Improving obesity management training in family medicine: multi-methods evaluation of the 5AsT-MD pilot course

Simple item page
dc.contributor.authorLuig, Thea
dc.contributor.authorWicklum, Sonja
dc.contributor.authorHeatherington, Melanie
dc.contributor.authorVu, Albert
dc.contributor.authorCameron, Erin
dc.contributor.authorKlein, Doug
dc.contributor.authorSharma, Arya M
dc.contributor.authorCampbell-Scherer, Denise L
dc.date.accessioned2020-01-12T01:02:16Z
dc.date.available2020-01-12T01:02:16Z
dc.date.issued2020-01-07
dc.date.updated2020-01-12T01:02:16Z
dc.description.abstractAbstract Background Quality, evidence-based obesity management training for family medicine residents is needed to better support patients. To address this gap, we developed a comprehensive course based on the 5As of Obesity Management™ (ASK, ASSESS, ADVISE, AGREE, ASSIST), a framework and suite of resources to improve residents’ knowledge and confidence in obesity counselling. This study assessed the course’s impact on residents’ attitudes, beliefs, and confidence with obesity counselling. Methods The course combines lectures with a bariatric empathy suit experience, standardized and in-clinic patient practice, and narrative reflections. Using a multi-methods design we measured changes in 42 residents’ attitudes, beliefs, and self-confidence and thematically analyzed the narrative reflections to understand residents’ experience with the course content and pedagogy. Results Following the course, residents reported improved attitudes towards people living with obesity and improved confidence for obesity counselling. Pre/post improvement in BAOP scores (n = 32) were significant (p < .001)., ATOP scores did not change significantly. Residents showed improvement in assessing root causes of weight gain (p < .01), advising patients on treatment options (p < .05), agreeing with patients on health outcomes (p < .05), assisting patients in addressing their barriers (p < .05), counseling patients on weight gain during pregnancy, (p < .05), counseling patients on depression and anxiety (p < .01), counseling patients on iatrogenic causes of weight gain (p < .01), counseling patients who have children with obesity (p < .05), and referring patients to interdisciplinary providers for care (p < .05). Qualitative analysis of narrative reflections illustrates that experiential learning was crucial in increasing residents’ ability to empathically engage with patients and to critically reflect on implications for their practice. Conclusion The 5AsT-MD course has the potential to increase residents’ confidence and competency in obesity prevention and management. Findings reflect the utility of the 5As to improve residents’ confidence and competency in obesity management counselling.
dc.identifier.citationBMC Medical Education. 2020 Jan 07;20(1):5
dc.identifier.doihttps://doi.org/10.1186/s12909-019-1908-0
dc.identifier.urihttp://hdl.handle.net/1880/111474
dc.identifier.urihttps://doi.org/10.11575/PRISM/44619
dc.language.rfc3066en
dc.rights.holderThe Author(s).
dc.titleImproving obesity management training in family medicine: multi-methods evaluation of the 5AsT-MD pilot course
dc.typeJournal Article
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
12909_2019_Article_1908.pdf
Size:
577.78 KB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
0 B
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Open Access Publications