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与家庭谈论体重——帮助医疗保健专业人员开启对话:一项非随机对照试验。

Talking About Weight With Families-Helping Health Care Professionals Start the Conversation: A Nonrandomized Controlled Trial.

作者信息

Bernard-Genest Julie, Chu Lisa, Dettmer Elizabeth, Walsh Catharine M, McPherson Amy C, Strub Jonah, Steinberg Alissa, Steinegger Cathleen, Hamilton Jill K

机构信息

Centre Hospitalier universitaire de Québec, Université Laval, Québec City, Québec, Canada.

The Hospital for Sick Children, Toronto, Ontario, Canada.

出版信息

Clin Pediatr (Phila). 2020 Sep;59(9-10):910-917. doi: 10.1177/0009922820922844. Epub 2020 May 30.

Abstract

Health care professionals (HCPs) and trainees feel ill-equipped to discuss weight-related issues with children and their families. A whiteboard video for HCPs and trainees outlining strategies to communicate about weight was developed and evaluated. Seventy HCPs, including 15 trainees, participated in the baseline assessment and 39 repeated measures 4 to 6 months later. HCP self-efficacy for initiating conversations with overweight and underweight patients, measured immediately following the video, significantly improved from pre-video values ( = -5.6, ≤ .001, and Z= -3.3, = .001, respectively). Although improvements were not sustained 4 to 6 months later (overweight: = .143, and underweight: = .846), no significant decline was observed, suggesting retention of the skill. A majority of HCP respondents would recommend the video to a colleague and feel it will affect their practice. Thus, the present study suggests educational videos may be an effective tool for facilitating healthy weight-related conversations between HCPs and their pediatric patients.

摘要

医疗保健专业人员(HCPs)和实习生认为自己没有足够的能力与儿童及其家庭讨论与体重相关的问题。为此,开发并评估了一个面向HCPs和实习生的白板视频,该视频概述了关于体重沟通的策略。70名HCPs(包括15名实习生)参与了基线评估,4至6个月后有39人进行了重复测量。视频播放后立即测量的HCPs与超重和体重过轻患者展开对话的自我效能感,与视频播放前的值相比有显著提高(分别为 = -5.6, ≤ .001,以及Z = -3.3, = .001)。尽管4至6个月后改善效果未持续(超重: = .143,体重过轻: = .846),但未观察到显著下降,表明技能得以保留。大多数HCP受访者会向同事推荐该视频,并认为它会影响他们的实践。因此,本研究表明教育视频可能是促进HCPs与其儿科患者之间进行健康体重相关对话的有效工具。

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