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将运动咨询纳入医学院课程:一种基于工作坊的行为改变技术方法。

Integrating Exercise Counseling Into the Medical School Curriculum: A Workshop-Based Approach Using Behavior Change Techniques.

作者信息

Brennan Andrea M, D'Urzo Katrina A, Fenuta Alyssa M, Houlden Robyn L, Tomasone Jennifer R

机构信息

School of Kinesiology and Health Studies, Queen's University, Kingston, Ontario, Canada (AMB, KAD, AMF, JRT).

Division of Endocrinology, Queen's University, Kingston, Ontario, Canada (RLH).

出版信息

Am J Lifestyle Med. 2017 Jul 31;15(1):84-107. doi: 10.1177/1559827617722754. eCollection 2021 Jan-Feb.

Abstract

Physician physical activity (PA) counseling remains low due partly to lack of knowledge, emphasizing the importance of providing learning opportunities to develop competency, given the strong associations between PA and health. This study aimed to describe the behavior change techniques (BCTs) used in an "Exercise Expo" workshop and examine the workshop's effectiveness for improving social cognitions to discuss exercise with patients. Second-year medical students (N = 54; M ± SD = 25.4 ± 2.95 years) completed questionnaires assessing attitudes, perceived behavior control (PBC), subjective norms, and intentions to provide PA counseling pre- and postworkshop. Repeated-measures analyses of variance evaluated changes in these theory of planned behavior constructs. The most used BCTs included presenting information from credible sources, with opportunities for practicing the behavior and receiving feedback. Significant increases in attitudes, PBC and intentions to discuss PA were observed from pre-post Exercise Expo ( ≤ .01). No statistically significant differences in subjective norms were observed ( = .06). The Exercise Expo significantly improved social cognitions for PA counseling among medical students. Future interventions should target improvements in subjective norms to increase the likelihood the workshop improves PA counseling behavior. The evidence supports the usefulness of a workshop-based educational strategy to enhance medical students' social cognitions for PA counseling.

摘要

由于缺乏相关知识,医生对身体活动(PA)的咨询水平仍然较低。鉴于PA与健康之间的紧密联系,提供学习机会以培养能力显得尤为重要。本研究旨在描述在“运动博览会”工作坊中使用的行为改变技术(BCTs),并检验该工作坊在改善与患者讨论运动的社会认知方面的有效性。二年级医学生(N = 54;M ± SD = 25.4 ± 2.95岁)在工作坊前后完成了问卷调查,评估他们对提供PA咨询的态度、感知行为控制(PBC)、主观规范和意图。重复测量方差分析评估了计划行为理论结构中的这些变化。最常用的BCTs包括提供来自可靠来源的信息,以及提供行为练习和接受反馈的机会。从运动博览会前到会后,观察到在讨论PA的态度、PBC和意图方面有显著增加(≤.01)。在主观规范方面未观察到统计学上的显著差异(=.06)。运动博览会显著改善了医学生对PA咨询的社会认知。未来的干预措施应针对改善主观规范,以增加工作坊改善PA咨询行为的可能性。证据支持基于工作坊的教育策略在增强医学生对PA咨询的社会认知方面的有用性。

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