Enhancing self-efficacy and patient care with cardiovascular nutrition eduction

Carson, Jo Ann S.; Gillham, M.B.; Kirk, Lynne M.; Reddy, Shalini; Battles, James B

doi:10.1016/s0749-3797(02)00518-4

Cited by 41 publications

(53 citation statements)

References 12 publications

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“…Prior exposure to nutrition was presumably minimal [19]. And while multiple studies of the immediate impact of nutrition interventions among medical students found improvements in knowledge, confidence, and self efficacy [20,21], our work, similar to others [22], suggests there may be a deterioration of these gains and raises questions about the optimal timing of nutrition education and its' integration into the medical education curriculum.…”

Section: Discussionsupporting

confidence: 52%

What Do Resident Physicians Know about Nutrition? An Evaluation of Attitudes, Self-Perceived Proficiency and Knowledge

Vetter

Herring

Sood

et al. 2008

Journal of the American College of Nutrition

263

241

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Objective-Despite the increased emphasis on obesity and diet-related diseases, nutrition education remains lacking in many internal medicine training programs. We evaluated the attitudes, selfperceived proficiency, and knowledge related to clinical nutrition among a cohort of internal medicine interns.Methods-Nutrition attitudes and self-perceived proficiency were measured using previously validated questionnaires. Knowledge was assessed with a multiple-choice quiz. Subjects were asked whether they had prior nutrition training.Results-Of the 114 participants, 61 (54%) completed the survey. Although 77% agreed that nutrition assessment should be included in routine primary care visits, and 94% agreed that it was their obligation to discuss nutrition with patients, only 14% felt physicians were adequately trained to provide nutrition counseling. There was no correlation among attitudes, self-perceived proficiency, or knowledge. Interns previously exposed to nutrition education reported more negative attitudes toward physician self-efficacy (p = 0.03).Conclusions-Internal medicine interns' perceive nutrition counseling as a priority, but lack the confidence and knowledge to effectively provide adequate nutrition education.

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Section: Discussionsupporting

confidence: 52%

What Do Resident Physicians Know about Nutrition? An Evaluation of Attitudes, Self-Perceived Proficiency and Knowledge

Vetter

Herring

Sood

et al. 2008

Journal of the American College of Nutrition

263

241

View full text Add to dashboard Cite

show abstract

“…Lectures may be a good way of introducing new concepts to students but lectures alone might not enhance self-efficacy as its opportunities for practical and clinical experiences are limited [48]. In identifying teaching and learning methods that could promote self-efficacy as well as attitudes in nutrition care, Mogre et al [34] found the following to be important: role modelling by practicing physicians [49], role playing using either simulated or real patients [50][51][52][53], encouraging clinical bedside nutritional teaching [48], demonstrations and hands on practice sessions [49][50][51][52][54][55][56], viewing and discussion of videos and Web-based cases [51,57].…”

Section: Discussionmentioning

confidence: 99%

Future Doctors’ Nutrition-Related Knowledge, Attitudes and Self-Efficacy Regarding Nutrition Care in the General Practice Setting: A Cross-Sectional Survey

et al. 2017

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Background Doctors are in a good position to provide nutrition advice to patients. However, doctors and medical students find their nutrition education to be inadequate. We evaluated nutrition-related knowledge, attitudes and self-efficacy in a sample of future doctors. Furthermore, we investigated the association between nutrition-related knowledge, attitude and self-efficacy. We also compared nutrition-related knowledge, attitudes and self-efficacy with level of clinical training. Methods Following a cross-sectional design, the nutritionrelated knowledge, attitudes and self-efficacy of 207 undergraduate clinical-level medical students (referred to as future doctors) was measured using a questionnaire. Items of the questionnaire were derived from previously validated survey instruments. Descriptive statistics of mean and standard deviation was used to describe the data. Results Future doctors had a mean knowledge score of 64%. Their mean knowledge scores in the nutrition topics assessed were 41% for 'malnutrition in children', 59% for 'diabetes and obesity' and 73% for 'nutrients, energy and their deficiencies'. Future doctors' attitudes towards nutrition care were generally positive but were uncertain in the effectiveness of health education in changing the lifestyle of patients. They felt inadequate in their self-efficacy to provide nutrition care. Attitudes towards nutrition care correlated (r = 0.371, p < 0.001) positively with self-efficacy to provide nutrition care. Level of clinical training was associated to nutrition-related knowledge of the students. Conclusion Future doctors had positive attitudes towards nutrition care but showed important knowledge gaps and also felt inadequate in their confidence to provide nutrition care. Attitudes may be important in nutrition care self-efficacy.

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“…Demographic details of study samples were often unreported; data on participant gender were included in 6 (50%) 52,53,55,57,58,61 (range = 29%-74% female), and ethnicity was included in 2 (17%). 54,57 One study (8%) had a qualitative design, 61 whereas the other 11 (92%) employed the following quantitative designs: controlled trial (nonrandomized), 53,54,56,57 before-andafter study, 38,58,59 or evaluation-only study (no preintervention data obtained).…”

Section: Study Characteristicsmentioning

confidence: 99%