文章基本信息

标题：Exercise is medicine Canada workshop training improves physical activity practices of physicians across Canada, independent of initial confidence level
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作者：Myles William O'Brien ; Chris Shields ; Kara Solmundson 等
期刊名称：Canadian Medical Education Journal
电子版ISSN：1923-1202
出版年度：2020
卷号：11
期号：5
页码：5-15
DOI：10.36834/cmej.68376
出版社：Canadian Medical Education Journal
摘要：Background: Educational workshops help physicians (MDs) include physical activity and exercise (PAE) content in more patient appointments. It is unclear if MDs with varying degrees of confidence discussing PAE with their patients equally benefit from such training. We evaluated whether MDs’ initial confidence affects the impact of an educational PAE workshop. Methods: MDs (n = 63) across Canada completed self-reflection questionnaires initially and 3-months following a PAE workshop. MDs were divided into low-confidence [confidence score (out of 100%): <40%; n = 21], mediumconfidence (40-60%; n = 19) and high-confidence (>60%; n = 23). Results: PAE counselling confidence increased in all groups (relative increase: Low=~40%, Medium=~20%, High=~10%). Training increased the low-confidence group’s knowledge, awareness of guidance/resources and perception of their patients’ interest in lifestyle management (~30% change; all p < 0.001). Compared to baseline, a greater proportion (all p < 0.001) of MDs reported prescribing exercise at 3-month follow-up in each of the lowconfidence (10% to 62%) medium-confidence (16% to 89%) and high-confidence (57% to 87%) groups. Conclusion: PAE training favorably improved MDs’ confidence, perceived impact of many barriers and the proportion of MDs prescribing exercise, at each level of confidence. An educational workshop particularly assisted MDs with low-confidence (i.e., those who needed it the most) integrate PAE into their practice.