin D deficiency and insufficiency is a pandemic problem in children and adolescents in the United States. The problem may be aggravated by the inconsistent implementation of current clinical practice guidelines for vitamin D management by pediatric primary care providers. This study examines the relationship between primary care providers' prescribing vitamin D to children ages 1 through 18 years and their practice actions and knowledge. A descriptive correlation design was used. Participants were recruited from a purposive sample of pediatricians and pediatric nurse practitioners through an online invitation to participate in a survey. Reliability and validity was established for the survey developed by the principal investigator using a web-based Delphi technique. Results from this study indicate that although most providers are aware that vitamin D insufficiency and deficiency are problems, fewer than half currently recommend 600- to 1,000-IU supplementation to their patients ages 1 through 18 years. |
Databáze: | OpenAIRE |
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