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健康专业人员课程中的生活方式医学教育:系统评价与荟萃分析

Lifestyle Medicine Education in Health Professionals Curricula: A Systematic Review and Meta-Analysis.

作者信息

Ibrahim Sarah, Senff Jasper R, Sivakumar Janani, Ventresca Matthew, Coulson Judith, Singh Sanjula, Pikula Aleksandra

机构信息

Research Institute of the McGill University Health Centre (RI-MUHC), Montreal, Quebec (SI).

Program for Health System and Technology Evaluation, Toronto General Hospital Research Institute, Toronto, ON, Canada (SI).

出版信息

Am J Lifestyle Med. 2025 Jul 31:15598276251362806. doi: 10.1177/15598276251362806.

Abstract

Non-communicable diseases (NCDs) are the leading cause of mortality and morbidity worldwide. Underlying NCDs are modifiable risk factors, which may be targeted through Lifestyle Medicine (LM). LM is an evidence-based and clinical discipline that supports healthy lifestyle habits. Much of LM integration in practice is rooted in the education afforded within health professional's curricula. The study aimed to determine the effectiveness of LM educational interventions within health professional's curricula on knowledge, competence, self-efficacy/confidence and skills. A systematic review and meta-analysis were conducted with data analyzed using descriptive statistics and a Random Effect Meta-analysis. A total of 14 studies were included. Interventions centered around substance use, nutrition and physical activity with no studies obtained on the sleep health, stress management and social connectedness pillars. Interventions showed a positive impact on improving knowledge standardized mean difference (SMD): 0.71 (95% CI: 0.25-1.18), self-esteem/self-confidence SMD: 1.34 (95% CI: 0.61-2.07), and outcome practice SMD: 0.78 (95% CI 0.29-1.26). There was insufficient power to provide reliable estimates for the attitude outcome. Integrating LM educational interventions within health professional's curricula is promising and recommended to better equip trainees and future health care providers to support patients with the adoption of a healthy lifestyle.

摘要

非传染性疾病(NCDs)是全球死亡和发病的主要原因。非传染性疾病的潜在危险因素是可以改变的,可通过生活方式医学(LM)来针对这些因素。生活方式医学是一门基于证据的临床学科,支持健康的生活习惯。实践中生活方式医学的整合很大程度上源于卫生专业人员课程中提供的教育。该研究旨在确定卫生专业人员课程中的生活方式医学教育干预对知识、能力、自我效能感/信心和技能的有效性。进行了一项系统综述和荟萃分析,使用描述性统计和随机效应荟萃分析对数据进行分析。共纳入14项研究。干预措施围绕物质使用、营养和身体活动展开,未获得关于睡眠健康、压力管理和社会联系支柱方面的研究。干预措施对改善知识标准化均数差(SMD)有积极影响:0.71(95%置信区间:0.25 - 1.18),自尊/自信SMD:1.34(95%置信区间:0.61 - 2.07),以及结果实践SMD:0.78(95%置信区间0.29 - 1.26)。对于态度结果,没有足够的效力提供可靠估计。将生活方式医学教育干预整合到卫生专业人员课程中是有前景的,建议更好地装备学员和未来的医疗保健提供者,以支持患者采用健康的生活方式。

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