Abstract
Aim: The study aims to providepaediatricians in Western Australia (WA) with educational resources (http://www.ichr.uwa.edu.au/alcoholandpregnancy)about the prevention of prenatal alcohol exposure and fetal alcohol spectrumdisorder, and assess changes in their knowledge, attitudes and practice aboutfetal alcohol syndrome (FAS) and alcohol consumption in pregnancy.
Methods: Following our 2004 surveyof paediatricians, we developed and distributed educational resources to 159paediatricians in WA in 2007. Six months later, we surveyed thesepaediatricians and compared their responses with results from 2004 usingprevalence rate ratios (PRRs) and 95% confidence intervals (CIs).
Results: Of 133 eligiblepaediatricians, 82 (61.7%) responded: 65.9% had seen the resources, of these66.7% had used them and 29.6% said the resources had helped them change, orinfluenced their intent to change, their practice. There was no change in theproportion that knew all the essential features of FAS (18.3% in 2007; 20.0% in2004) or had diagnosed FAS (58.5% in 2007; 58.9% in 2004). An increasedproportion (75.6% in 2007; 48.9% in 2004) agreed that pregnant women shouldcompletely abstain from consuming alcohol (PRR 1.55, 95% CI 1.21–1.97). Only21.7% (no increase from 2004) routinely asked about alcohol use when taking apregnancy history.
Conclusions: We recommend thatasking about alcohol use during pregnancy should be emphasised in paediatrictraining. Unless paediatricians' capacity to ask about alcohol consumption whentaking a pregnancy history and to diagnose FAS is increased, FAS will remainunder-diagnosed in Australia and opportunities for management, earlyintervention and prevention will be overlooked.
| Original language | English |
|---|---|
| Pages (from-to) | 704-710 |
| Number of pages | 7 |
| Journal | Journal of Paediatrics and Child Health |
| Volume | 47 |
| Issue number | 10 |
| DOIs | |
| Publication status | Published - Oct 2011 |
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Paediatricians' knowledge, attitudes and practice following provision of educational resources about prevention of prenatal alcohol exposure and Fetal Alcohol Spectrum Disorder. / Payne, Janet; France, Kathryn; Henley, Nadine; D'Antoine, Heather; Bartu, A; Mutch, Raewyn; Elliott, Elizabeth; Bower, Carol.
In: Journal of Paediatrics and Child Health, Vol. 47, No. 10, 10.2011, p. 704-710.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Paediatricians' knowledge, attitudes and practice following provision of educational resources about prevention of prenatal alcohol exposure and Fetal Alcohol Spectrum Disorder
AU - Payne, Janet
AU - France, Kathryn
AU - Henley, Nadine
AU - D'Antoine, Heather
AU - Bartu, A
AU - Mutch, Raewyn
AU - Elliott, Elizabeth
AU - Bower, Carol
PY - 2011/10
Y1 - 2011/10
N2 - Aim: The study aims to providepaediatricians in Western Australia (WA) with educational resources (http://www.ichr.uwa.edu.au/alcoholandpregnancy)about the prevention of prenatal alcohol exposure and fetal alcohol spectrumdisorder, and assess changes in their knowledge, attitudes and practice aboutfetal alcohol syndrome (FAS) and alcohol consumption in pregnancy. Methods: Following our 2004 surveyof paediatricians, we developed and distributed educational resources to 159paediatricians in WA in 2007. Six months later, we surveyed thesepaediatricians and compared their responses with results from 2004 usingprevalence rate ratios (PRRs) and 95% confidence intervals (CIs). Results: Of 133 eligiblepaediatricians, 82 (61.7%) responded: 65.9% had seen the resources, of these66.7% had used them and 29.6% said the resources had helped them change, orinfluenced their intent to change, their practice. There was no change in theproportion that knew all the essential features of FAS (18.3% in 2007; 20.0% in2004) or had diagnosed FAS (58.5% in 2007; 58.9% in 2004). An increasedproportion (75.6% in 2007; 48.9% in 2004) agreed that pregnant women shouldcompletely abstain from consuming alcohol (PRR 1.55, 95% CI 1.21–1.97). Only21.7% (no increase from 2004) routinely asked about alcohol use when taking apregnancy history. Conclusions: We recommend thatasking about alcohol use during pregnancy should be emphasised in paediatrictraining. Unless paediatricians' capacity to ask about alcohol consumption whentaking a pregnancy history and to diagnose FAS is increased, FAS will remainunder-diagnosed in Australia and opportunities for management, earlyintervention and prevention will be overlooked.
AB - Aim: The study aims to providepaediatricians in Western Australia (WA) with educational resources (http://www.ichr.uwa.edu.au/alcoholandpregnancy)about the prevention of prenatal alcohol exposure and fetal alcohol spectrumdisorder, and assess changes in their knowledge, attitudes and practice aboutfetal alcohol syndrome (FAS) and alcohol consumption in pregnancy. Methods: Following our 2004 surveyof paediatricians, we developed and distributed educational resources to 159paediatricians in WA in 2007. Six months later, we surveyed thesepaediatricians and compared their responses with results from 2004 usingprevalence rate ratios (PRRs) and 95% confidence intervals (CIs). Results: Of 133 eligiblepaediatricians, 82 (61.7%) responded: 65.9% had seen the resources, of these66.7% had used them and 29.6% said the resources had helped them change, orinfluenced their intent to change, their practice. There was no change in theproportion that knew all the essential features of FAS (18.3% in 2007; 20.0% in2004) or had diagnosed FAS (58.5% in 2007; 58.9% in 2004). An increasedproportion (75.6% in 2007; 48.9% in 2004) agreed that pregnant women shouldcompletely abstain from consuming alcohol (PRR 1.55, 95% CI 1.21–1.97). Only21.7% (no increase from 2004) routinely asked about alcohol use when taking apregnancy history. Conclusions: We recommend thatasking about alcohol use during pregnancy should be emphasised in paediatrictraining. Unless paediatricians' capacity to ask about alcohol consumption whentaking a pregnancy history and to diagnose FAS is increased, FAS will remainunder-diagnosed in Australia and opportunities for management, earlyintervention and prevention will be overlooked.
KW - alcohol consumption
KW - article
KW - attitude to health
KW - Australia
KW - clinical practice
KW - female
KW - fetal alcohol syndrome
KW - health care personnel
KW - health survey
KW - human
KW - knowledge
KW - male
KW - medical information
KW - pediatrician
KW - pregnant woman
KW - prenatal exposure
KW - prevalence
KW - priority journal
KW - Education, Medical, Continuing
KW - Educational Measurement
KW - Female
KW - Fetal Alcohol Syndrome
KW - Health Care Surveys
KW - Health Knowledge, Attitudes, Practice
KW - Humans
KW - Pediatrics
KW - Physicians
KW - Pregnancy
KW - Prenatal Care
KW - Western Australia
U2 - 10.1111/j.1440-1754.2011.02037.x
DO - 10.1111/j.1440-1754.2011.02037.x
M3 - Article
VL - 47
SP - 704
EP - 710
JO - Journal of Paediatrics and Child Health
JF - Journal of Paediatrics and Child Health
SN - 1034-4810
IS - 10
ER -