Reeves Liane, Meyer Rosan, Holloway Judith, Venter Carina
Community Nutrition & Dietetic Department, East Oxford Health Centre, Cowley Road, Oxford, OX4 1XD UK ; MSc Allergy, University of Southampton, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD UK.
Department of Gastroenterology, Great Ormond Street Hospital for Sick Children, London, WC1N 3JH UK.
Clin Transl Allergy. 2015 Feb 3;5(1):4. doi: 10.1186/s13601-015-0046-y. eCollection 2015.
Many food allergy guidelines have been published worldwide over recent years. The United Kingdom National Institute of Health and Clinical Excellence guidelines and The Royal College of Paediatrics and Child Health food allergy care pathways require dietitians to assist with the diagnosis and management of food allergies, which highlighted the need for further education of dietitians to meet these competencies. The aim of this study was to design a competence based one day education course for dietitians on the diagnosis and management of cow's milk protein allergy in infants and children.
A one day training course was developed. Dietitians' knowledge was assessed via multiple choice questions before and on the day of the course and retention of knowledge was assessed one month after the course. Pre course reading was given once the first assessment was completed.
Thirty seven dietitians attended the course and 32 completed all three assessments. A significant improvement in assessment scores was seen between the pre course and on the day assessments of 7.2% (p < 0.001) and between pre course and post course assessments of 8.9% (p < 0.001). In delegates who rated their perceived level of knowledge as high, a significant increase was seen between pre course and on the day and between pre course and post course (both p < 0.001). Actual increase in knowledge was seen alongside a significant increase in high rating of perceived level of confidence between pre course and on the day and between pre course and post course (both p < 0.001).
Educating dietitians using the format of one day teaching with pre and post course assessment has improved both knowledge and competencies in the diagnosis and management of cow's milk protein allergy. Further courses in other areas of food allergy could be developed using this approach within the UK and worldwide.
近年来，全球发布了许多食物过敏指南。英国国家卫生与临床优化研究所指南以及皇家儿科学会和儿童健康学会的食物过敏护理路径要求营养师协助诊断和管理食物过敏，这凸显了对营养师进行进一步教育以达到这些能力要求的必要性。本研究的目的是为营养师设计一个基于能力的为期一天的关于婴幼儿牛奶蛋白过敏诊断和管理的教育课程。
开发了一个为期一天的培训课程。通过多项选择题在课程开始前和当天评估营养师的知识，并在课程结束后一个月评估知识的保留情况。在第一次评估完成后提供课前阅读材料。
37名营养师参加了课程，32名完成了所有三项评估。课前评估与当天评估之间的评估分数有显著提高，提高了7.2%（p < 0.001），课前评估与课后评估之间提高了8.9%（p < 0.001）。在将自己感知的知识水平评为高的学员中，课前与当天以及课前与课后之间均有显著提高（均p < 0.001）。实际知识增加的同时，课前与当天以及课前与课后之间感知自信水平的高评分也显著增加（均p < 0.001）。
采用为期一天的教学形式并进行课前和课后评估来教育营养师，提高了他们在牛奶蛋白过敏诊断和管理方面的知识和能力。在英国及全球范围内，可以使用这种方法开发其他食物过敏领域的进一步课程。
