文章基本信息

标题：Brief intervention for obesity in primary care: how does student learning translate to the clinical context?
本地全文：下载
作者：Kathleen Leedham-Green ; Ann Wylie ; Aikaterini Ageridou 等
期刊名称：MedEdPublish
电子版ISSN：2312-7996
出版年度：2019
卷号：8
期号：1
页码：1-14
DOI：10.15694/mep.2019.000016.1
出版社：Association for Medical Education in Europe (AMEE)
摘要：There is an international call for more sustainable approaches to healthcare and for graduating doctors to develop the competencies to address the behavioural, psychological and social determinants of health. Obesity is a global challenge, and the case for preventative health is evident. There is growing evidence to support brief interventions for obesity in primary care. The feasibility and acceptability of teaching within classroom contexts have been demonstrated, however there are known barriers to adopting these approaches with patients. It is unclear how well classroom learning translates to the clinical context.329 final year medical students from Aristotle University of Thessaloniki attended training that had been developed through action research processes at King’s College London and adapted to the local context. Students conducted brief interventions with 3,177 overweight or obese patients across 136 primary healthcare facilities over three rotations. Their reflective learning essays were coded for content and thematically analysed to illuminate their experiences.Emergent themes include students’ insights into the drivers behind the obesity epidemic and psychosocial barriers to change; transformative experiences using patient-centred approaches to communication and behaviour change; progression in skills and attitudes to broaching obesity in clinical contexts; and insights into the factors that drive patient engagement. Their experiences indicate that facilitative approaches are acceptable to patients, and result in commitment to change where relevant to the patient’s agenda.
关键词：obesity; behaviour change; social determinants of health; health coaching; overweight; health promotion; primary care; nutrition; undergraduate medical education; family medicine; brief intervention; sustainable healthcare; risk factors; non-communicable disease