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  1. Surveys
  2. 2011
  3. April
  4. S
  5. specialty formula
 
 
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I. Educational Gaps
 
1. Please rate on a scale of 1-5 (5 most interested, 4 very interested, 3 interested, 2 somewhat interested, 1 not interested at all) your level of interest in learning more about:
5 4 3 2 1
a. Feeding disorders in infants
b. Impact of infant formulas on development of immune system
c. Impact of infant formulas on development of digestive system
d. Impact of infant formulas on development of cognitive system
e. Impact of infant formulas on development of visual system
f. the role of nucleotides in infant formula
g. the role of lutein in formula
h. the role of vitamin D in formula
i. the role of LCPs in formula
j. the role of iron in formula
5 4 3 2 1
k. the role of choline in formula
l. role of calcium in formula
m. mechanisms of reflux in infants
n. mechanisms of lactose intolerance in infants
o. meeting the nutritional needs of patients with allergies and atopic dermatitis
p. meeting the nutritional needs of infants whose mothers are vegan / vegetarian
q. Meeting the nutritional needs of the infant when the mother is unable to breast feed
r. Meeting the needs of the failure to thrive infant
s. Addressing the feeding needs of the premature infant
 
 
II. Key Beliefs Regarding Specialty Formula Selection
 
2. Do you agree with the following statements (Rate 1-5: 5 strongly agree, 4 mostly agree, 3 agree, 2 somewhat disagree, 1 completely disagree)
5 4 3 2 1
a. The presence of AA/ DHA in formula is a key consideration in my formula selection
b. The presence of lutein in formula is a key consideration in my formula selection
c. The presence of calcium/phosphorus balance is key consideration in my formula selection
d. The quality of protein used is key consideration in my formula choice
e. The CHO composition is a key consideration in my formula choice
f. The manufacturer is a key consideration in my formula choice
g. Nucleotide supplementation of formula is a key consideration in my formula selection.
 
3. Do you agree with the following statements (Rate 1-5: 5 strongly agree, 4 mostly agree, 3 agree, 2 somewhat disagree, 1 completely disagree) regarding the resolution of a feeding issue
5 4 3 2 1
a. The rapidity with which a baby returns to normalcy is just as important as the ingredients found within the specialty formula itself.
b. The rapidity with which a baby returns to normalcy is not as important as the ingredients found within the specialty formula itself
c. The rapidity with which a baby returns to normalcy is not important compared to the ingredients found within the specialty formula itself.
 
4. When you recommend a specials brand, on what factors do you base your recommendation? (Rate 1-5 in order of importance: 5 most important, 4 very important, 3 important, 2 somewhat important, 1 not at all important)
5 4 3 2 1
a. Parent request
b. Sales representative relationship/service
c. Previous successful experience with brand
d. Cost
e. Availability of samples
f. Advertising/promotion
 
 
III. Anti Regurgitation (AR) Formulas
 
 
5. Do you believe there is any real difference between the Anti Regurgitation formulations currently available?
 
Yes
 
No
 
 
6. Please indicate the reasons why you believe there is a difference.
 
a. Some products produce better outcomes
 
b. Some products contain superior ingredients
 
c. Some products generate the best feedback from patients
 
d. Some products are more successful in my personal experience with patients
 
e. Some products solve feeding problems in the shortest amount of time
 
f. Some products are endorsed by key opinion leaders
 
g. Some products are more strongly supported by with
 
h. None of the above

 
7. If you consider using anti-regurgitation formulas, how important are the following in choosing a specific anti-regurgitation formula (Rate 1-5 in order of importance: 5 most important, 4 very important, 3 important, 2 somewhat important, 1 not at all important)
5 4 3 2 1
CHO blend
Type of thickener used
Caloric density
Protein quality
Renal load
Convenience
Clinical data demonstrating efficacy in reflux
Gastric emptying time
Presence of fortifiers such as DHA/AA
Manufacture
Taste
 
 
IV. Lactose Free (LF)
 
 
8. Do you believe there is any real difference between the Lactose Free formulations currently available?
 
Yes
 
No
 
 
9. Please indicate the reasons why you believe there is a difference:
 
a. Some products produce better outcomes
 
b. Some products contain superior ingredients
 
c. Some products generate the best feedback from patients
 
d. Some products are more successful in my personal experience with patients
 
e. Some products solve feeding problems in the shortest amount of time
 
f. Some products are endorsed by key opinion leaders
 
g. Some products are more strongly with clinical evidence.
 
h. None of the above

 
10. On a scale of 1-5, please indicate how important the following would be when choosing a lactose free formula (Rate 1-5 in order of importance: 5 most important, 4 very important, 3 important, 2 somewhat important, 1 not at all important
5 4 3 2 1
a. Whey-dominant protein ratio
b. Nucleotides
c. Taste
d. Convenience
e. Renal load
f. Protein levels
g. Calcium levels
h. Maintains growth comparable to infants getting standard formula
i. Gains in length and head circumference
j. Similar absorption of calcium , phosphorus, magnesium to formula with lactose
k. Contains fortifiers such as AA/DHA, lutein
l. Tolerability – (lack of digestive discomfort, pain, regurgitation etc…)
m. Clinical evidence
 
 
V. Soy
 
 
11. Do you believe there is any difference between the Soy formulations currently available?
 
Yes
 
No
 
 
12. Please indicate the reasons why you believe there is a difference:
 
a. Some products produce better outcomes
 
b. Some products contain superior ingredients
 
c. Some products generate the best feedback from patients
 
d. Some products are more successful in my personal experience with patients
 
e. Some products solve feeding problems in the shortest amount of time
 
f. Some products are endorsed by key opinion leaders
 
g. Some products are more strongly supported by clinical evidence
 
h. None of the above

 
13. On a scale of 1-5, please indicate how important the following would be when choosing a soya formula (Rate 1-5 in order of importance: 5 most important, 4 very important, 3 important, 2 somewhat important, 1 not at all important)
5 4 3 2 1
a. Cow Milk-free - totally derived from soybeans
b. Provides similar growth to those fed cow's milk formulas
c. Supports bone mineralization similar to infant fed cows milk formulas
d. formula should rectify any diarrhea/abdominal discomfort etc
e. Contains iron status similar to cow's milk
f. Supports normal growth and development
g. contains supplemental nucleotides that support normal immune development
h. Australian panel recommends soy as first choice for infants over 6month with symptoms or atopic dermatitis
i. formula can be continued into childhood
j. Cost
k. British dietetic association recommends infants with atopy or allergy may be fed soy formula after 6 months
l. Possible development of cross-reactivity to soy in 10-14% infants with cow’s milk allergies
m. Taste
n. Manufacture
 
14. On a scale of 1-5, please indicate how often you consider using soy formula under the following conditions: 5 all of the time, 3 most of the time, 3 some of the time, 2 hardly ever, 1 not at all
5 4 3 2 1
a. lactose intolerance,
b. galactosemia
c. vegetarianism and/or vegan parents
d. Vegan moms who are unable to breast feed
e. Infants with milk allergy who refuse extensively hydrolyzed or elemental formulas
f. Symptoms of atopic dermatitis
g. When mothers have voice concerns over giving their baby cows milk
 
 
VI. Hypo-antigenic (HA)
 
 
15. Do you believe there is any real difference between the Hypo-antigenic formulations currently available?
 
Yes
 
No
 
 
16. Please indicate the reasons you believe there is a difference:
 
a. Some products produce better outcomes
 
b. Some products contain superior ingredients
 
c. Some products generate the best feedback from patients
 
d. Some products are more successful in my personal experience with patients
 
e. Some products solve feeding problems in the shortest amount of time
 
f. Some products are endorsed by key opinion leaders
 
g. Some products are more strongly supported by clinical evidence
 
h. None of the above

 
17. On a scale of 1-5, please indicate how important this would be when choosing a Hypo-antigenic formula: 5 most important, 4 very important, 3 important, 2 somewhat important, 1 not at all important
5 4 3 2 1
a. Allergy prevention claim
b. Molecular weight profile
c. Protein profile
d. Clinical trial data to support use of HA formula
e. Manufacturer
f. Maternal preference
 
 
VII. Emotional Drivers
 
18. Please select the feeling you experience when a patient (infant) overcomes a feeding issue as a result of your advice and intervention; rank relevance (Rate 1-5: 5 strongly agree, 4 mostly agree, 3 agree, 2 somewhat disagree, 1 completely disagree)
5 4 3 2 1
a. I do not experience any particular emotion – I consider providing a solution as part of my profession
b. I feel a great sense of personal / professional satisfaction in my work
c. I feel happy because I have helped ease parent worry and stress
d. I feel a sense of connection with my patient
e. I feel validated in my abilities as a physician
f. I feel a sense of satisfaction that I have allowed a baby to overcome a feeding issue
g. I feel pleased that I have elevated / reduced the painful symptoms the baby was suffering
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