Evaluation of a workshop to improve residents' patient-centred obesity counselling skills.

Academic Article

Abstract

  • BACKGROUND: Primary care physicians are being asked to counsel their patients on obesity and weight management. Few physicians conduct weight loss counselling citing barriers, among them a lack of training and confidence. Our objective was to pilot test the effectiveness of a 3-h interactive obesity-counselling workshop for resident physicians based on motivational interviewing (MI) techniques. DESIGN: This study used a pretest/post-test cross-sectional design. A convenience sample of resident physicians was invited to participate. Participating resident physicians completed a preintervention and postintervention questionnaire to assess their knowledge, beliefs and confidence in obesity counselling. MI techniques taught in the intervention were evaluated by audio recording interviews with a standardised patient (SP) pre intervention and post intervention. Audio recordings were transcribed and coded by two independent coders using a validated assessment tool. Paired t tests were used to assess preintervention and postintervention differences. RESULTS: Eight-six residents attended the workshop. At baseline, the majority (71%) felt that there is not enough time to counsel patients about obesity and only 24% felt that residency trained them to counsel. After the intervention, knowledge and confidence in counselling increased (p<0.001). Among the 55 residents with complete pre-post SP interview data, MI adherent statements increased from a mean of 2.88 to 5.42 while the MI non-adherent statements decreased from 6.73 to 2.33 (p<0.001). CONCLUSIONS: After a brief workshop to train physicians to counsel on obesity-related behaviours, residents improved their counselling skills and felt more confident on counselling patients. Future studies are needed to assess whether these gains are sustained over time.
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    Keywords

  • EDUCATION & TRAINING (see Medical Education & Training), INTERNAL MEDICINE, MEDICAL EDUCATION & TRAINING, PAEDIATRICS, Chronic Disease, Cross-Sectional Studies, Directive Counseling, Female, Health Knowledge, Attitudes, Practice, Humans, Internship and Residency, Male, Obesity, Patient-Centered Care, Physician-Patient Relations, Physicians, Pilot Projects, Program Evaluation
  • Digital Object Identifier (doi)

    Author List

  • Burton AM; Brezausek CM; Agne AA; Hankins SL; Willett LL; Cherrington AL
  • Start Page

  • 455
  • End Page

  • 459
  • Volume

  • 92
  • Issue

  • 1090