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

Smith, Samantha; Seeholzer, Eileen; Gullett, Heidi; Jackson, Brigid; Antognoli, Elizabeth; Krejci, Susan A.; Flocke, Susan A.

doi:10.4300/jgme-d-14-00710.1

Cited by 79 publications

(82 citation statements)

References 38 publications

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“…A study24 published in 2015 has found that senior residents in primary care (Ohio, USA) had a limited knowledge of lifestyle topics and a low sense of competence in consultation on these issues. A small proportion of that study's population who participated in an elective rotation of LM training reported higher levels of LM knowledge which were accompanied by a more positive attitude towards consulting patients on these matters.…”

Section: Introductionmentioning

confidence: 99%

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

Malatskey

Bar‐Zeev

Tzuk-Onn

et al. 2017

Postgraduate Medical Journal

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Section: Introductionmentioning

confidence: 99%

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

Malatskey

Bar‐Zeev

Tzuk-Onn

et al. 2017

Postgraduate Medical Journal

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“…Indeed, research demonstrates that didactic instructional style is negatively associated with attitudes and perceived professional norms toward counseling (Antognoli et al 2016) and the rate of obesity documentation and weight loss counseling appeared unchanged following a didactic presentation (Ren et al 2016). Program directors have called for additional opportunities for residents to practice and receive feedback on counseling skills (Antognoli et al 2014, Smith et al 2015. Furthermore, evidence suggests practicing weight loss counseling with SPs improves competency and confidence in counseling, and can clinically lead to patient weight loss , Jay et al 2013, Ockene et al 1999, Burton et al 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Multiple studies demonstrate residents lack competency in weight loss counseling, and report low self-efficacy in their counseling skills (Jay et al 2008, Hebert et al 2012, Park et al 2005, Ruser et al 2005, Vetter et al 2008, Block et al 2003, Davis et al 2008, Fluker et al 2010, Smith et al 2015. There are few published studies examining the current state of residency education on weight loss counseling, but the current evidence suggests minimal curriculum time is spent on obesity, nutrition, and physical activity counseling (Antognoli et al 2016).…”

Section: Introductionmentioning

confidence: 99%

“…There are few published studies examining the current state of residency education on weight loss counseling, but the current evidence suggests minimal curriculum time is spent on obesity, nutrition, and physical activity counseling (Antognoli et al 2016). Program directors and residents have called for a greater emphasis on teaching specific counseling techniques, additional opportunities to practice counseling skills, and assessment tools that facilitate feedback and identify areas in need of improvement (Smith et al 2015, Antognoli et al 2016). …”

Section: Introductionmentioning

confidence: 99%

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Development and Implementation of a New OSCE for Assessing Resident Competency in Weight Loss Counseling

Herzog¹,

Cameron²,

Badaracco³

et al. 2018

MedEdPublish

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Background: Despite the need to provide weight management counseling to patients who are overweight or obese, resident physicians receive little relevant education and practice in performing this skill. As a result, residents report low levels of self-efficacy and often demonstrate limited performance competency. Structured educational interventions providing opportunities for residents to practice weight loss counseling along with objective assessment are lacking.

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“…There is limited literature on the learning needs of medical students and trainees in this area, and what there is tends to be self-reported or elicited through survey (8,9) and lacks the richness of qualitative data that is based on experiences in practice.…”

Section: Introductionmentioning

confidence: 99%

Enabling tomorrow’s doctors to address obesity in a GP consultation: an action research project

Leedham‐Green

Pound

Wylie

2016

Education for Primary Care

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Enabling tomorrow's doctors to address obesity in a GP consultation: an action research project Obesity is a leading risk factor for morbidity and mortality, however guidelines for prevention and management are relatively recently established, and little is known about what needs to be in place to put these into practice.This research provides an insight into how senior medical students consult with obese patients in general practice, the range of their learning needs, and the impact of various educational strategies that aim to bring their practice closer to current evidence-based guidelines.It centres on a series of compulsory but formative reflective case studies written by final year students at one large medical school on their GP rotation as they consult independently with obese patients with 'next room' GP tutor support.Analysis of these case studies was used to inform a three-year educational action research project. By systematically identifying and addressing learning needs, including barriers and enablers to best practice, we have demonstrated how senior medical students, and their GP tutors, can acquire the role legitimacy and role competency required for effective practice.Keywords: obesity, medical education, behaviour change, health promotion, primary care, general practice Status Box What is already knownOur clinical and educational response to obesity is less well developed than our response to other risk factors for morbidity such as smoking. There are difficulties translating behavioural change and obesity guidelines into practice, and teaching tends to be inconsistent and vicarious with little understanding of the learning needs of students or how teaching translates into clinical practice. What this work addsThis paper gives insights into real-life encounters with obese patients providing a rich understanding of the learning needs of senior medical students. An action research methodology has been used to test approaches to addressing these needs, which have been tested in the clinical context. Suggestions for future work and researchA follow-up study looking at patient experiences and outcomes of consultations led by healthcare professionals trained using these approaches is needed.

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

Cited by 79 publications

References 38 publications

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

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

Development and Implementation of a New OSCE for Assessing Resident Competency in Weight Loss Counseling

Enabling tomorrow’s doctors to address obesity in a GP consultation: an action research project

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