Hulbert, Kaitlin. Conducting a gap analysis of current practices of screening and managing of the female athlete triad in multi-disciplined primary care settings. Retrieved from https://doi.org/doi:10.7282/t3-xpk5-t215
DescriptionPurpose of Project: The purpose of this project was to improve the screening and management of the Female Athlete Triad (Triad) in the primary care setting. By identifying current gaps in practice, this project was able to address them by introducing a toolkit with useful resources to help with identification of the Triad in young females during preparticipation evaluations and annual physicals. Methodology: This project used a quantitative cross-sectional design to conduct a gap analysis. An electronic 12-question survey to assess current practices of the Triad screening was distributed to three multi-disciplined primary care offices. Responses were collected over a three-week period and data was analyzed for gaps using descriptive statistics. A toolkit was developed to address these gaps.
Results: Eleven providers from pediatric, OB/GYN and family offices participated in this survey. While most providers consistently assessed for Body Mass Index (BMI) as part of the screening for the Triad, most providers never asked about a history of stress fractures (63%) and regularly evaluated bone mineral density (54%) in patients with low BMI. This demonstrates providers are underutilizing expert-based recommendations on appropriate screening and management of the Triad.
Implications for Practice: Utilization of the toolkit that provide exert-based screening tools and other useful resources may standardize clinical practice and improve diagnosis and treatment of patients with the Triad.