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Development of a Measure of Knowledge and Attitudes About Obstructive Sleep Apnea in Children (OSAKA-KIDS)
Elizabeth C. Uong, MD;
Donna B. Jeffe, PhD;
David Gozal, MD;
Raanan Arens, MD;
Cheryl R. Holbrook, MD;
John Palmer, MD;
Claudia Cleveland, RPSGT;
Helena M. Schotland, MD
Arch Pediatr Adolesc Med. 2005;159:181-186.
Background Primary care physicians play an important role in screening for childhood obstructive sleep apnea syndrome (OSAS) that, if untreated, can result in serious complications.
Objective To describe the development of the Obstructive Sleep Apnea Knowledge and Attitudes in Children (OSAKA-KIDS) questionnaire for use in measuring physicians’ knowledge and attitudes about childhood OSAS and its treatment.
Design Cross-sectional survey to pilot administration of the 23-item OSAKA-KIDS questionnaire, mailed to 1195 community- and academic-based physicians in Louisville, Ky; Philadelphia, Pa; and St Louis, Mo.
Main Outcome Measures Analysis of variance measured differences in knowledge and attitudes between academic- and community-based physicians and between pediatricians and family practitioners. Using stepwise multiple linear regression, we analyzed the associations between various predictors (including specialty, practice setting, and years since medical school graduation) and each item of knowledge and attitudes. All tests were 2-tailed.
Results Questionnaires for 497 respondents (44% female; mean [SD] age, 45.7 [10.5] years; and mean [SD] number of years since medical school graduation, 18.7 [11.0] years) were analyzed. The mean (SD) knowledge score (percentage of 18 possible) was 69.6% (14.6%). In regression analyses, more knowledge was associated with more positive attitudes overall and more recent graduation from medical school; having a more positive attitude was associated with having completed a pediatrics residency and more knowledge about OSAS.
Conclusions Deficits in basic knowledge about childhood OSAS were observed regardless of physician practice setting and specialty training. More education focusing on the diagnosis and treatment of childhood OSAS and identifying children at risk for OSAS is recommended.
Author Affiliations: Division of Allergy and Pulmonary Medicine, Department of Pediatrics (Dr Uong) and the Division of Health Behavior Research, Departments of Medicine and Pediatrics (Dr Jeffe), Washington University School of Medicine, St Louis, Mo; Division of Pediatric Sleep Medicine, Kosair Children’s Hospital Research Institute, University of Louisville School of Medicine, Louisville, Ky (Drs Gozal and Holbrook); Division of Pulmonary Medicine, Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine (Drs Arens and Palmer); Sleep Diagnostic Service, St Louis Children’s Hospital, St Louis (Ms Cleveland); and the Division of Sleep Medicine, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia (Dr Schotland).
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