Longitudinal changes in GPs' task perceptions, self-efficacy, barriers and practices of nutrition education and treatment of overweight

Visser, F.N.; Hiddink, G.J.; Koelen, M.A.; Binsbergen, Jaap van; Tobi, Hilde; Woerkum, Cees van

doi:10.1093/fampra/cmn078

Cited by 42 publications

(52 citation statements)

References 17 publications

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“…The main outcomes of the focus group sessions were that referral to BeweegKuur by a general practitioner (GP) would provide additional motivation for patients, which is consistent with previous research [15]. The patients emphasized the importance of close collaboration between the different health care professionals and their need to feel safe with these professionals.…”

Section: Introductionsupporting

confidence: 79%

“…The primary health care setting can be regarded as a good place to start a lifestyle intervention. In the Netherlands, GPs act as the gatekeepers to health care; they see their patients regularly and know their social environment [15]. Most diabetic patients visit their GP or the practice nurse for a check-up every three months, enabling quick selection of eligible patients for BeweegKuur and detection of relapse after inclusion in the programme.…”

Section: Introductionmentioning

confidence: 99%

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Development and implementation of a lifestyle intervention to promote physical activity and healthy diet in the Dutch general practice setting: the BeweegKuur programme

Helmink

Meis

Weerdt³

et al. 2010

Int J Behav Nutr Phys Act

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BackgroundThe number of patients with diabetes is increasing. BeweegKuur (Dutch for 'Exercise Therapy') is a Dutch lifestyle intervention which aims to effectively and feasibly promote physical activity and better dietary behaviour in primary health care to prevent diabetes.MethodsThe goal of this paper is to present the development process and the contents of the intervention, using a model of systematic health promotion planning. The intervention consists of a 1-year programme for diabetic and prediabetic patients. Patients are referred by their general practitioner (GP) to a lifestyle advisor (LSA), usually the practice nurse or a physiotherapist. Based on specific inclusion criteria and in close collaboration with the patient, an individual exercise programme is designed and supervised by the LSA. This programme can be attended at existing local exercise facilities or (temporarily) under the supervision of a specialized exercise coach or physiotherapist. All participants are also referred to a dietician and receive diet-related group education. In the first pilot year (2008), the BeweegKuur programme was implemented in 7 regions in the Netherlands (19 GP practices and health centres), while 14 regions (41 GP practices and health centres) participated during the second year. The aim is to implement BeweegKuur in all regions of the Netherlands by 2012.DiscussionThe BeweegKuur programme was systematically developed in an evidence- and practice-based process. Formative monitoring studies and (controlled) effectiveness studies are needed to examine the diffusion process and the effectiveness and cost-effectiveness of the intervention.

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Section: Introductionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Development and implementation of a lifestyle intervention to promote physical activity and healthy diet in the Dutch general practice setting: the BeweegKuur programme

Helmink

Meis

Weerdt³

et al. 2010

Int J Behav Nutr Phys Act

View full text Add to dashboard Cite

show abstract

“…One of the main professions in primary care dealing with obesity is the general practitioner (GP), and previous surveys have shown that the general public considers GPs to be a credible source of information on nutrition [1,2,3,4] and lifestyle advice [5]. Unfortunately only a small fraction of GPs discuss weight loss interventions [6], physical activity (PA) [4,6,7], and nutrition [6] with patients with obesity.…”

Section: Introductionmentioning

confidence: 99%

Obesity Knowledge among Final-Year Medical Students in Norway

Martins

Norsett-Carr²

2017

Obes Facts

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Objectives: To assess the level of obesity knowledge in final-year medical students in Norway and to compare it to an expert group and first-year medical students. Methods: A 20-item questionnaire was specifically designed for this purpose (18 knowledge-based questions and 2 subjective questions looking at attitudes and self-perceived proficiency). All medical schools in Norway were included (n = 226). For comparison purposes, an expert group (n = 13) and first-year medical students (n = 96) were included. Results: Experts (81%; 15 out of 18 (13.5-16.0)) scored significantly higher than both final-year (60%; 11 out of 18 (9.0-12.0)) and first-year (48%; 9 out of 18 (7.0-10.0)) students. Final-year students scored significantly higher than first-year students, but showed inadequate obesity knowledge, especially with regard to etiology, diagnosis, and treatment aspects. Subjective questions revealed that medical students trust their acquired knowledge, but feel pressured by time constraints and the complexity of lifestyle issues and experience barriers to long-term follow-up. Conclusion: Final-year medical students in Norway show an inadequate knowledge level within the obesity field, although a significant improvement is seen during the course of medical education. They also show a high self-perceived proficiency in dealing with obesity, despite several constraints/barriers.

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“…Policies to improve PCPs`nutrition guidance practices might in future benefit from a LISREL-model analysis of determinants of these practices to become more effective (45). We designed the research in such a way that we were able to make it a longitudinal study (46)(47)(48), which allows for monitoring variables and the mechanism of action, and for detecting eventual trends. Glanz et al (49) and Kushner (50) also identified barriers, and Levine et al (10) and Orleans et al (12) carried out US national surveys of PCPs`attitudes and practices to define strategies for enhancing the use of clinical nutrition and health promotion in medical practice.…”

mentioning

confidence: 99%

Present and future of nutrition guidance : lifestyle advice in primary care

Hiddink¹,

Wass²

2016

Preprint

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Longitudinal changes in GPs' task perceptions, self-efficacy, barriers and practices of nutrition education and treatment of overweight

Abstract: The GPs perceived overweight and nutrition education as important and were still favourable towards prevention. However, their potential to give nutrition education or guide in treatment of overweight was not fully utilized because of decreased self-efficacy factors and perceived barriers.

Cited by 42 publications

References 17 publications

Development and implementation of a lifestyle intervention to promote physical activity and healthy diet in the Dutch general practice setting: the BeweegKuur programme

Development and implementation of a lifestyle intervention to promote physical activity and healthy diet in the Dutch general practice setting: the BeweegKuur programme

Obesity Knowledge among Final-Year Medical Students in Norway

Present and future of nutrition guidance : lifestyle advice in primary care

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