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“我感觉它是我生活中某些变化的跳板”:对医学与健康科学专业学生生活方式医学教育经历的定性分析

'I Feel Like It Was a Springboard for Certain Changes in My Life': A Qualitative Analysis of Medicine and Health Sciences Students' Experiences of Lifestyle Medicine Education.

作者信息

Mellon Lisa, Downey Cheyenne, Corbett Niamh, Doherty Sally, Clarke Mary, Doyle Frank, Kelleher Caroline, O'Neill Aisling, Pertl Maria, Hickey Anne

机构信息

Department of Health Psychology, School of Population Health, RCSI University of Medicine and Health Sciences, Dublin, Ireland (LM, CD, NC, MC, FD, CK, AO, MP, AH).

Department of Health Psychology, RCSI Medical University of Bahrain, Adliya, Bahrain (SD).

出版信息

Am J Lifestyle Med. 2025 Sep 4:15598276251370313. doi: 10.1177/15598276251370313.

Abstract

Medical school and health professions education can be stressful for students, leading them to neglect their personal wellbeing and adopt unhealthy lifestyle behaviours. The RCSI Certificate in Lifestyle Medicine was developed to provide evidence-based knowledge on six pillars of lifestyle medicine, and outline strategies to help students adopt healthy lifestyle behaviours which they can apply to their personal and professional lives. The aim of this study was to examine student's perceptions of their lifestyle behaviours and preparation for clinical practice following course completion. Undergraduate and postgraduate medicine, pharmacy, physiotherapy, physician associates and research students enrolled in the online RCSI Certificate in Lifestyle Medicine between 2020 and 2022 voluntarily provided survey feedback via open-ended questions on the impact of the course on their own health behaviours and professional skills, and their satisfaction with course content, delivery, and methods of assessment. Findings were analysed using reflexive inductive thematic analysis. Data from 98 student evaluations were analysed. Eighty-one percent of students attempted to make a lifestyle change during course completion. Four themes were identified; (1) opportunity for self-reflection on own health behaviours; (2) planning a lifestyle medicine approach to clinical practice; (3) facilitation of self-directed learning; and (4) recommendations for enhanced delivery of educational content. Students recognised the importance of lifestyle medicine in their own lives and those of their patients. Lifestyle medicine education was perceived by students as a core component of medicine and health sciences curricula, and they recommended that training in lifestyle medicine should be mandatory in undergraduate curricula for students training to be healthcare professionals, such as medicine, physiotherapy, and pharmacy. Findings indicate that lifestyle medicine education had a positive impact on student knowledge of lifestyle behaviours and prompted them to make healthier changes to their existing habits. Students acknowledged the importance of treating chronic disease using a lifestyle medicine approach, and felt more confident in educating their future patients on strategies to enhance their personal health and wellbeing. Students identified that a more holistic approach to chronic disease management through lifestyle medicine education will assist them as future healthcare professionals.

摘要

医学院校和健康专业教育对学生来说可能压力重重,导致他们忽视自身健康,并养成不健康的生活方式行为。皇家外科医学院生活方式医学证书课程旨在提供关于生活方式医学六大支柱的循证知识,并概述帮助学生养成健康生活方式行为的策略,以便他们能应用于个人生活和职业生涯。本研究的目的是考察学生在课程结束后对自身生活方式行为的认知以及对临床实践的准备情况。2020年至2022年期间,注册参加皇家外科医学院在线生活方式医学证书课程的本科和研究生医学、药学、物理治疗、医师助理专业学生以及研究型学生,通过开放式问题自愿提供了关于该课程对其自身健康行为和专业技能的影响,以及对课程内容、授课方式和评估方法满意度的调查反馈。研究结果采用反思性归纳主题分析法进行分析。对98份学生评价数据进行了分析。81%的学生在课程学习期间尝试改变生活方式。确定了四个主题:(1)对自身健康行为进行自我反思的机会;(2)规划生活方式医学临床实践方法;(3)促进自主学习;(4)对加强教育内容授课的建议。学生们认识到生活方式医学在他们自己以及患者生活中的重要性。学生们认为生活方式医学教育是医学和健康科学课程的核心组成部分,他们建议在本科课程中,对于医学、物理治疗和药学等未来将成为医疗保健专业人员的学生,生活方式医学培训应成为必修课。研究结果表明,生活方式医学教育对学生关于生活方式行为的知识有积极影响,并促使他们对现有习惯做出更健康的改变。学生们认识到采用生活方式医学方法治疗慢性病的重要性,并且在向未来患者传授改善个人健康和幸福的策略方面更有信心。学生们认为,通过生活方式医学教育对慢性病管理采取更全面的方法将有助于他们未来成为医疗保健专业人员。

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