Knowledge and attitudes of lower Michigan primary care physicians towards dietary interventions: A cross-sectional survey

McLeod, Megan R.; Chionis, Lisa; Gregg, Brigid; Gianchandani, Roma; Wolfson, Julia A.

doi:10.1016/j.pmedr.2022.101793

Cited by 4 publications

(6 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When further classifying the advice by dietary aspects such as quantity, quality, timing of food intake, and adherence to guidelines, we found that advice regarding food quality was the most frequently reported topic, with a wide range of approaches. This category encompassed 28 types of advice, including Mediterranean diets [12,23], whole foods [12,24], increasing fruits and vegetables [12,24,30], limiting added sugar [27,32], macronutrient modification [29], and reducing fat consumption [12,29,30].…”

Section: Content Of Dietary Advice Reportedmentioning

confidence: 99%

“…For example, in a survey of 356 physicians from academic and community hospitals in the U.S., of whom 22.3% were family medicine specialists, McLeod et al found that physicians had varying levels of knowledge regarding different dietary approaches and generally rated their own knowledge in this area as fair to poor. While 59% had good knowledge of the "portion control" approach to dietary weight loss, lower proportions of physicians reported good knowledge regarding other kinds of dietary advice, including the DASH diet (40.3%), macronutrient modification (24.7%), and saturated fat reduction (13.7%) [29]. In another study, Nakhoda et al also reported that 80% of GPs in Iran felt they had limited nutritional knowledge [30].…”

Section: Knowledge Of Gpsmentioning

confidence: 99%

“…Six papers were reviewed on the attitudes of GPs, including attitudes towards several different dietary approaches [24,25,27,[29][30][31]. An international survey project, ACTION-IO (Awareness, Care, and Treatment in Obesity management-An International Observation), found that 84% of healthcare practitioners in Israel agreed that reducing calories is effective, while 38% and 46% agreed on elimination diets and specific diets, respectively, as being effective [25].…”

Section: Attitudes Of Gpsmentioning

confidence: 99%

See 2 more Smart Citations

General Practitioners’ Knowledge, Attitudes, and Practices of Dietary Advice for Weight Control in Their Overweight Patients: A Scoping Review

et al. 2023

View full text Add to dashboard Cite

This scoping review assessed the knowledge, attitudes, and practices of general practitioners (GPs) regarding dietary advice for weight management. A systematic search of PubMed, EMBASE, CINAHL, and MEDLINE was conducted for any qualitative, quantitative, and mixed-methods studies published in the past five years that informed GPs’ dietary advice for weight control. Thirteen studies were included in the analysis after screening 881 papers. These studies tended to focus mostly on GPs’ practices rather than their knowledge and attitudes. The most frequently mentioned dietary advice was to reduce calorie intake; however, 32 different types of dietary advice were identified in the literature, including approaches such as intermittent fasting and a ketogenic diet that are not recommended in current guidelines. GPs showed varying levels of knowledge and attitudes regarding the best dietary advice for patients. Further research is needed to better understand GP perspectives, with efforts to assist GPs in providing tailored advice based on the latest evidence to improve patient outcomes required.

show abstract

Section: Content Of Dietary Advice Reportedmentioning

confidence: 99%

Section: Knowledge Of Gpsmentioning

confidence: 99%

Section: Attitudes Of Gpsmentioning

confidence: 99%

See 1 more Smart Citation

General Practitioners’ Knowledge, Attitudes, and Practices of Dietary Advice for Weight Control in Their Overweight Patients: A Scoping Review

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Similarly, HCPs, including primary care doctors, taking part in studies from Kuwait [ 44 ] and the USA [ 45 ] obtained 60% and 67% correct answers in nutritional knowledge assessment, which represents a moderate to good results, with US doctors achieving statistically significantly higher scores after completing certain CME programmes in nutrition (74% correct answers) [ 45 ]. Results obtained in another US study, indicate that primary care doctors answered correctly to 70% of the questions [ 46 ]. A survey conducted among GPs in Croatia [ 42 ] shows that the median of number of correct answers to the questions for nutrition knowledge assessment was 4 (range 0–10), and only 36% of participants reached satisfactory results (5 or more correct answers).…”

Section: Nutritional Knowledge and Confidence In Nutrition Counsellin...mentioning

confidence: 99%

Nutritional Knowledge, Confidence, Attitudes towards Nutritional Care and Nutrition Counselling Practice among General Practitioners

et al. 2022

View full text Add to dashboard Cite

Nutritional care represents any practice provided by a health professional, aimed to improve the patient’s health outcomes by influencing patient’s dietary habits. Clearly, dietitians are the ones supposed to provide top-quality nutrition care, but their services are often inaccessible to many for various reasons. This obliges general practitioners (GPs) in primary health care to provide nutritional counselling to their patients to a certain extent. Preconditions to successful nutritional counselling are GPs with adequate nutritional knowledge, positive attitudes towards nutrition and nutritional care, self-confident and competent in nutritional counselling. Therefore, the aim of this review is to summarise currently available information on nutritional knowledge, confidence and attitudes towards nutritional care and nutrition counselling practice of GPs, as well as barriers towards provision of nutritional counselling. GPs do not consistently obtain satisfying results in nutrition knowledge assessments and their self-confidence in nutrition counselling skills varies. Studies suggest that nutritional counselling practice still has not met its full potential, and GPs frequently report various barriers that impair nutritional counselling practice. Thus, health policies that help overcome barriers and create stimulating environment for GPs to implement nutrition counselling strategies efficiently are the key to improving quality and quantity of nutritional counselling.

show abstract

“…In a separate study, practicing physicians were given an objective test of their funds of knowledge, on which they scored 70% on average. However, on a Likert scale of 1 (poor) to 5 (excellent) their self-reported knowledge score was only 2.51 on average ( 6 ). There are several barriers that lead to these self-perceived deficiencies.…”

Section: Introductionmentioning

confidence: 99%

Application of an Interactive, Hands-On Nutritional Curriculum for Pediatric Residents

Jones,

Singer

2023

JPGN Reports

View full text Add to dashboard Cite

Currently, there exists a scarcity of suitable nutrition training resources for the primary care physician (PCP) and a paucity of educational materials for pediatric residency programs. Barriers to nutritional education include: a lack of well-defined competencies, a dearth of centralized resources for nutritional education, and a reliance on didactic teaching methodology. Because PCPs often cite a lack of confidence as a primary reason for not providing nutritional counseling, we created an interactive 3-pronged nutritional curriculum for pediatric residents with the aim of increasing their confidence to provide nutritional counseling to patients. This curriculum included an in-person visit to a local supermarket, an online, interactive case during the resident’s continuity clinic, and an interactive lecture. There was a statistically significant change in pediatric residents’ confidence to manage issues of outpatient nutrition management. We find this particularly relevant as increasing physician confidence is key to increasing nutritional counseling in a clinical setting.

show abstract

Knowledge and attitudes of lower Michigan primary care physicians towards dietary interventions: A cross-sectional survey

Cited by 4 publications

References 23 publications

General Practitioners’ Knowledge, Attitudes, and Practices of Dietary Advice for Weight Control in Their Overweight Patients: A Scoping Review

General Practitioners’ Knowledge, Attitudes, and Practices of Dietary Advice for Weight Control in Their Overweight Patients: A Scoping Review

Nutritional Knowledge, Confidence, Attitudes towards Nutritional Care and Nutrition Counselling Practice among General Practitioners

Application of an Interactive, Hands-On Nutritional Curriculum for Pediatric Residents

Contact Info

Product

Resources

About