Ring Melinda, Cheung Elaine, Mahadevan Rupa, Folkens Stephanie, Edens Neilé
1 Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
2 Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
J Altern Complement Med. 2019 Jan;25(1):61-72. doi: 10.1089/acm.2018.0313. Epub 2018 Sep 26.
The current investigation assessed the feasibility, acceptability, and efficacy of the Cooking Up Health (CUH) culinary medicine elective that was offered to medical students at Northwestern University's Feinberg School of Medicine. The elective included a combination of didactics, plant-based culinary sessions, and service learning, in which students translated nutrition and health connections to elementary school children in at-risk communities.
Nine medical students enrolled in cohort 1 and 12 in cohort 2. Students completed assessments before and after the course measuring confidence in nutrition and obesity counseling, attitudes toward nutrition counseling, personal dietary intake, and cooking confidence and behaviors.
The elective showed high feasibility and acceptability with strong class attendance (96%-99%) and retention (89%-100%). Over the course of the elective, students across both cohorts showed increased confidence in nutrition and obesity counseling (ps < 0.001), cooking abilities (ps < 0.01), and food preparation practices (ps < 0.04). Cohort 1 reported decreased meat consumption (p = 0.045), and cohort 2 showed increased fruit and vegetable intake (p = 0.04). Finally, cohort 2 showed increased knowledge and confidence regarding consuming a plant-based diet (ps < 0.002). Students reported an increased appreciation for the role of nutrition in health promotion and disease prevention and an intention to incorporate nutrition into patient care.
This study provided preliminary evidence demonstrating feasibility, acceptability, and efficacy of the CUH culinary medicine elective for increasing medical students' confidence in nutrition and obesity counseling of patients and in their ability to use nutrition and cooking for personal self-care. Ultimately, this program of research may provide evidence to support widespread integration of CUH into medical education and has the potential to prepare medical students to properly advise patients on nutrition to combat the rising rates of obesity, diabetes, and preventable diseases related to nutrition.
本次调查评估了“烹饪健康”(CUH)烹饪医学选修课在西北大学费恩伯格医学院向医学生提供的可行性、可接受性和有效性。该选修课包括理论教学、植物性烹饪课程和服务学习的组合,学生们在服务学习中向处于危险社区的小学生讲解营养与健康的联系。
第1组有9名医学生报名,第2组有12名。学生们在课程前后完成了评估,测量他们在营养和肥胖咨询方面的信心、对营养咨询的态度、个人饮食摄入量以及烹饪信心和行为。
该选修课显示出很高的可行性和可接受性,课堂出勤率很高(96%-99%),留存率也很高(89%-100%)。在选修课过程中,两组学生在营养和肥胖咨询方面的信心(p值<0.001)、烹饪能力(p值<0.01)和食物准备实践方面(p值<0.04)都有所提高。第1组报告肉类消费量减少(p = 0.045),第2组显示水果和蔬菜摄入量增加(p = 0.04)。最后,第2组在食用植物性饮食方面的知识和信心有所增加(p值<0.002)。学生们报告说,他们对营养在健康促进和疾病预防中的作用有了更高的认识,并打算将营养纳入患者护理中。
本研究提供了初步证据,证明CUH烹饪医学选修课在提高医学生对患者营养和肥胖咨询的信心以及利用营养和烹饪进行个人自我护理的能力方面具有可行性、可接受性和有效性。最终,该研究项目可能为支持将CUH广泛纳入医学教育提供证据,并有可能使医学生有能力就营养问题为患者提供适当建议,以应对肥胖、糖尿病以及与营养相关的可预防疾病发病率不断上升的问题。