Lifestyle medicine course for family medicine residents: preliminary assessment of the impact on knowledge, attitudes, self-efficacy and personal health

Malatskey, Lilach; Bar‐Zeev, Yael; Tzuk-Onn, Adva; Polak, Rani

doi:10.1136/postgradmedj-2016-134726

Cited by 14 publications

(23 citation statements)

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“…1 ). Four primary studies from the USA [ 23 – 25 ] and Israel [ 26 ] were included in the review. Two studies provided counseling programs regarding obesity, nutrition, and physical activity (ONPA) [ 23 , 25 ].…”

Section: Resultsmentioning

confidence: 99%

“…One study emphasized obesity counseling, including PA [ 24 ]. The other focused on lifestyle medicine [ 26 ]. Table 2 presents a summary of the included studies.…”

Section: Resultsmentioning

confidence: 99%

“…The study of Antognoli et al was a mixed methods study and was scored at 75% [ 23 ]. Three quantitative studies were rated at 75% by using the criteria for descriptive study [ 25 , 26 ] and non-randomized trial [ 24 ]. Table 2 shows the methodological quality of each study.…”

Section: Resultsmentioning

confidence: 99%

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Physical activity counseling in primary care and family medicine residency training: a systematic review

2018

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BackgroundPhysical inactivity is a global public health challenge. Physical activity (PA) promotion in healthcare delivery systems is effective to reduce physical inactivity. A primary care setting provides an appropriate environment for PA counseling since it is a primary contact with primary care or family physicians encounter the majority of the population. Lack of knowledge and inadequate training in PA counseling is one of the most important barriers to PA promotion. The purpose of this systematic review was to evaluate PA counseling training in primary care residency programs.MethodsThe authors systematically searched PubMed, Web of Science, Scopus and The Cochrane Library for articles published in English from 2000 to 2017. Articles regarding PA counseling in primary care residency training were extracted and outcomes assessed for this systematic review.ResultsBased on the initial review, 378 articles were excluded (362 articles excluded based on titles and abstracts and 16 articles excluded based on full texts). Four articles were included in this review, addressed PA counseling curricula in primary care residency training. All studies included PA counseling training as part of obesity and healthy lifestyle training. The training improved knowledge among primary care residents, but may not necessarily result in better attitudes or self-efficacy, which could be improved by elective rotations that focus on improved attitudes, self-efficacy, and professional norms for PA counseling. Brief training in counseling did not improve quality nor increase the rate of counseling.ConclusionsThis systematic review demonstrates a lack of evidence due to a small number of included studies. The heterogeneous outcomes from the minimal programs are needed to carefully interpret. However, this review sheds light on the importance of training in PA counseling in primary care residency programs. The development of training in PA counseling should focus on an approach that improves attitudes and the self-efficacy of primary care residents. Elective rotations, where residents voluntarily choose their subject, may provide the appropriate training period for PA counseling. Policymakers and academics should play an active role in the implementation of PA counseling as an essential competency for primary care physicians.Electronic supplementary materialThe online version of this article (10.1186/s12909-018-1268-1) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

“…One study emphasized obesity counseling, including PA [ 24 ]. The other focused on lifestyle medicine [ 26 ]. Table 2 presents a summary of the included studies.…”

Section: Resultsmentioning

confidence: 99%

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Physical activity counseling in primary care and family medicine residency training: a systematic review

2018

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“…2 Shanghai Sixth People's Hospital East Affiliated to Shanghai University of Medicine & Health Sciences, Shanghai, China. 3 Jinyang Community Health Service Center of Pudong New Area, Shanghai, China. 4 School of Social Development and Public Policy, Fudan University, Shanghai, China.…”

Section: Acknowledgementsmentioning

confidence: 99%

“…The number of patients with chronic diseases is increasing as aging population accelerates. Services provided by family doctors play an important and active role in the provision of community health care services, particularly in the rational use of health resources and improvement of community residents' health status [1][2][3]. In 1997, the Decision of the Central Committee of the Communist Party of China and the State Council on Health Reform and Development first proposed the training of specialized general practitioners.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting the work competency and stability of family doctors in Shanghai: a tracking study

et al. 2019

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Background: Family doctors can fulfill the gatekeeper duty to protect the residents' health, which depends on their work competency and stability. The study aimed to identify factors influencing work competency and stability among Shanghai family doctors. Methods: This study was a 2-year follow-up survey (2013/2016). A representative sample of 146 family doctors in Shanghai community health service centers was interviewed in 2013. The tracked sample (n = 142) was resurveyed in 2016. A 50-item questionnaire organized into four parts, i.e., general demographic characteristics, working conditions, cognition about family doctor services, and job satisfaction was issued to all family doctors. Models for factors influencing family doctors' work competency and stability were then established. The collected data were analyzed using ordinal regression methods and descriptive, factor, and multiple-factor analyses. Results: The family doctors' work competency model showed demographic characteristics (education level and job title), family doctors' team, family doctors' training, grasp of specific content regarding the family doctor system, and whether the family doctors' ability was played and demonstrated were statistically significant at different levels (P < 0.05). The analysis of family doctors' work stability showed that work competency (whether it was possible to provide residents with all contents specified in the contract service package, employment form, and support satisfaction) and work cognition (whether the daily work was meaningful and had value) had a significant impact on work stability (P < 0.05). Conclusion: Family doctors' job satisfaction is a key factor affecting their work stability. Family doctors' competency can also affect their job stability, and their work cognition may play a role in work competency and stability. This study provides evidence for strengthening the stability of the family doctor teams in Shanghai.

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Mechanick¹,

Kushner²

2020

Creating a Lifestyle Medicine Center

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Lifestyle medicine course for family medicine residents: preliminary assessment of the impact on knowledge, attitudes, self-efficacy and personal health

Abstract: A comprehensive LM syllabus based course has a positive impact on family medicine residents LM counselling abilities. We suggest that LM course should be considered as a potential permanent addition to the family medicine residency programme.

Cited by 14 publications

References 23 publications

Physical activity counseling in primary care and family medicine residency training: a systematic review

Physical activity counseling in primary care and family medicine residency training: a systematic review

Factors affecting the work competency and stability of family doctors in Shanghai: a tracking study

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