Nutrition Education, Understanding, and Counseling Practices Among Physiatrists: A Survey Study.
| Autor: | Calandra JM; Physical Medicine and Rehabilitation, MossRehab, Albert Einstein Healthcare Network, Elkins Park, USA.; Physical Medicine and Rehabilitation, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA., Shofer FS; Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA.; Physical Medicine and Rehabilitation, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA., Chao AM; Biobehavioral Health Sciences, University of Pennsylvania School of Nursing, Philadelphia, USA.; Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA., Swanson RL 2nd; Center for Neurotrauma, Neurodegeneration and Restoration, Cpl. Michael J. Crescenz VA Medical Center, Philadelphia, USA.; Physical Medicine and Rehabilitation, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2022 Sep 03; Vol. 14 (9), pp. e28756. Date of Electronic Publication: 2022 Sep 03 (Print Publication: 2022). |
| DOI: | 10.7759/cureus.28756 |
| Abstrakt: | Introduction: Nutritional counseling is relevant to physiatry practice. However, physiatrists' nutrition knowledge base and their frequency of incorporating nutritional education into routine clinical encounters are currently unknown. The objective of this study was to assess physiatrists' nutrition education, nutrition knowledge, willingness to implement nutrition counseling in clinical practice, and perceived barriers to providing nutritional counseling to patients, using an online survey. The hypothesis was that few physiatrists offer dietary counseling to their patients on a routine basis and that barriers likely include time constraints in a typical office visit, lack of provider confidence in providing dietary recommendations, and lack of provider reimbursement. Methods: This study was a cross-sectional online survey that was distributed via email to a convenience sample of 179 resident, fellow, and attending physiatrists associated with two major academic institutions. The survey consisted of 26 questions regarding demographics, nutrition counseling practices and attitudes, basic nutrition knowledge, and perceived barriers to providing nutrition counseling. Results: Of 59 participants, 78% reported receiving education in nutrition and/or behavioral counseling in medical school. In contrast, 39% of participants did not feel adequately trained to discuss nutrition and diet-related issues with patients. Barriers to providing nutritional counseling were time constraints (83%), socioeconomic factors outside of patients' control preventing them from adhering to a healthier diet (76%), and not having enough nutrition knowledge to do so appropriately (62%). Respondents (86%) either agreed or strongly agreed that additional training in nutrition would allow them to provide better clinical care in the prevention of progressive cardiovascular and neurovascular disease. Further, respondents (85%) either agreed or strongly agreed that they would be interested in a web-based continuing medical education training in nutrition behavioral counseling and evidence-based dietary recommendations. Conclusions: The findings refuted the hypothesis that few physiatrists in the sample offer dietary counseling to their patients on a routine basis. Results demonstrated that many of them acknowledge its relevance and would be interested in further education on the subject. Physiatrists also appear to have perceived barriers to offering nutritional counseling, but some of them varied by the amount of medical experience. Based on these findings, this study demonstrated that it would be worthwhile to develop such a continuing medical education activity with a focus on populations commonly treated by physiatrists. Competing Interests: The authors have declared financial relationships, which are detailed in the next section. (Copyright © 2022, Calandra et al.) |
| Databáze: | MEDLINE |
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