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Mertens HL, Kaifie A. [Nutrition counseling in medical practices-a cross-sectional study]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2024; 67:721-729. [PMID: 38639815 PMCID: PMC11166768 DOI: 10.1007/s00103-024-03870-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 03/18/2024] [Indexed: 04/20/2024]
Abstract
INTRODUCTION The purpose of this study was to assess the status of nutrition care and counseling in German medical practices, including physicians' nutrition interest and knowledge, existing obstacles, and possible ways of improving nutrition care. METHODS After development and a two-stage pretest, questionnaires with 32 items were distributed to all resident doctors of general medicine, internal medicine, gynecology and obstetrics, orthopedics, and occupational medicine in Aachen (n = 360) in early spring 2022. RESULTS The response rate was 29.2% and n = 105 participants were included in the analysis. During their consultation hours, 85.7% of the doctors conducted nutrition counseling (NC). While doctors estimated that 39.5% of their patients need NC, they counseled only 28.1%. General practitioners spent an average of 13 min on NC; all other specialties spent 9.5 min. Most participants felt well informed about healthy nutrition (95.2%). Nutrition was of high personal interest to 57.7% of the participants, and 47.6% considered it important for their work as a doctor. Barriers preventing better NC included the lack of nutrition education during medical studies (89.5%) and specialist training (79.6%), and the lack of time (75.2%). Most participants were willing to conduct more NC if they were paid better and had more time for NC during their working hours. DISCUSSION Doctors consider NC a relevant part of their work, despite many barriers. To make better use of NC as a measure for treating and preventing common diseases, improvements like better nutrition education for doctors, better funding, and more time for NC are required.
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Affiliation(s)
- Hannah Luisa Mertens
- Institut für Arbeits‑, Sozial- und Umweltmedizin, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland.
| | - Andrea Kaifie
- Institut für Arbeits‑, Sozial- und Umweltmedizin, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland
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Park SG, Park Y. Perception of Nutrition Education and Subjective Competency in Nutrition Topics among Korean Family Medicine Residents. Korean J Fam Med 2024; 45:37-43. [PMID: 37885399 PMCID: PMC10822731 DOI: 10.4082/kjfm.23.0086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Revised: 08/03/2023] [Accepted: 08/27/2023] [Indexed: 10/28/2023] Open
Abstract
BACKGROUND Appropriate nutrition is necessary for maintaining good health in the general population. During primary physician training, it is important to educate residents on the basic concepts of nutrition and methods to manage nutritional aspects according to various disease. However, little is known about the perception of nutritional education among Korean family medicine residents. This study analyzed the recognition of the importance of nutritional education, the amount received, and satisfaction with it as well as self-perceived competency in various nutrition topics among residents. METHODS Web-based questionnaires were sent via mobile messages to all the residents registered with the Korean Academy of Family Medicine (KAFM). Out of 566 residents, 68 voluntarily participated in the study. The questionnaire consisted of 41 items related to perceptions of nutrition education, self-perceived competency in nutrition topics, and demographic characteristics. RESULTS The response rate was 12.01%. Residents rated their satisfaction with nutrition education at 4.78 out of 10, and 83.3% considered it important. However, only 13.24% of the participants felt that it was adequate. The most common training method for nutrition education was lectures at KAFM conferences. Among the 29 nutritional topics, the residents reported highest confidence in subjects related to chronic diseases such as obesity (77.94%), diabetes (75%), cardiovascular disease (67.65%), gastrointestinal disorders (67.65%), and weight loss management (67.65%). Conversely, topics related to women (36.76%), children and adolescents (38.23%), drug-nutrient interactions (39.7%), eating disorders (42.64%), and food labels (42.64%) showed low self-perceived confidence rates. CONCLUSION Korean family medicine residents value nutrition education but believe that more education is necessary and they demonstrate differences in self-perceived competency in various nutrition topics.
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Affiliation(s)
- Seung Guk Park
- Department of Family Medicine, Inje University Haeundae Paik Hospital, Busan, Korea
| | - Yonchul Park
- Department of Medical Education, Yonsei University Wonju College of Medicine, Wonju, Korea
- Department of Family Medicine, Wonju Severance Christian Hospital, Wonju, Korea
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Vrkatić A, Grujičić M, Jovičić-Bata J, Novaković B. Nutritional Knowledge, Confidence, Attitudes towards Nutritional Care and Nutrition Counselling Practice among General Practitioners. Healthcare (Basel) 2022; 10:2222. [PMID: 36360563 PMCID: PMC9691229 DOI: 10.3390/healthcare10112222] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 10/30/2022] [Accepted: 11/03/2022] [Indexed: 08/04/2023] Open
Abstract
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.
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Affiliation(s)
- Aleksandra Vrkatić
- Department of Pharmacy, Faculty of Medicine, University of Novi Sad, Hajduk Veljkova 3, 21000 Novi Sad, Serbia
| | - Maja Grujičić
- Department of General Education Subjects, Faculty of Medicine, University of Novi Sad, Hajduk Veljkova 3, 21000 Novi Sad, Serbia
| | - Jelena Jovičić-Bata
- Department of Pharmacy, Faculty of Medicine, University of Novi Sad, Hajduk Veljkova 3, 21000 Novi Sad, Serbia
| | - Budimka Novaković
- Department of Pharmacy, Faculty of Medicine, University of Novi Sad, Hajduk Veljkova 3, 21000 Novi Sad, Serbia
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Keaver L, Yiannakou I, Folta SC, Zhang FF. Perceptions of Oncology Providers and Cancer Survivors on the Role of Nutrition in Cancer Care and Their Views on the "NutriCare" Program. Nutrients 2020; 12:nu12051277. [PMID: 32365871 PMCID: PMC7282021 DOI: 10.3390/nu12051277] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Revised: 04/21/2020] [Accepted: 04/23/2020] [Indexed: 12/17/2022] Open
Abstract
Cancer patients and survivors can experience treatment related side effects that impact nutrition status, as well as unwanted weight loss, weight gain and poor dietary quality. Therefore, they are a group that would benefit from nutrition intervention. A qualitative study was conducted online (six focus groups and two interviews) with 12 oncology providers and 12 survivors in the United States. Participants were asked about the role of nutrition in survivors' health, appropriate components of nutrition care for cancer patients, and strategies to integrate nutrition into oncology care. Feedback on a proposed program, "NutriCare", was also sought. Focus groups were recorded, transcribed verbatim, and analyzed for themes. Four main themes emerged: (1) nutrition is an important component of oncology care and source of empowerment for cancer patients; (2) in the NutriCare program, the prescription pad component was viewed as a critical aspect, and there was also a preference for dealing with patients and survivors separately; (3) for implementation, the most appropriate time for providers to talk to patients about nutrition is during the development of the treatment plan. Reinforcement of key nutrition messages by providers was also highlighted; (4) major barriers included lack of time and motivation by providers. Survivors were interested in and providers supportive of integrating nutrition into oncology care.
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Affiliation(s)
- Laura Keaver
- Department of Health and Nutritional Science, Institute of Technology Sligo, Sligo, F91 YW50, Ireland
- Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA 02111, USA; (S.C.F.); (F.F.Z.)
- Correspondence: ; Tel.: +353-71-930-5537
| | - Ioanna Yiannakou
- Department of Medicine, Boston University, Boston, MA 02215, USA;
| | - Sara C. Folta
- Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA 02111, USA; (S.C.F.); (F.F.Z.)
| | - Fang Fang Zhang
- Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA 02111, USA; (S.C.F.); (F.F.Z.)
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Nutrition care by primary-care physicians: advancing our understanding using the COM-B framework. Public Health Nutr 2019; 23:41-52. [PMID: 31736453 DOI: 10.1017/s1368980019003148] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
OBJECTIVE To investigate the nutrition education provided by primary-care physicians (PCP). DESIGN An integrative review was used to examine literature on nutrition care provided by PCP from 2012 to 2018. A literature search was conducted in MEDLINE, PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL) and Scopus using key search terms. SETTING USA, Netherlands, Germany, Denmark, UK, Lebanon, Australia and New Zealand. PARTICIPANTS Primary-care physicians. RESULTS Sixteen qualitative and quantitative studies were analysed thematically using meta-synthesis informed by the COM-B model of behaviour (capability, motivation and opportunity), to understand the influences on PCP behaviours to provide nutrition care. PCP perceive that they lack nutrition capability. While PCP motivation to provide nutrition care differs based on patient characteristics and those of their own, opportunity is influenced by medical educators, mentors and policy generated by professional and governmental organisations. CONCLUSIONS The development of PCP capability, motivation and opportunity to provide nutrition care should begin in undergraduate medical training, and continue into PCP training, to create synergy between these behaviours for PCP to become confident providing nutrition care as an integral component of disease prevention and management in contemporary medical practice.
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Mondala MM, Sannidhi D. Catalysts for Change: Accelerating the Lifestyle Medicine Movement Through Professionals in Training. Am J Lifestyle Med 2019; 13:487-494. [PMID: 31523214 DOI: 10.1177/1559827619844505] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Abstract
While the Western diet has evolved to become increasingly high in saturated fat, cholesterol, protein, sugar, and salt intake, nutrition education and training of health care professionals to counsel their patients on the hazards of such a diet has trailed behind. Primary care physicians have an opportunity to bridge the gap by providing nutrition and dietary counseling as key components in the delivery of preventive services. Increasing research points to the value of a whole-foods plant-based diet in combating chronic disease, yet the knowledge of health professionals about the topic is comparable to that of the general public. This education crisis is apparent in medical training with restricted time for dedicated lectures on nutrition, physical activity, restorative sleep, emotional well-being, and avoidance of risky substance use. Together, educators and learners are valuable catalysts for culture change in medical education, training, and clinical practice. Barriers to physician ability to counsel about lifestyle are many, but one that stands out is lack of training and comfort with counseling. This has implications for the training of health care professionals. American College of Lifestyle Medicine has a committee, Professionals in Training, composed of interprofessional and multidisciplinary students, residents, and fellows nationally and worldwide who are committed to expanding exposure to lifestyle medicine and implementation of lifestyle medicine in parallel curriculum and personal care.
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Affiliation(s)
- Melissa M Mondala
- Department of Preventative and Family Medicine, Loma Linda University Health, Loma Linda, California (MMM).,Department of Family Medicine and Public Health, University of California San Diego, San Diego, California (DS)
| | - Deepa Sannidhi
- Department of Preventative and Family Medicine, Loma Linda University Health, Loma Linda, California (MMM).,Department of Family Medicine and Public Health, University of California San Diego, San Diego, California (DS)
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Dumic A, Miskulin M, Pavlovic N, Orkic Z, Bilic-Kirin V, Miskulin I. The Nutrition Knowledge of Croatian General Practitioners. J Clin Med 2018; 7:jcm7070178. [PMID: 30029463 PMCID: PMC6068600 DOI: 10.3390/jcm7070178] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2018] [Revised: 07/13/2018] [Accepted: 07/17/2018] [Indexed: 01/02/2023] Open
Abstract
Nutrition care delivered in primary health care setting is an effective and necessary preventive health care measure. General practitioners (GPs) nutrition knowledge is related to their nutrition care practice. The aim of this study was to explore the nutrition knowledge of Croatian GPs, and to investigate its connection with the implementation of nutrition care in GPs’ offices. A cross-sectional study was conducted among 17.0% of randomly selected GPs, from May to July 2013, via an anonymous questionnaire. The study showed that only 35.8% of the Croatian GPs had an adequate level of nutrition knowledge (five or more correct answers to nutrition questions). The study further revealed that females, GPs with additional education in nutrition and GPs who had not suffered from chronic diseases with poor nutrition posing as a risk factor had better nutrition knowledge (p = 0.029, p < 0.001 and p = 0.041, respectively). The Spearman rank correlation between GPs’ nutrition knowledge and the implementation of nutrition care in their offices during daily work with patients was rs = −0.190 (p < 0.001). To provide nutrition care in GPs’ offices in Croatia, strategies for improving GPs’ nutrition knowledge are needed.
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Affiliation(s)
- Albina Dumic
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, Osijek 31000, Croatia.
| | - Maja Miskulin
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, Osijek 31000, Croatia.
| | - Nika Pavlovic
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, Osijek 31000, Croatia.
| | - Zelimir Orkic
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, Osijek 31000, Croatia.
| | - Vesna Bilic-Kirin
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, Osijek 31000, Croatia.
| | - Ivan Miskulin
- Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, Osijek 31000, Croatia.
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Dumic A, Miskulin I, Pavlovic N, Cacic Kenjeric D, Orkic Z, Miskulin M. Attitudes toward Nutrition Care among General Practitioners in Croatia. J Clin Med 2018; 7:jcm7040060. [PMID: 29561751 PMCID: PMC5920434 DOI: 10.3390/jcm7040060] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2018] [Revised: 03/14/2018] [Accepted: 03/15/2018] [Indexed: 11/16/2022] Open
Abstract
Nutrition care should be an integral part of general practitioners' (GPs') daily work with patients. The aim of this study was to assess the attitudes of Croatian GPs toward nutrition and nutrition care, and to evaluate the interconnection between their attitudes and implementation of nutrition care in GPs offices. A cross-sectional study was conducted among 17.0% of randomly selected GPs, from May to July of 2013, via a specially designed anonymous questionnaire. The study showed that 36.0% of the Croatian GPs had satisfactory number of positive attitudes (5 or more) toward nutrition and nutrition care. There was statistically significant difference in the median number of positive attitudes based on the additional education of GPs in nutrition and their ailment from chronic diseases (p < 0.001 and p = 0.022, respectively). The Spearman rank correlation between GPs' attitudes toward nutrition and nutrition care and their practice, i.e., the implementation of nutrition care in GPs' everyday work with patients was rs = -0.235 (p < 0.001). In order to provide nutrition care in GPs' offices in Croatia, strategies for changing GPs' attitudes toward nutrition and nutrition care are needed.
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Affiliation(s)
- Albina Dumic
- Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia.
| | - Ivan Miskulin
- Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia.
| | - Nika Pavlovic
- Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia.
| | - Daniela Cacic Kenjeric
- Faculty of Food Technology, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia.
| | - Zelimir Orkic
- Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia.
| | - Maja Miskulin
- Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31 000 Osijek, Croatia.
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Lee MK, Amorin-Woods L, Cascioli V, Adams J. The use of nutritional guidance within chiropractic patient management: a survey of 333 chiropractors from the ACORN practice-based research network. Chiropr Man Therap 2018; 26:7. [PMID: 29468012 PMCID: PMC5819231 DOI: 10.1186/s12998-018-0175-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2017] [Accepted: 01/05/2018] [Indexed: 01/09/2023] Open
Abstract
Background Food consumption and nutritional status affect an individual's health throughout their life-course and an unhealthy diet is a major risk factor for the current global burden of chronic disease. The promotion of health and good nutrition through healthy eating requires the active involvement of all health professionals including chiropractors. This paper reports findings from the first nationally representative examination of the use of nutritional guidance within chiropractic patient management in Australia. Methods A sample of 1000 practising chiropractors was randomly selected from the Australian Chiropractic Research Network (ACORN) practice-based research network database for a cross-sectional study and 33% participated in the online survey in November 2016. The questionnaire, based on previous designs used in similar surveys and nutrition resources developed by the National Health and Medical Research Council, was pretested prior to the survey. Pearson's Chi square and bivariate logistic regression were undertaken to explore relationships with variables of interest. Results The demographic details of the respondents are similar to those of the chiropractic workforce registered in Australia. Most chiropractors provided nutritional advice as part of their patient care and around a quarter provided specific dietary advice to their patients, including the use of nutrition supplements. Nutrition-related conditions most commonly encountered by the chiropractors were musculoskeletal, usually inflammatory in origin. Common nutritional assessment methods used included questioning patients to assess their nutritional and health status and physical appearance. Most of the participants provided nutritional resources to their patients in their clinics. However, the Australian Dietary Guidelines and the accompanying Australian Guide to Healthy Eating were not well utilised by the respondents. Australian chiropractors often referred patients with nutrition issues to qualified dietitians and other health professionals when deemed necessary. Conclusions Australian chiropractors regularly provide nutritional advice and appear to acknowledge the importance of nutrition in their clinical practice especially for patients presenting with chronic disease. If chiropractors are to fulfil their potential in providing such wider public health and preventative health advice to patients, further research examining the utilisation of evidence-based nutrition resources within chiropractic patient management is recommended.
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Affiliation(s)
- Mi Kyung Lee
- School of Health Professions, Murdoch University, Perth, Australia
| | | | | | - Jon Adams
- Faculty of Health, University of Technology Sydney, Sydney, Australia
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Schoendorfer N, Gannaway D, Jukic K, Ulep R, Schafer J. Future Doctors' Perceptions about Incorporating Nutrition into Standard Care Practice. J Am Coll Nutr 2017; 36:565-571. [DOI: 10.1080/07315724.2017.1333928] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
| | - Deanne Gannaway
- University of Queensland, Teaching and Educational Development Institute, Brisbane, Australia
| | - Katherine Jukic
- University of Sydney, Sydney Medical School, Sydney, Australia
| | - Robin Ulep
- University of Queensland, Medical Education, Brisbane, Australia
| | - Jennifer Schafer
- University of Queensland, Medical Education, Brisbane, Australia
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Burch E, Crowley J, Laur C, Ray S, Ball L. Dietitians' Perspectives on Teaching Nutrition to Medical Students. J Am Coll Nutr 2017. [DOI: 10.1080/07315724.2017.1318316] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Emily Burch
- Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia
| | - Jennifer Crowley
- Discipline of Nutrition and Dietetics, Faculty of Medical and Health Sciences, University of Auckland, New Zealand
- NNEdPro Global Centre for Nutrition and Health (Affiliated with Cambridge University Health Partners, Wolfson College Cambridge and the British Dietetic Association), St. John's Innovation Centre, Cambridge, United Kingdom
| | - Celia Laur
- NNEdPro Global Centre for Nutrition and Health (Affiliated with Cambridge University Health Partners, Wolfson College Cambridge and the British Dietetic Association), St. John's Innovation Centre, Cambridge, United Kingdom
- Faculty of Applied Health Sciences, School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada
| | - Sumantra Ray
- NNEdPro Global Centre for Nutrition and Health (Affiliated with Cambridge University Health Partners, Wolfson College Cambridge and the British Dietetic Association), St. John's Innovation Centre, Cambridge, United Kingdom
| | - Lauren Ball
- Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia
- NNEdPro Global Centre for Nutrition and Health (Affiliated with Cambridge University Health Partners, Wolfson College Cambridge and the British Dietetic Association), St. John's Innovation Centre, Cambridge, United Kingdom
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Crowley J, Ball L, Wall C. Nutrition advice provided by general practice registrars: an investigation using patient scenarios. Public Health 2016; 140:17-22. [PMID: 27745893 DOI: 10.1016/j.puhe.2016.09.022] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2016] [Revised: 09/01/2016] [Accepted: 09/14/2016] [Indexed: 11/29/2022]
Abstract
BACKGROUND Nutrition is recognized as a strong factor influencing the health outcomes of patients with chronic disease. General practitioners (GPs) require nutrition knowledge and skills to support patients to have healthy dietary behaviours. OBJECTIVE To investigate New Zealand GP registrars' provision of nutrition advice using patient scenarios. STUDY DESIGN A cross-sectional study design targeted GP registrars to investigate the nutrition care they provided to patients. METHODS Fourty-seven GP registrars completed a survey at a training event. The survey included patient scenarios. Respondents were asked to provide nutrition advice for each scenario, in line with best practice guidelines. Responses to each scenario were scored based on a panel of nutrition experts. Regression analysis was used to compare the scores to participants' previously reported confidence to provide nutrition care. RESULTS Seventeen male (36.2%) and thirty female (63.8%) GP registrars completed the survey, giving a response rate of 92.2%. GP registrars scored a mean of 7.9 ± 0.2 out of 15 for recall of dietary strategies with the scenarios. There was no association between GP registrars' scenario scores and their confidence to provide nutrition care. CONCLUSIONS An evidence-practice gap exists for New Zealand GP registrars' confidence to provide nutrition care, and their knowledge of evidence-based nutritional guidelines to support patients to have healthy dietary behaviours. A better understanding of the determinants of this disparity is required in order to support optimal nutrition care by GPs.
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Affiliation(s)
- J Crowley
- Discipline of Nutrition and Dietetics, Faculty of Medical and Health Sciences, University of Auckland, 1142, New Zealand.
| | - L Ball
- Menzies Health Institute Queensland, Griffith University, 4222, Australia
| | - C Wall
- Discipline of Nutrition and Dietetics, Faculty of Medical and Health Sciences, University of Auckland, 1142, New Zealand
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Crowley J, O'Connell S, Kavka A, Ball L, Nowson CA. Australian general practitioners' views regarding providing nutrition care: results of a national survey. Public Health 2016; 140:7-13. [PMID: 27692586 DOI: 10.1016/j.puhe.2016.08.013] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2016] [Revised: 07/28/2016] [Accepted: 08/18/2016] [Indexed: 11/24/2022]
Abstract
BACKGROUND The prevalence of chronic disease is considerable, and dietary behaviours influence the progression of many chronic diseases. Practice guidelines recommend that general practitioners (GPs) promote healthy dietary behaviours in relevant consultations with patients in order to improve health outcomes at a population level. OBJECTIVE To describe GPs' perceived interest, confidence and barriers to support patients to have a healthy diet. METHOD A 24-item online and written survey was distributed in a national weekly newsletter to GPs in Australia. Results were descriptively analysed and investigated for associations with GPs' demographic characteristics. RESULTS A total of 322 GPs responded to the survey. Nearly all (n = 295, 91.6%) were interested in supporting patients to eat well, and most (n = 231, 71.7%) reported moderately high confidence for providing nutrition care with clear public health messages for conditions, such as cardiovascular disease. Many GPs (n = 170, 52.8%) cited lack of time as the biggest barrier to providing nutrition care, and the overwhelming majority (n = 289, 89.8%) were interested in receiving additional education and training to enhance their nutrition knowledge and skills. DISCUSSION Many GPs are interested in nutrition and would benefit from educational programmes that improve their competence to provide nutrition care. Professional development opportunities should focus on the identification of nutritional risk and the promotion of healthy dietary behaviours within the time constraints of a standard consultation.
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Affiliation(s)
- J Crowley
- Faculty of Medical and Health Sciences, University of Auckland, 1142, New Zealand
| | - S O'Connell
- Deakin University, Geelong, Institute for Physical Activity and Nutrition Research, Victoria, 3220, Australia
| | - A Kavka
- Cirrus Media, Chatswood, NSW, Australia
| | - L Ball
- Menzies Health Institute Queensland, Griffith University, Queensland, 4222, Australia
| | - C A Nowson
- Deakin University, Geelong, Institute for Physical Activity and Nutrition Research, Victoria, 3220, Australia.
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Lockyer S, Spiro A, Stanner S. Dietary fibre and the prevention of chronic disease – should health professionals be doing more to raise awareness? NUTR BULL 2016. [DOI: 10.1111/nbu.12212] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Affiliation(s)
| | - A. Spiro
- British Nutrition Foundation London UK
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