Institute of Lifestyle Medicine and Spaulding Rehabilitation Hospital, USA.
Med Teach. 2013 May;35(5):e1149-56. doi: 10.3109/0142159X.2012.733459. Epub 2012 Nov 8.
There is a need for effective continuing medical education (CME) programs to increase healthcare providers' knowledge and skills in lifestyle medicine so that healthcare providers are better equipped to assist patients in adopting and maintaining healthier lifestyle behaviors.
To evaluate the impact of five live face-to-face CME programs in lifestyle medicine on providers' barriers, knowledge, confidence, and professional counseling behaviors.
200 participants completed researcher-generated surveys before and 90 days after each CME program. Paired t-tests measured significant changes for all outcome variables, and regression analyses assessed predictors of these changes.
Barriers that were targeted during the programs, i.e. lack of knowledge/skills, lack of materials, and perceived poor patient compliance showed highly significant improvement. Participants also reported significant changes in knowledge, confidence, and counseling behaviors in the areas of exercise and stress management. Some improvements occurred in areas that the CME programs did not target as much, i.e. nutrition, smoking, and weight management. The greatest predictor of change was the baseline level of scores. Those participants who could most benefit from change did show the largest improvements.
Live CME programs can be effective in educating healthcare providers about topics within the rapidly expanding field of lifestyle medicine.
需要有效的继续医学教育（CME）计划来提高医疗保健提供者在生活方式医学方面的知识和技能，使医疗保健提供者能够更好地帮助患者采用和维持更健康的生活方式行为。
评估五个现场面对面的生活方式医学 CME 计划对提供者的障碍、知识、信心和专业咨询行为的影响。
200 名参与者在每个 CME 计划之前和 90 天后完成了研究人员生成的调查。配对 t 检验测量了所有结果变量的显著变化，回归分析评估了这些变化的预测因素。
针对项目的障碍，即缺乏知识/技能、缺乏材料和感知患者的依从性差，显示出高度显著的改善。参与者还报告说，在运动和压力管理等领域的知识、信心和咨询行为方面发生了显著变化。一些改进出现在 CME 计划没有那么关注的领域，即营养、吸烟和体重管理。变化的最大预测因素是基线分数水平。那些最需要改变的参与者确实显示出了最大的改善。
现场 CME 计划可以有效地教育医疗保健提供者了解生活方式医学这一快速发展领域的主题。
