Impact of pediatricians' perceived self-efficacy and confidence on violence prevention counseling: a national study.

Pediatric Research in Office Settings (PROS), Department of Research, American Academy of Pediatrics, 141 Northwest Point Blvd., Elk Grove Village, IL, 60007, USA.
Maternal and Child Health Journal (Impact Factor: 2.24). 02/2008; 12(1):75-82. DOI: 10.1007/s10995-007-0223-2
Source: PubMed

ABSTRACT To measure impact of pediatricians' perceived self-efficacy and confidence on current practices and attitudes regarding four violence prevention (VP) topics (gun storage, gun removal, limiting exposure to media violence, discipline techniques) during health supervision for children ages 2-11.
Random sample survey of American Academy of Pediatrics Fellows (n = 486; 53% response rate) providing health supervision for children ages 2-11. Participants surveyed about VP issues regarding: (1) current counseling practices for 2-5 and 6-11 year olds; (2) amount of time spent addressing; (3) confidence in addressing; and (4) perceived self-efficacy at changing patients' behaviors. Multivariate analyses explored relationships between pediatricians' perceived self-efficacy and confidence versus VP counseling frequency.
VP topics were not routinely discussed during health supervision. Most pediatricians (64%) reported spending too little time addressing these topics. Although most pediatricians felt confident discussing and effective at changing behaviors regarding limiting exposure to media violence (89% vs. 50%) and discipline techniques (91% vs. 76%), they were less so for safe gun storage (54% vs. 35%) and gun removal (51% vs. 17%). Perceived self-efficacy was the mediating factor on self-reported VP counseling frequencies for all topics.
Pediatricians reported spending insufficient time on VP counseling. Confidence and perceived self-efficacy levels varied by VP topic, but for all topics pediatricians felt more confident discussing than effective at changing behaviors. Since pediatricians' self-efficacy was related to counseling practices, boosting self-efficacy could ultimately improve counseling frequencies. Further research is needed to identify methods to build providers' perceived self-efficacy regarding these VP areas.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Abstract- The struggle to replace fossil fuel with clean bioenergy has come to an end. The possibility of electric batteries opens a new era for the transportation sector. This revolution is causing a great impact on the automobile sector by replacing fossil fuel with hybrid batteries. As such, there is a huge marketing potential for electric vehicle (EV) charging stations as the popularity of electric vehicles continues to grow. Aside from the potential revenue of owning one, planning and strategic management plays an important part. This research attempts to prove the flexibility of owning and managing an electric vehicle charging station, as with the current pace of the technology revolution it is believed to be a potential major field and a worthy investment. Keywords: charging, batteries, hybrid, clean, energy
    Global Journal of Management and Business Research 05/2015;
  • [Show abstract] [Hide abstract]
    ABSTRACT: The aim of this study was to identify and better understand the factors associated with discipline counseling at health visits and how parents' needs for discipline counseling are being met. Cross-sectional data analyses from the 2000 National Survey of Early Childhood Health. Participants were 1216 parents of children aged between 10 and 35 months. Main outcome measures were parents' reports that their health care provider discussed discipline practices with them in the previous year, and if not, whether this would have been helpful (an unmet need). Discipline counseling was more common when the health care provider discussed other developmental and psychosocial topics, did a developmental assessment, received higher ratings of family centered care and provided longer visits, and when parents indicated having the opportunity to ask all their questions. However, parents who reported less support for child rearing and parents who reported greater use of spanking were less likely to receive discipline counseling. Spanish-speaking Hispanic parents and parents who reported less support were more likely to report an unmet need for discipline counseling. Higher income respondents were less likely to report an unmet need for discipline counseling. Discipline counseling at health visits is associated with a family-centered orientation and the delivery of other developmental and psychosocial services. However, many parents who might have benefited from discipline counseling were less likely to receive it and more likely to report this as an unmet need. These data suggest that discipline counseling may be more accurately tailored to parents most likely to benefit.
    Academic pediatrics 09/2010; 10(5):353-9. DOI:10.1016/j.acap.2010.07.006 · 2.23 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Consecutive English and Spanish speaking caregivers of 6–24 month old children were randomly assigned to either a control or intervention group. Parents in the intervention group were instructed to view at least 4 options to discipline a child in an interactive multimedia program. The control group participants received routine primary care with their resident physician. After the clinic visit, all parents were invited to participate in a research study; the participation rate was 98% (258/263). The key measure was the Attitudes Toward Spanking (ATS) scale. The ATS is correlated with parents’ actual use of physical punishment. Parents with higher scores are more likely to use physical punishment to discipline their children. Parents in the intervention group had an ATS score that was significantly lower than the ATS score of parents in the control group (median = 24.0, vs. median = 30; p = 0.043). Parents in the control group were 2 times more likely to report that they would spank a child who was misbehaving compared with parents in the intervention group (16.9% vs. 7.0%, p = 0.015). In the short-term, a brief intervention, integrated into the primary care visit, can affect parents’ attitudes toward using less physical punishment. It may be feasible to teach parents to not use physical punishment using a population-based approach. The findings have implications for how to improve primary care services and the prevention of violence.
    Child Abuse & Neglect 12/2013; 37(12):1192–1201. DOI:10.1016/j.chiabu.2013.06.003 · 2.47 Impact Factor