Morton Kara F, Pantalos Diana C, Ziegler Craig, Patel Pradip D
Department of Undergraduate Medical Education, University of Louisville School of Medicine, Louisville, KY, USA, (KFM, CZ); Department of Pediatrics, University of Louisville School of Medicine, Louisville, KY, USA, (DCP. PDP).
Am J Lifestyle Med. 2021 Sep 1;16(3):318-333. doi: 10.1177/15598276211041551. eCollection 2022 May-Jun.
: To evaluate medical trainees' and patients' perceptions of the utility of a whole-foods, plant-based (WFPB) diet for chronic disease management. : A cross-sectional study using two original survey tools was implemented. Quantitative and qualitative data were collected from trainees and patients to evaluate perceived motivations and barriers to WFPB diet implementation. : Two hundred trainees and 52 patients responded to the surveys. Nearly half (48%) of patients were willing to try a WFPB diet, expressing a desire for additional information and help with its practical application. Over half (53%) of trainees were willing to recommend a WFPB diet to patients but expressed concern about its acceptability and feasibility. Patients perceived significantly more barriers related to personal enjoyment of animal products while trainees perceived more socioeconomic barriers. : Poor diet has been identified as the United States' leading risk factor for mortality from chronic diseases. Plant-predominant diets, such as a WFPB diet, are associated with improved health outcomes and may be an acceptable solution for many patients. WFPB dietary modification could be pursued with a motivational interviewing approach that targets patients' individual goals. Medical providers should address their own assumptions regarding the dietary changes their patients are willing to make.
评估医学实习生和患者对全食物、植物性(WFPB)饮食在慢性病管理中的效用的看法。
采用两项原始调查工具进行了一项横断面研究。从实习生和患者那里收集了定量和定性数据,以评估实施WFPB饮食的感知动机和障碍。
200名实习生和52名患者对调查做出了回应。近一半(48%)的患者愿意尝试WFPB饮食,表示希望获得更多信息并在实际应用中得到帮助。超过一半(53%)的实习生愿意向患者推荐WFPB饮食,但对其可接受性和可行性表示担忧。患者认为与个人对动物产品的喜好相关的障碍明显更多,而实习生则认为更多的是社会经济障碍。
不良饮食已被确定为美国慢性病死亡的主要风险因素。以植物为主的饮食,如WFPB饮食,与改善健康结果相关,可能是许多患者可以接受的解决方案。可以采用针对患者个人目标的动机性访谈方法来推行WFPB饮食调整。医疗服务提供者应该正视他们自己对患者愿意做出的饮食改变的假设。