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探索烹饪医学作为医学院营养教育的一种有前途的方法:范围综述。

Exploring culinary medicine as a promising method of nutritional education in medical school: a scoping review.

机构信息

Griffith University, Gold Coast, Australia.

University of Auckland, Auckland, New Zealand.

出版信息

BMC Med Educ. 2022 Jun 7;22(1):441. doi: 10.1186/s12909-022-03449-w.

Abstract

BACKGROUND

Dietary modifications are considered a first-line intervention for chronic disease management, yet graduating doctors still report not feeling competent to counsel patients on their diet. Research has focused on methods to address this shortfall in physician competency, including culinary medicine. Culinary medicine is an approach to education that involves hands-on food and cooking learning experiences to equip participants with tools for improving the nutrition behaviour and health of their future patients. Despite positive findings in the efficacy of these interventions, they differ markedly in approach and target, which therefore fails to provide adequate evidence that could serve to guide future culinary medicine interventions.

OBJECTIVE

A scoping review to synthesize the existing literature on culinary medicine interventions that are offered during medical training.

METHODS

Online databases were used to identify literature published prior to April 2022 that involve a hands-on culinary medicine component to nutrition and examine academic impact, feasibility and acceptability.

RESULTS

Twenty-four studies met the eligibility criteria. Despite promising gains in nutrition knowledge, confidence and high acceptability of the programs, large variations exist in delivery method, setting, and course content between programs. There is a lack of program cost reporting and long-term follow up of participants, inconsistent evidence for improved nutrition attitudes amongst participants, as well as geographically limited adoption of such programs.

CONCLUSIONS

The findings of this research demonstrate a clear increase in interest in the use of hands-on culinary medicine programs as educational tools, evidence of feasibility in implementation, and improved student nutritional knowledge, skill and counseling compared to a traditional didactic curriculum. The quality of culinary medicine research studies is increasing and the aims of research are narrowing to focus on how culinary medicine can positively impact medical education. The findings from this review will aid in legitimising culinary medicine as an effective delivery method of nutritional education in medical programs.

摘要

背景

饮食调整被认为是慢性病管理的一线干预措施,但毕业医生仍报告称,他们对指导患者饮食方面缺乏信心。为解决医生能力不足的问题,研究人员提出了多种方法,包括烹饪医学。烹饪医学是一种教育方法,通过实践食品和烹饪学习经验,使参与者掌握改善未来患者营养行为和健康的工具。尽管这些干预措施的效果得到了积极的证实,但它们在方法和目标上存在显著差异,因此无法提供足够的证据来指导未来的烹饪医学干预。

目的

对在医学培训中提供的烹饪医学干预措施的现有文献进行综合分析。

方法

使用在线数据库检索 2022 年 4 月前发表的涉及营养方面实践烹饪医学内容的文献,并对其学术影响、可行性和可接受性进行评估。

结果

符合纳入标准的研究共有 24 项。尽管这些项目在营养知识、信心和对项目的高接受度方面取得了显著的提高,但在课程内容、设置和交付方式上存在很大差异。项目成本报告和参与者的长期随访缺乏,参与者的营养态度改善情况证据不一致,以及此类项目在地理上的采用有限。

结论

本研究结果表明,人们对使用实践烹饪医学项目作为教育工具的兴趣明显增加,实施可行性得到证实,与传统的理论教学课程相比,学生的营养知识、技能和咨询能力得到了提高。烹饪医学研究的质量正在提高,研究目标也在缩小,重点关注烹饪医学如何对医学教育产生积极影响。本综述的结果将有助于使烹饪医学成为医学课程中营养教育的有效教学方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d490/9175378/e0834da349c9/12909_2022_3449_Fig1_HTML.jpg

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