scholarly journals Primary Care Residents' Knowledge, Attitudes, Self-Efficacy, and Perceived Professional Norms Regarding Obesity, Nutrition, and Physical Activity Counseling

2015 ◽  
Vol 7 (3) ◽  
pp. 388-394 ◽  
Author(s):  
Samantha Smith ◽  
Eileen L. Seeholzer ◽  
Heidi Gullett ◽  
Brigid Jackson ◽  
Elizabeth Antognoli ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Training Program ◽  
Self Efficacy ◽  
Multiple Chronic Conditions ◽  
Perceived Norms ◽  
Professional Norms ◽  
Effective Counseling ◽  
Nutrition And Physical Activity ◽  
Program Characteristics

ABSTRACT Background Obesity and being overweight are both significant risk factors for multiple chronic conditions. Primary care physicians are in a position to provide health behavior counseling to the majority of US adults, yet most report insufficient training to deliver effective counseling for obesity. Objective To assess the degree to which residents training in adult primary care programs are prepared to provide obesity, nutrition, and physical activity (ONPA) counseling. Methods Senior residents (postgraduate year [PGY]-3 and PGY-4) from 25 Ohio family medicine, internal medicine, and obstetrics and gynecology programs were surveyed regarding their knowledge about obesity risks and effective counseling, as well as their attitudes, self-efficacy, and perceived professional norms toward ONPA counseling. We examined summary scores, and used regression analyses to assess associations with resident demographics and training program characteristics. Results A total of 219 residents participated (62% response rate). Mean ONPA counseling knowledge score was 50.8 (± 15.6) on a 0 to 100 scale. Specialty was associated with counseling self-efficacy (P < .001) and perceived norms (P = .002). Residents who reported having engaged in an elective rotation emphasizing ONPA counseling had significantly higher self-efficacy and more positive attitudes and professional norms scores. Conclusions Our findings suggest that primary care residents' knowledge of ONPA assessment and management strategies has room for improvement. Attitudes, self-efficacy, and perceived norms also are low and vary by training program characteristics. A deeper understanding of curricula associated with improved performance in these domains could inform interventions to enhance residents' ONPA counseling skills and prevent chronic disease.

scholarly journals Primary Care Resident Training for Obesity, Nutrition, and Physical Activity Counseling: A Mixed-Methods Study

2016 ◽  
Vol 18 (5) ◽  
pp. 672-680 ◽  
Author(s):  
Elizabeth L. Antognoli ◽  
Eileen L. Seeholzer ◽  
Heidi Gullett ◽  
Brigid Jackson ◽  
Samantha Smith ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Mixed Methods ◽  
Primary Care Physicians ◽  
Medical Training ◽  
Resident Training ◽  
National Guidelines ◽  
Residency Programs ◽  
Postgraduate Medical Training ◽  
Nutrition And Physical Activity

National guidelines have been established to support the role of primary care physicians in addressing obesity. Preparing primary care residents to recognize and treat overweight/obesity has been identified as an essential component of postgraduate medical training that is currently lacking. This study aims to identify how primary care residency programs are preparing physicians to counsel about obesity, nutrition, and physical activity (ONPA) and to examine program members’ perspectives regarding the place of ONPA counseling in the curriculum, and its relevance in primary care training. Using mixed methods, we collected and analyzed data on 25 family medicine, internal medicine, and obstetrics/gynecology residency programs across Ohio. Programs averaged 2.8 hours of ONPA-related didactics per year. Ten programs (42%) taught techniques for health behavior counseling. Having any ONPA-related didactics was associated with greater counseling knowledge (p = .01) among residents but poorer attitudes (p < .001) and poorer perceived professional norms (p = .004) toward ONPA counseling. Findings from interview data highlighted similar perceived barriers to ONPA counseling across all three specialties but variation in perception of responsibility to provide ONPA counseling. While widespread expectations that primary care physicians counsel their overweight and obese patients prevail, few residency programs provide training to support such counseling.

Movement as medicine for cardiovascular disease prevention: A pilot feasibility study of a physical activity promotion intervention for at-risk patients in primary care (Preprint)

2021 ◽  
Author(s):  
Keegan Knittle ◽  
Sarah J Charman ◽  
Sophie O'Connell ◽  
Leah Avery ◽  
Michael Catt ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Primary Care ◽  
Motivational Interviewing ◽  
Self Efficacy ◽  
Healthcare Professionals ◽  
Online Course ◽  
Cvd Risk ◽  
Activity Promotion ◽  
Cvd Prevention

BACKGROUND Physical activity (PA) can reduce cardiovascular disease (CVD) risk factors, and while primary care settings offer a large reach to promote PA and reduce cardiovascular disease risk, primary healthcare professionals may lack self-efficacy and tools to effectively promote PA in practice. Movement as Medicine for CVD Prevention is a suite of two theory-based online behavioural interventions – one for healthcare professionals and one for patients – that may offer a pathway for promoting PA and reducing CVD risk in primary care. OBJECTIVE To examine the feasibility and possible effects of Movement as Medicine for CVD Prevention. METHODS This non-randomized pilot recruited participants from primary care organisations in Northeast England. Enrolled healthcare professionals followed a theory-based online course in PA counselling and motivational interviewing techniques. After the course, healthcare professionals delivered behaviour change consultations based on motivational interviewing to inactive individuals with >20% risk of developing CVD within 10 years. Patients were then given access to a website based on self-determination and self-regulation theories which targeted increased levels of PA. Outcomes were assessed at baseline and 3 months. RESULTS Recruitment rates of primary care organisations fell below expectations. Eleven healthcare professionals from three enrolled primary care organisations completed the online course and reported increases in important theoretical determinants of PA promotion in practice (e.g. self-efficacy (d=1.24; 95%CI: 0.67-1.80) and planning (d=0.85; 95%CI: -0.01-1.69)). Eighty-three patients enrolled in the study, and 58 (70%) completed both baseline and three-month assessments. From baseline to 3 months, patients reported significant increases in objective (d=0.26; 95%CI: 0.04-0.48) and subjective (d=0.31; 95%CI: 0.04-0.58) moderate-to-vigorous PA, and in the PA determinants intention, action planning, action control and knowledge of CVD prevention (effect sizes ranged from d=0.26 to d=0.47). CONCLUSIONS Recruitment rates of primary care organisations would need to increase for Movement as Medicine for CVD Prevention to be feasible as a primary care PA promotion pathway. However, the program seems to have effects on important determinants of healthcare professional’s PA promotion and on patient PA behaviours. CLINICALTRIAL ISRCTN, ISRCTN14582348. Registered 3 October 2012.http://www.isrctn.com/ISRCTN14582348

Resources for health: A primary-care-based diet and physical activity intervention targeting urban Latinos with multiple chronic conditions.

2007 ◽  
Vol 26 (4) ◽  
pp. 392-400 ◽  
Author(s):  
Elizabeth G. Eakin ◽  
Sheana S. Bull ◽  
Kimberley M. Riley ◽  
Marina M. Reeves ◽  
Patty McLaughlin ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Chronic Conditions ◽  
Physical Activity Intervention ◽  
Multiple Chronic Conditions ◽  
Diet And Physical Activity

scholarly journals INTERDISCIPLINARY CURRICULUM FOR THE CARE OF OLDER ADULTS: CREATING NETWORKS OF COLLABORATIVE LEARNERS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S294-S294
Author(s):  
Pamela Yankeelov ◽  
Anna Faul ◽  
Joe D'Ambrosio ◽  
and Samantha G Cotton
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Self Efficacy ◽  
Interprofessional Education ◽  
Evaluation Model ◽  
Interdisciplinary Approach ◽  
Knowledge Score ◽  
Interdisciplinary Teams ◽  
Multiple Chronic Conditions ◽  
Patient Centered

Abstract Serving older adults with multiple chronic conditions and variable social, emotional, or physical support effectively within the primary care setting requires an interdisciplinary approach to care. Our GWEP program has developed an interprofessional education center that educates and prepares students and professionals from social work, medicine, nursing, dentistry, pharmacy, and community health partners, to function within a transformed integrated patient-centered geriatric primary care and community-based service delivery system. Learners from multiple disciplines attend a face-to-face Interdisciplinary Case Management Experience (ICME) session lasting 2.5 hours. Sessions include learners from each discipline and, if possible, at least one community practitioner in small groups of 6–8 learners at each table facilitated by 1 faculty member. Approximately 1,200 learners have received the curriculum. To evaluate the program, Kirkpatrick’s Training Evaluation Model was used to determine if learners were satisfied with the content, skilled, and confident in their abilities to utilize the curriculum. Learners completed a satisfaction survey after taking each module, along with an interdisciplinary geriatric care knowledge test and self-efficacy test before and after taking each module to measure learning outcomes. Analysis showed that learners, irrespective of discipline, were satisfied with the program. All disciplines showed a significant increase from pre- to posttest for all 5 online modules achieving a mean post-knowledge score of 85% across all 5 online training modules. All disciplines experienced significant differences in their self-efficacy with working on interdisciplinary teams from pre to post ICME. Implications for future interprofessional curriculum will be discussed.

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