The impact of lifestyle medicine continuing education on provider knowledge, attitudes, and counseling behaviors

Dacey, Marie; Arnstein, Fredrick; Kennedy, Mary; Wolfe, J.H.N.; Phillips, Edward M.

doi:10.3109/0142159x.2012.733459

Cited by 37 publications

(49 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Another study, however, found that significant improvement of provider knowledge lasts for at least 90 d following a continuing medical education program on lifestyle medicine. 26 We also do not know whether the improvement in knowledge we observed led to a change in provider attitude or behavior (recommending the HPV vaccine). Information on intention to recommend this vaccine would have been useful in this regard.…”

Section: -25mentioning

confidence: 87%

A brief educational intervention increases providers' human papillomavirus vaccine knowledge

Berenson¹,

Rahman

Hirth

et al. 2015

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

Recommendation by a healthcare provider is critical to increase human papillomavirus (HPV) vaccine uptake in the US. However, current deficits in providers' knowledge of HPV and its vaccine are not fully understood and interventions to amend knowledge gaps are untested. To determine whether attending a structured presentation could increase provider knowledge of the HPV vaccine, we assessed knowledge levels of physicians, non-physician healthcare workers, and medical students before and after attending a 30-minute lecture held between October 2012 and June 2014. Paired t-test and McNemar's test were used to compare knowledge scores and the proportion of correct responses for each question, respectively. Multiple linear regression analyses were performed to examine correlates of baseline knowledge and change in knowledge scores post-intervention. A total of 427 participants, including 75 physicians, 208 medical students, and 144 nurses or other healthcare workers, attended one of 16 presentations and responded to both pre-test and post-test surveys. Baseline knowledge was low among all groups, with scores higher among older participants and physicians/medical students. On average, knowledge scores significantly improved from 8 to 15 after the presentation (maximum possible score 16) (P < .001), irrespective of specialty, race/ethnicity, gender, and age. Although lower at baseline, knowledge scores of younger participants and non-physician healthcare workers (e.g., nurses, physician assistants (PAs), nursing students) improved the most of all groups. We conclude that a brief, structured presentation increased HPV knowledge among a variety of healthcare workers, even when their baseline knowledge was low.

show abstract

Section: -25mentioning

confidence: 87%

A brief educational intervention increases providers' human papillomavirus vaccine knowledge

Berenson¹,

Rahman

Hirth

et al. 2015

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

show abstract

“…Although several reports of LM training programmes have been published,10–13 only one described a CME programme that addressed these goals 14. No study to date has examined the feasibility and the impact of a one academic year-long certificate of completion in LM focused on family physicians that address physician competencies in LM.…”

Section: Introductionmentioning

confidence: 99%

Family physicians prescribing lifestyle medicine: feasibility of a national training programme

Polak

Shani

Dacey

et al. 2016

Postgraduate Medical Journal

Self Cite

View full text Add to dashboard Cite

show abstract

“…Sections of the questionnaire were based on previous work in the area; activity prescription questions were adapted from the national survey by Petrella et al (2007), confidence variables were incorporated because of the known impact on PAE counselling self-efficacy (Hébert et al 2012), and inclusion in other studies to evaluate physical activity prescription training (Dacey et al 2013). The questions regarding demographic information, current practice history, barriers, and postworkshop reflection were based on previous research in diabetes education (Dillman et al 2010;Shields et al 2013).…”

Section: Self-reflection Questionnairementioning

confidence: 99%

Health care provider confidence and exercise prescription practices of Exercise is Medicine Canada workshop attendees

O’Brien

Shields

et al. 2017

Appl. Physiol. Nutr. Metab.

View full text Add to dashboard Cite

Abstract:The Exercise is Medicine Canada (EIMC) initiative promotes physical activity counselling and exercise prescription within health care. The purpose of this study was to evaluate perceptions and practices around physical activity counselling and exercise prescription in health care professionals before and after EIMC training. Prior to and directly following EIMC workshops, 209 participants (physicians (n = 113); allied health professionals (AHPs) (n = 54), including primarily nurses (n = 36) and others; and exercise professionals (EPs) (n = 23), including kinesiologists (n = 16), physiotherapists (n = 5), and personal trainers (n = 2)) from 7 provinces completed self-reflection questionnaires. Compared with AHPs, physicians saw more patients (78% > 15 patients/day vs 93% < 15 patients/day; p < 0.001) and reported lower frequencies of exercise counselling during routine client encounters (48% vs 72% in most sessions; p < 0.001). EPs had higher confidence providing physical activity information (92 ± 11%) compared with both physicians (52 ± 25%; p < 0.001) and AHPs (56 ± 24%; p < 0.001). Physicians indicated that they experienced greater difficulty including physical activity and exercise counselling into sessions (2.74 ± 0.71, out of 5) compared with AHPs (2.17 ± 0.94; p = 0.001) and EPs (1.43 ± 0.66; p < 0.001). Physicians rated the most impactful barriers to exercise prescription as lack of patient interest (2.77 ± 0.85 out of 4), resources (2.65 ± 0.82 out of 4), and time (2.62 ± 0.71 out of 4). The majority of physicians (85%) provided a written prescription for exercise in <10% of appointments. Following the workshop, 87% of physician attendees proposed at least one change to practice; 47% intended on changing their practice by prescribing exercise routinely, and 33% planned on increasing physical activity and exercise counselling, measured through open-ended responses.Key words: Exercise is Medicine, physical inactivity, exercise prescription, primary care.

show abstract

The impact of lifestyle medicine continuing education on provider knowledge, attitudes, and counseling behaviors

Abstract: Live CME programs can be effective in educating healthcare providers about topics within the rapidly expanding field of lifestyle medicine.

Cited by 37 publications

References 39 publications

A brief educational intervention increases providers' human papillomavirus vaccine knowledge

A brief educational intervention increases providers' human papillomavirus vaccine knowledge

Family physicians prescribing lifestyle medicine: feasibility of a national training programme

Health care provider confidence and exercise prescription practices of Exercise is Medicine Canada workshop attendees

Contact Info

Product

Resources

About