Impact of an educational intervention combining clinical obesity preceptorship with electronic networking tools on primary care professionals: a prospective study
Abstract Background Primary care providers’ (PCPs) attitude toward obesity is often negative, and their confidence level for helping patients manage their weight is low. Continuing professional development (CPD) on the subject of obesity is often based on a single activity using a traditional passiv...
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| Format: | Article |
| Language: | English |
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BMC
2020-10-01
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| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12909-020-02248-5 |
| _version_ | 1819006581009809408 |
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| author | Jean-Patrice Baillargeon Denise St-Cyr-Tribble Marianne Xhignesse Christine Brown André C. Carpentier Martin Fortin Andrew Grant Judith Simoneau-Roy Marie-France Langlois |
| author_facet | Jean-Patrice Baillargeon Denise St-Cyr-Tribble Marianne Xhignesse Christine Brown André C. Carpentier Martin Fortin Andrew Grant Judith Simoneau-Roy Marie-France Langlois |
| author_sort | Jean-Patrice Baillargeon |
| collection | DOAJ |
| description | Abstract Background Primary care providers’ (PCPs) attitude toward obesity is often negative, and their confidence level for helping patients manage their weight is low. Continuing professional development (CPD) on the subject of obesity is often based on a single activity using a traditional passive approach such as lectures known to have little effect on performance or patient outcomes. The aim of this study was to evaluate the impact of an educational intervention for obesity management on PCPs’ attitude, self-efficacy, practice changes and patient-related outcomes. Methods Prospective interventional study with 12 months follow-up. A two-day clinical obesity preceptorship was offered where participants were actively involved in competence building using real-life situations, in addition to electronic networking tools, including a discussion forum and interactive monthly webinars. Thirty-five participants (12 nurses and 23 physicians) from seven Family medicine groups were enrolled. Questionnaires were used to evaluate the impact on primary care nurses’ and physicians’ attitudes and self-efficacy for obesity management. Practice changes and patient outcomes were evaluated using clinical vignettes, de-identified electronic patient records and qualitative analyses from group interviews. Results Physicians’ general attitude towards patients with obesity was improved (61 ± 22 mm vs 85 ± 17 mm, p < 0.001). Self-efficacy for obesity management and lifestyle counselling were also improved immediately and 1 year after the intervention (all Ps < 0.05). De-identified patient records and clinical vignettes both showed improvement in recording of weight, waist circumference and evaluation of readiness to change lifestyle (all Ps < 0.05) that was confirmed by group interviews. Also, 15% of patients who were prospectively registered for weight management had lost more than 5% of their initial weight at the time of their last visit (P < 0.0001, median follow-up of 152 days). Conclusion A multimodal educational intervention for obesity management can improve PCPs’attitude and self-efficacy for obesity management and lifestyle counselling. This translates into beneficial practice changes and patient-related outcomes. Trial registration clinicaltrials.gov Identifier: NCT01385397 . Retrospectively registered, 28 June 2011. |
| first_indexed | 2024-12-21T00:10:57Z |
| format | Article |
| id | doaj.art-a1bdca517dd74bec9063d9d288307469 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-12-21T00:10:57Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-a1bdca517dd74bec9063d9d2883074692022-12-21T19:22:20ZengBMCBMC Medical Education1472-69202020-10-0120111110.1186/s12909-020-02248-5Impact of an educational intervention combining clinical obesity preceptorship with electronic networking tools on primary care professionals: a prospective studyJean-Patrice Baillargeon0Denise St-Cyr-Tribble1Marianne Xhignesse2Christine Brown3André C. Carpentier4Martin Fortin5Andrew Grant6Judith Simoneau-Roy7Marie-France Langlois8Division of Endocrinology, Department of Medicine, Université de SherbrookeNursing school, Université de SherbrookeDepartment of Family Medicine, Université de SherbrookeDivision of Endocrinology, Department of Medicine, Université de SherbrookeDivision of Endocrinology, Department of Medicine, Université de SherbrookeDepartment of Family Medicine, Université de SherbrookeDepartment of Biochemistry, Collaborative Research for Effective Diagnosis research unit, Université de SherbrookeDepartment of Pediatrics, Université de SherbrookeDivision of Endocrinology, Department of Medicine, Université de SherbrookeAbstract Background Primary care providers’ (PCPs) attitude toward obesity is often negative, and their confidence level for helping patients manage their weight is low. Continuing professional development (CPD) on the subject of obesity is often based on a single activity using a traditional passive approach such as lectures known to have little effect on performance or patient outcomes. The aim of this study was to evaluate the impact of an educational intervention for obesity management on PCPs’ attitude, self-efficacy, practice changes and patient-related outcomes. Methods Prospective interventional study with 12 months follow-up. A two-day clinical obesity preceptorship was offered where participants were actively involved in competence building using real-life situations, in addition to electronic networking tools, including a discussion forum and interactive monthly webinars. Thirty-five participants (12 nurses and 23 physicians) from seven Family medicine groups were enrolled. Questionnaires were used to evaluate the impact on primary care nurses’ and physicians’ attitudes and self-efficacy for obesity management. Practice changes and patient outcomes were evaluated using clinical vignettes, de-identified electronic patient records and qualitative analyses from group interviews. Results Physicians’ general attitude towards patients with obesity was improved (61 ± 22 mm vs 85 ± 17 mm, p < 0.001). Self-efficacy for obesity management and lifestyle counselling were also improved immediately and 1 year after the intervention (all Ps < 0.05). De-identified patient records and clinical vignettes both showed improvement in recording of weight, waist circumference and evaluation of readiness to change lifestyle (all Ps < 0.05) that was confirmed by group interviews. Also, 15% of patients who were prospectively registered for weight management had lost more than 5% of their initial weight at the time of their last visit (P < 0.0001, median follow-up of 152 days). Conclusion A multimodal educational intervention for obesity management can improve PCPs’attitude and self-efficacy for obesity management and lifestyle counselling. This translates into beneficial practice changes and patient-related outcomes. Trial registration clinicaltrials.gov Identifier: NCT01385397 . Retrospectively registered, 28 June 2011.http://link.springer.com/article/10.1186/s12909-020-02248-5Continuing professional developmentTeam learningCase-based learningOnline educationPreceptorshipPrimary care |
| spellingShingle | Jean-Patrice Baillargeon Denise St-Cyr-Tribble Marianne Xhignesse Christine Brown André C. Carpentier Martin Fortin Andrew Grant Judith Simoneau-Roy Marie-France Langlois Impact of an educational intervention combining clinical obesity preceptorship with electronic networking tools on primary care professionals: a prospective study BMC Medical Education Continuing professional development Team learning Case-based learning Online education Preceptorship Primary care |
| title | Impact of an educational intervention combining clinical obesity preceptorship with electronic networking tools on primary care professionals: a prospective study |
| title_full | Impact of an educational intervention combining clinical obesity preceptorship with electronic networking tools on primary care professionals: a prospective study |
| title_fullStr | Impact of an educational intervention combining clinical obesity preceptorship with electronic networking tools on primary care professionals: a prospective study |
| title_full_unstemmed | Impact of an educational intervention combining clinical obesity preceptorship with electronic networking tools on primary care professionals: a prospective study |
| title_short | Impact of an educational intervention combining clinical obesity preceptorship with electronic networking tools on primary care professionals: a prospective study |
| title_sort | impact of an educational intervention combining clinical obesity preceptorship with electronic networking tools on primary care professionals a prospective study |
| topic | Continuing professional development Team learning Case-based learning Online education Preceptorship Primary care |
| url | http://link.springer.com/article/10.1186/s12909-020-02248-5 |
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