Psychiatrists Survey

Appendix_E_psychologists.doc

A Survey of the Knowledge, Attitudes, and Practice of Medical and Allied Health Professionals Regarding Fetal Alcohol Exposure

Psychiatrists Survey

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Psychologists Survey on Fetal Alcohol Syndrome




This survey asks for information on your knowledge, attitudes and practices about diagnosis, treatment and prevention of Fetal Alcohol Syndrome (FAS) and other prenatal alcohol-related disorders. Please answer the questions by circling the number of the appropriate response or by filling in the blanks.




1. During a typical work week, what proportion of your time do you spend in the following professional activities? If you do not spend any time in a particular activity, please indicate this by entering zero (0) hours in the appropriate space.


Activity: %Hours:


Direct patient care (self-employed)………………………………………

Direct patient care (other than self-employed)……………………...……

Administration……………………………………………………....……

Academic medicine...……………………………………………….……

Research…………………………………………………………….……

Fellowship training………………………………………………….……

Other……………………………………………………………………... _____

T OTAL …………………………………. 100%






The following questions are for psychologists who provide some DIRECT PATIENT CARE.

I f you do NOT provide direct patient care, please check this box and go to Q# 22



GENERAL KNOWLEDGE


2. What would you estimate the overall prevalence of Fetal Alcohol Syndrome in the United States to be?

1 in 10 1 in 100 1 in 1,000 1 in 10,000 1 in 100,000

3. Please check which of the two statements below corresponds most closely with your personal viewpoint. Please pick only ONE box.


P regnant women or women planning

to become pregnant should completely

abstain from consuming alcohol.


Occasional consumption of alcohol (one

drink per day or less) during pregnancy

is not harmful to the mother or fetus


I believe that occasional alcohol consumption (one drink per day or less)

is safe during the following trimesters of pregnancy, (check all that apply):

1st trimester 2nd trimester 3rd trimester


4. In your opinion, how many drinks per week can a pregnant woman consume without adverse pregnancy outcomes? (Fill in your answer)



5. In your opinion, how many drinks per occasion can a pregnant woman consume without adverse pregnancy outcomes? (Fill in your answer)



6. Please indicate whether you agree or disagree with the following statements:



Agree

Disagree

Don’t Know

FAS occurs at similar rates in all socioeconomic groups of society




FAS occurs at similar rates among all cultures and ethnic groups





7. Please indicate whether you agree or disagree with the following statements:



Agree

Disagree

Don’t Know

Alcohol’s effect on fetal development remains unclear




Prenatal alcohol exposure is a significant risk factor for permanent brain damage





Alcohol withdrawal in a baby at birth is the worst outcome of prenatal alcohol exposure





Young adults with FAS usually achieve successful independence at the expected time (18 to 21 years)





Early diagnosis and ongoing surveillance of FAS may lead to implementation of secondary prevention of disabilities






8. Do you consider any of the following problems to be associated with Fetal Alcohol Syndrome?



Yes

No

Don’t Know

Infantile withdrawal symptoms

Delayed development

Birth defects/malformations

Psychiatric (DSM IV) disorders

Lowered IQ/retardation

Behavioral problems

Low birth weight

Long term emotional disorders

Addictions

Attention deficit hyperactivity disorder


9. Which of the following are included in the facial dysmorphia associated with Fetal Alcohol Syndrome? (Check all that apply)

Large inner canthal distance Short palpebral fissures

F ull lips Smooth philtrum

T hin upper lip Flaring nares

D on’t Know/Unsure


10. It is easiest to diagnose FAS at what age?


Newborn Early Childhood


Adolescence Adulthood

Don’t Know/Unsure


11. Please indicate whether you agree or disagree with the following statement.



Strongly Agree

Agree

Disagree

StronglyDisagree

Making a diagnosis of FAS stigmatizes the child and family


Please consider your own practice over the past 5 years when answering the following questions.

DIAGNOSIS & TREATMENT


12. Do you provide advice and education on the consequences of alcohol use during pregnancy to

your adolescent female patients? (Check ONE box)


Always/almost always

S ometimes


Rarely/never


13. During the past 12 months, how many patients have you… (if none, enter “000”)
















14. Do you make use of a diagnostic schema for FAS in your practice?


Yes

N o


If yes, which one of the following do you use?


Institute of Medicine criteria


American Academy of Pediatrics criteria


Seattle 4 digit diagnostic criteria


Other (please specify)



15. Many providers do not make the diagnosis of FAS in their practice. Please indicate which of the following factors may contribute to this situation. (Please select all that apply)


Lack of time needed to make diagnosis


Lack of specific training to make the diagnosis


Belief that making the diagnosis will not make a difference to the individual


Other (please specify



TRAINING/PERCEIVED COMPETENCE/PERCEIVED NEEDS


16. Do you recall receiving any formal training in the following FAS competencies and if so, indicate where you received this training: (Check all that apply)



YES


NO

Graduate School


Internship

CE

(received credit)

Other

Ability to recognize the constellation of features associated with FAS and other alcohol-related effects

Understanding of the basic biomedical mechanisms that result in FAS

Ability to select valid and reliable assessment instruments to screen for/diagnose FAS and other alcohol-related disorders

Ability to identify risk factors and interventions for secondary FAS disabilities

Ability to plan and perform clinically relevant treatment and management plans to assist and aid both the patient with FAS and their families

When appropriate, be able to make a referral for further workup in a child with FAS

Appreciation and ability to use interdisciplinary team evaluations for individuals with FAS

Ability to assist clients in accessing local FAS-related resources, including family support

Utilization of techniques for effectively communicating information to individuals with FAS, their family members, and care providers

Demonstration of the ability to provide ethical protections to the patient with FAS regarding confidentiality and autonomy

Ability to educate pregnant women about the effects of alcohol on their babies

Ability to screen women for risky or hazardous drinking

Ability to conduct brief interventions for alcohol abstinance



17. If you have received any formal training on FAS in any venue (graduate school, internship, CE), overall, would you say that training was:


Poor


Fair


Good


Excellent




18. In general, how prepared do you feel to (Check one box in each row):



Very Prepared

Somewhat Prepared

Somewhat Unprepared

Very Unprepared

Identify children with possible FAS or other alcohol-related disorders

Diagnose children with FAS and other alcohol-related disorders

Manage/coordinate the treatment of children with FAS and other alcohol-related disorders


19. Please rate how helpful the following kinds of materials or supports would be to you in your clinical practice (Check one box in each row).



Very Helpful

Somewhat Helpful

Not Very Helpful

Not At All Helpful

Concise provider and staff information on prevention, diagnosis, and intervention on FAS and other alcohol-related disorders

Patient education materials on the impact of alcohol use during pregnancy on children

Clinical guidelines for best practices for diagnosis of FAS and other alcohol-related disorders

Registry of specialists available for consultation about FAS and other alcohol-related disorders

Listing of community-based resources for children with FAS

Materials for office practice including FAS screening and referral checklists and pocket reminders of diagnostic criteria



20. How helpful would the following mechanisms be to you for receiving training on FAS prevention, diagnosis, and intervention? (Check one box in each row)



Very Helpful

Somewhat Helpful

Not Very Helpful

Not At All Helpful

Regional Conferences (CE)

Internet-based learning opportunities

On-site training for myself and colleagues

Self-study materials (eg, CD-ROM, videos)


21. Please indicate whether the following types of FAS-related training and educational materials are available in the community where you practice, and whether these resources are helpful, or would be helpful if they became available. (Check all that apply)



Available

Not Available

Very Helpful

Somewhat Helpful

Not Very Helpful

Not At All Helpful

Regional Conferences (CME)

Internet-based learning opportunities

On-site training for myself and colleagues

Self-study materials (eg, CD-ROM, Videos)


BACKGROUND INFORMATION


22. What is your gender?

M ale

F emale




23. Are you Hispanic or Latino?


Y es If yes, is it: Mexican American

N o Puerto Rican

Other Hispanic (please specify)




24. Are you: (Mark all that apply)


African-American/Black Native Hawaiian/Pacific Islander


American Indian/Alaskan Native White


Asian





2
5. What is your age? 26. Years in practice:










27. What is your primary employment setting? (Please select only one)


Solo practice Community-based health center


Group practice Other (please specify)


Medical School or University


Hospital or clinic



28. Do you consider your primary employment location to be: Circle ONE response


Urban inner city Rural


Urban not inner city Suburban



  1. Your current employment title is: ____________________________________






T hank you. Please return in the enclosed envelope to:


















Some questions from this survey were taken from:


Clarke M, Tough SC. A National Survey Regarding Knowledge and Attitudes of Health Professionals About Fetal Alcohol Syndrome. Health Canada Final Report, January 2003.


Shane T. Diekman, et al. A Survey of Obstetrician-Gynecologists on Their Patient's Alcohol Use During Pregnancy. ACOG. Vol 95, Number 5, May 2000.


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File Typeapplication/msword
File Title2003 APA survey on Fetal Alcohol Syndrome
AuthorAXA
Last Modified Bysic3
File Modified2008-01-10
File Created2008-01-10

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