Crowley Jennifer, Ball Lauren, Leveritt Michael D, Arroll Bruce, Han Dug Yeo, Wall Clare
Faculty of Medical and Health Sciences, The University of Auckland, PB 92019, Auckland 1142, New Zealand.
Griffith Health Institute, Centre for Health Practice Innovation, Griffith University, Gold Coast, Australia.
J Prim Health Care. 2014 Jun 1;6(2):101-7.
Doctors are increasingly involved in the management of chronic disease and counsel patients about their lifestyle behaviours, including nutrition, to improve their health outcomes.
This study aimed to assess the impact of a medical undergraduate course containing nutrition content on medical students' self-perceived nutrition intake and self-efficacy to improve their health behaviours and counselling practices.
A total of 239 medical students enrolled in a 12-week nutrition-related course at The University of Auckland were invited to complete an anonymous questionnaire before and after the course. The questionnaire was adapted from a previous evaluation of a preventive medicine and nutrition course at Harvard Medical School.
Sixty-one medical students completed both pre- and post-course questionnaires (25.5%). At baseline, medical students described their eating habits to be more healthy than non-medical students (p=0.0261). Post-course, medical students reported a higher frequency of whole-grain food intake (p=0.0229). Medical students also reported being less comfortable making nutrition recommendations to family and friends post-course (p=0.008). Most medical students (63.9%) perceived increased awareness of their own dietary choices, and some (15.3%) reported an increased likelihood to counsel patients on lifestyle behaviour post-course.
Students can increase awareness of their own nutrition behaviour after undertaking a course that includes nutrition in the initial phase of their medical degree. Further investigation of how medical students' confidence to provide nutrition advice evolves throughout their training and in future practice is required.
医生越来越多地参与慢性病管理，并就包括营养在内的生活方式行为向患者提供咨询，以改善他们的健康状况。
本研究旨在评估一门包含营养内容的医学本科课程对医学生自我感知的营养摄入以及改善健康行为和咨询实践的自我效能的影响。
奥克兰大学共有239名医学生参加了为期12周的营养相关课程，他们被邀请在课程前后完成一份匿名问卷。该问卷改编自之前对哈佛医学院预防医学和营养课程的评估。
61名医学生完成了课程前后的问卷（25.5%）。在基线时，医学生称他们的饮食习惯比非医学生更健康（p=0.0261）。课程结束后，医学生报告全谷物食物摄入频率更高（p=0.0229）。医学生还报告称，课程结束后向家人和朋友提供营养建议时感觉不那么自在了（p=0.008）。大多数医学生（63.9%）认为对自己饮食选择的认识有所提高，一些人（15.3%）报告称课程结束后更有可能就生活方式行为向患者提供咨询。
医学生在医学学位课程的初始阶段参加了包含营养内容的课程后，可以提高对自身营养行为的认识。需要进一步调查医学生在整个培训过程及未来实践中提供营养建议的信心是如何演变的。
