Knudson M, Hosokawa M
Department of Family and Community Medicine, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina.
J Med Educ. 1988 Apr;63(4):309-15. doi: 10.1097/00001888-198804000-00007.
Preventive health practices known to benefit the general public include aerobic exercise, seat belt use, and self-examination for breast or testicular cancer. Unfortunately, none of these practices is universally promoted by physicians, nor are they widely practiced by patients. To assess whether residents who received a packet of printed material on these four health-related practices and had a 5- to 15-minute review of the material with a physician and an educator would increase their promotion of these healthful behaviors, a controlled trial was conducted at the University of Missouri--Columbia Hospitals and Clinics. When baseline differences in the behavior between the intervention and control groups of residents were controlled statistically, there was no significant difference in the amount of health promotion done by the two groups after the educational intervention. An educational intervention may not be an effective way to increase residents' promotion of healthful activities. These results raise questions about the methods used in some previously published studies that suggested favorable effects of education on physicians' behavior.
已知对公众有益的预防性健康措施包括有氧运动、系安全带以及乳腺癌或睾丸癌的自我检查。不幸的是，这些措施没有一项得到医生的普遍推广，患者也没有广泛践行。为了评估那些收到一包关于这四种与健康相关措施的印刷材料，并与医生和教育工作者对材料进行5至15分钟回顾的居民是否会更多地推广这些健康行为，在密苏里大学哥伦比亚分校医院及诊所进行了一项对照试验。当对干预组和对照组居民之间行为的基线差异进行统计学控制时，教育干预后两组在健康促进量方面没有显著差异。教育干预可能不是增加居民对健康活动推广的有效方式。这些结果对一些先前发表的研究中所使用的方法提出了质疑，这些研究表明教育对医生行为有积极影响。
