National Survey of Energy Balance Related Care among Primary Care Physicians

美国国家癌症研究所医师饮食、身体活动和体重控制实践调查的目标是获得有关初级保健医生（PCP）在饮食、身体活动和体重控制服务方面的特征、知识、态度和实践的最新的、具有全国代表性的数据。调查数据将用于分析现有的医生实践，了解咨询和转诊的障碍，并告知改善成人和儿童利用这些服务的方法。该调查支持并促进了NCI、NIH和DHHS的工作，以监测和评估提供者的癌症控制知识、态度和做法及其对人口健康的影响。它还有助于增进对国家癌症研究所支持的全国一般人群调查中收集的数据的理解。此外，它将能够监测实现DHHS目标、NIH肥胖研究计划和NCI能量平衡研究优先事项的进展，这些优先事项与改善成人和儿童的饮食、身体活动和体重控制有关。这项调查有三个主要目的。首先是在医师实践中制定一个关于使用能量平衡风险评估、咨询和转诊服务的国家基线。这将有助于理解当前的实践。第二个目的是确定医生的特点，他们经常将这些活动纳入病人护理，以便计划新的举措，在医生社区更广泛地传播这些做法。作为这一目标的一部分，调查调查了医生的态度、他们的健康状况和行为，以及他们对有关饮食、体育活动和体重的指导方针的了解。第三个也是最后一个目标是了解pcp的实践特征（例如，电子病历、提醒和实践简介的使用）和系统因素（例如，报销实践、转诊来源的可用性和财务激励），这些因素支持和/或以其他方式影响能量平衡咨询活动。由于该主题的复杂性，需要尽量减少被调查者的负担，以及需要适当地调查治疗不同患者群体的医生，调查由三份问卷组成。两份是医生问卷，分别针对1200名主要治疗成人的pcp（400名内科医生、400名妇产科医生和400名家庭医生）和800名主要治疗儿童的pcp（400名儿科医生和400名家庭医生）。第三份问卷侧重于实践和系统问题，并将由收到成人或儿童问卷的同一实践的2000名pcp或代理人（如实践管理员、护士、医师助理、办公室经理）完成。成人问卷、儿童问卷和行政结构问卷均采用邮寄方式进行管理，目标是获得总共4000份问卷。

The goal of the National Cancer Institute's Physician Survey of Practices on Diet, Physical Activity, and Weight Control is to obtain current, nationally representative data on primary care physicians' (PCP's) characteristics, knowledge, attitudes, and practices related to services provided for diet, physical activity and weight control. Data from the survey will be used to profile existing physician practice, understand barriers to counseling and referral, and to inform methods for improving the utilization of these services for adults and children. The survey supports and furthers the work of the NCI, NIH, and DHHS to monitor and evaluate providers' cancer control knowledge, attitudes, and practices and their impact on population health. It also helps enhance understanding of data collected in national surveys of the general population supported by NCI. Further, it will enable monitoring of progress toward achieving DHHS goals, NIH obesity research plans, and NCI energy balance research priorities related to improving diet, physical activity and weight control among adults and children. There are three major aims of the survey. The first is to develop a national baseline on the use of energy balance risk assessment, counseling and referral services in physician practice. This will help understand current practices. The second aim is to identify the characteristics of physicians who routinely incorporate these activities in patient care in order to plan new initiatives to spread these practices more widely within the physician community. As part of this aim, the survey investigates physician attitudes, their health status and behaviors, as well as their knowledge of guidelines related to diet, physical activity and weight. The third and final aim is to understand PCPs' practice characteristics (e.g., the use of electronic medical records, reminders, and practice profiles) and system factors (e.g., reimbursement practices, availability of referral sources, and financial incentives) that support and/or otherwise influence energy-balance counseling activities. Due to the complexity of the topic, the need to minimize respondent burden, and the need to appropriately survey physicians who treat different patient populations, the survey is comprised of three questionnaires. Two are Physician Questionnaires respectively targeting 1200 PCPs who primarily treat adults (400 internists, 400 obstetricians/gynecologists, and 400 family physicians) and 800 PCPs who primarily treat children (400 pediatricians and 400 family physicians). The third questionnaire focuses on practice and systems issues and will be completed by 2000 PCPs or proxies (e.g. practice administrator, nurse, physician's assistant, office manager) in the same practices receiving an Adult or Child Questionnaire. The Adult, Child, and Administrative Stucture Questionnaires are all administered by mail, and the goal is to obtain a total of 4000 completes.