TY - JOUR T1 - How Do Family Physicians Provide Anticipatory Guidance during Well-Child Visits? JF - The Journal of the American Board of Family Practice JO - J Am Board Fam Med SP - 440 LP - 444 DO - 10.3122/jabfm.18.5.440 VL - 18 IS - 5 AU - Rodney Young AU - John Boltri Y1 - 2005/09/01 UR - http://www.jabfm.org/content/18/5/440.abstract N2 - Introduction: Anticipatory guidance is an important part of well-child care, yet little is known about the way family physicians provide this guidance. This study describes the methods that family physicians use to provide anticipatory guidance during well-child visits.Methods: A questionnaire was mailed to 1000 family physicians. Respondents rated 6 anticipatory guidance methods on frequency of use. The questionnaire addressed method of documentation, use of forms or guidance prompts, visit frequency for total, well-child, and other pediatric visits, and demographic information; t tests and ANOVA were applied (P < .05 significant).Results: There were 495 questionnaires returned for a response rate of 49.5%. Respondents were more likely to provide anticipatory guidance verbally than by handout (Likert scale where 1 = never and 9 = always, mean 7.8 vs 4.2, P < .0001). Physicians using well visit forms more commonly initiate guidance discussions (7.6 vs 6.8, P = .0002), address concerns (8.2 vs 7.5, P = .0001), and provide handouts (4.3 vs 3.3, P = .0002). Physicians in academic or multispecialty practices used handouts more often than private practitioners (5.0 vs 3.6, P = .0003, 5.1 vs 3.6, P = .0002, respectively) as did those with ≥7 well-child visits per week compared with <7 visits per week (4.8 vs 3.8, P = .0028).Conclusions: Family physicians primarily provide anticipatory guidance verbally. Use of well visit forms or other prompts are associated with better provision of anticipatory guidance. ER -