Ames Meghan L, Staffier Kara Livingston, Kees Alexandra, Freeman Kelly, Shetty Paulina, Gittelsohn Joel, Karlsen Micaela C
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA (MLA, JG).
American College of Lifestyle Medicine, Chesterfield, MO, USA (KLS, AK, KF, PS, MCK).
Am J Lifestyle Med. 2024 Nov 5:15598276241279523. doi: 10.1177/15598276241279523.
Despite growing evidence linking lifestyle changes to disease reversal, lifestyle medicine (LM) is not widely practiced. Lack of clinician training and knowledge is cited as a barrier to LM adoption. This study measures changes in LM knowledge, attitudes, confidence, and practice behaviors following completion of a 5.5-h, asynchronous, online continuing medical education (CME) course. Participants completed a pre- and post-course survey. A repeated-measures linear model tested changes in knowledge, confidence, interest, experience, and practice of LM, after adjusting for age, gender, race, ethnicity, clinical degree/licensure, and presence of a health system value-based care model. Surveys from n = 2954 course participants were analyzed. Overall, statistically significant improvements were observed in self-reported knowledge (+.47 of points) and confidence (+.53 of points) of LM. Participants across the sample reported greater frequency (+.08 of 5 points) and reach (+.10 of 5 points) of LM with their patients (p<.0001 for both). This study demonstrated that a brief, scalable, online CME course can improve LM knowledge, confidence, attitudes, and practice. Future research should examine long-term practice changes as well as differences in outcomes across types of healthcare professionals.
尽管越来越多的证据表明生活方式的改变与疾病逆转有关，但生活方式医学（LM）并未得到广泛应用。缺乏临床医生培训和知识被认为是采用LM的障碍。本研究测量了在完成一门5.5小时的异步在线继续医学教育（CME）课程后，LM知识、态度、信心和实践行为的变化。参与者完成了课程前后的调查。在调整年龄、性别、种族、民族、临床学位/执照以及是否存在基于健康系统价值的护理模式后，采用重复测量线性模型测试LM知识、信心、兴趣、经验和实践的变化。分析了n = 2954名课程参与者的调查结果。总体而言，自我报告的LM知识（增加0.47分）和信心（增加0.53分）有统计学意义的显著改善。样本中的参与者报告说，他们与患者进行LM的频率（5分制增加0.08分）和覆盖范围（5分制增加0.10分）更高（两者p<0.0001）。本研究表明，一个简短、可扩展的在线CME课程可以提高LM知识、信心、态度和实践。未来的研究应该考察长期的实践变化以及不同类型医疗保健专业人员的结果差异。
