scholarly journals Training chiropractic students in weight management counseling using standardized patients

2017 ◽  
Vol 32 (1) ◽  
pp. 23-31
Author(s):  
Cheryl Hawk ◽  
Michael Ramcharan ◽  
Carla LeRiche Kruger
Keyword(s):  
Weight Management ◽  
Transtheoretical Model ◽  
Numerical Data ◽  
Standardized Patients ◽  
Descriptive Study ◽  
Low Back ◽  
Management Platform ◽  
Weight Management Counseling ◽  
Chiropractic Students ◽  
Future Practice

Objective: The aim of this study was to describe and assess an activity that trained chiropractic students to counsel patients on weight management through the use of standardized patients. Methods: This was a descriptive study using mixed methods. Students were trained to apply health behavior theory and the transtheoretical model. Standardized patients were given a case to portray with the students. Students had 15 minutes for the encounter. The encounters were assessed in 2 ways: (1) standardized patients answered a brief questionnaire about the students' performance, and (2) students answered a questionnaire about the utility of the intervention. Numerical data were extracted from the audiovisual management platform, and statistics were computed for each question. Comments made by students and patients were transferred verbatim for content analysis. Results: A total of 102 students took part in the activity. Students' performance in the encounter was uniformly high, with over 90% “yes” responses to all questions except “gave me printed information material” and “discussed the printed material with me.” The key issue identified in the comments by standardized patients was that students tended not to connect weight management with their chief complaint (low back pain). Nearly all students (97%) thought the activity would be useful to their future practice, and 97% felt it had increased their confidence in providing weight management counseling. Conclusion: This experiential activity was assessed to be useful to students' future practice and appeared to provide them with skills to successfully communicate with patients on weight management.

scholarly journals Feasibility of using a standardized patient encounter for training chiropractic students in tobacco cessation counseling

2013 ◽  
Vol 27 (2) ◽  
pp. 135-140 ◽  
Author(s):  
Cheryl Hawk ◽  
Martha A. Kaeser ◽  
David V. Beavers
Keyword(s):  
Tobacco Cessation ◽  
Positive Response ◽  
Standardized Patients ◽  
Descriptive Statistics ◽  
Patient Encounter ◽  
Chiropractic Education ◽  
Strongly Agree ◽  
Chiropractic Students ◽  
Future Practice

Objective Although tobacco cessation training is included in many health profession programs, it is not yet routinely incorporated into chiropractic education. The purpose of this study was to assess the feasibility of incorporating a problem-based learning tobacco cessation activity into a lecture course for chiropractic students. Methods Seventy-two students were assigned to participate in two 1-hour lectures on health promotion counseling and tobacco cessation followed by an experiential student-driven lab session using standardized patients at various stages of dependency and willingness to quit. The intervention was based on the transtheoretic model and the “5 A's” of counseling (ask, advise, assess, assist, arrange). Outcomes were assessed via (1) questionnaires completed by the standardized patients regarding the students' use of the 5A's, and (2) questionnaires completed by the students using a 5-point Likert scale of “strongly disagree” to “strongly agree” on the acceptability of this method of learning. Descriptive statistics were computed. Results Sixty-eight students (94%) completed the activity, spending a median of 2.5 minutes with patients. Over 90% addressed 4 of the 5A's: 99% asked patients if they were smokers; 97% advised them to quit; 90% assessed if they were willing to quit; and 99% offered assistance in quitting. Only 79% arranged a follow-up visit. Overall, students expressed a positive response to the experience; 81% said it increased their confidence in being able to advise patients, and 77% felt it would be valuable for use in their future practice. Conclusion This active learning exercise appeared to be a feasible way to introduce tobacco counseling into the curriculum.

scholarly journals Teaching Medical Students to Help Patients Manage Their Weight: Outcomes of an Eight-School Randomized Controlled Trial

2021 ◽  
Author(s):  
Judith K. Ockene ◽  
Lori Pbert ◽  
Sybil Crawford ◽  
Christine F. Frisard ◽  
Jyothi A. Pendharkar ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Medical Students ◽  
Weight Management ◽  
Management Education ◽  
Controlled Trial ◽  
Health Behavior Change ◽  
Medical Schools ◽  
Randomized Controlled ◽  
Weight Management Counseling ◽  
Overweight Or Obesity

ABSTRACT BACKGROUND Given the rising rates of obesity there is a pressing need for medical schools to better prepare students for intervening with patients who have overweight or obesity and for prevention efforts. OBJECTIVE To assess the effect of a multi-modal weight management curriculum on counseling skills for health behavior change. DESIGN A pair-matched, group-randomized controlled trial (2015-2020) included students enrolled in eight U.S. medical schools randomized to receive either multi-modal weight management education (MME) or traditional weight management education (TE). SETTING/PARTICIPANTS Students from the class of 2020 (N=1305) were asked to participate in an objective structured clinical examination (OSCE) focused on weight management counseling and complete pre and post surveys. A total of 70.1% of eligible students (N=915) completed the OSCE and 69.3% (N=904) completed both surveys. INTERVENTIONS: The MME implemented over three years included a web-based course, a role-play classroom exercise, a web-patient encounter with feedback, and an enhanced clerkship experience with preceptors trained in weight management counseling (WMC). Counseling focused on the 5As (Ask, Advise, Assess, Assist, Arrange) and patient-centeredness. MEASUREMENTS The outcome was student 5As WMC skills assessed using an objective measure, an OSCE, scored using a behavior checklist, and a subjective measure, student self-reported skills for performing the 5As. RESULTS Among MME students who completed two of three WMC components compared to those who completed none, exposure was significantly associated with higher OSCE scores and self-reported 5A skills. LIMITATIONS Variability in medical schools requiring participation in the WMC curriculum. CONCLUSIONS This trial revealed that medical students struggle with delivering weight management counseling to their patients who have overweight or obesity. Medical schools, though restrained in adding curricula, should incorporate should incorporate multiple WMC curricula components early in medical student education to provide knowledge and build confidence for supporting patients in developing individualized plans for weight management. NIH Trial Registry Number R01-194787

scholarly journals The Transtheoretical Model in Weight Management: Validation of the Processes of Change Questionnaire

Obesity Facts ◽  
2011 ◽  
Vol 4 (6) ◽  
pp. 433-442 ◽  
Author(s):  
Ana Andrés ◽  
Carmina Saldaña ◽  
Juana Gómez-Benito
Keyword(s):  
Weight Management ◽  
Transtheoretical Model ◽  
Processes Of Change

scholarly journals Students’ Report of Preceptor Weight Management Counseling at Eight U.S. Medical Schools

2018 ◽  
Vol 55 (5) ◽  
pp. e139-e145 ◽  
Author(s):  
Alan C. Geller ◽  
Judith K. Ockene ◽  
Mukti Kulkarni ◽  
Linda C. Churchill ◽  
Christine F. Frisard ◽  
...  
Keyword(s):  
Weight Management ◽  
Medical Schools ◽  
Weight Management Counseling

scholarly journals The incidence of work-related low back pain among currently practicing physiotherapists in Bloemfontein

2007 ◽  
Vol 63 (1) ◽  
Author(s):  
R. Barnes ◽  
J. Birch ◽  
M. M. Cloete ◽  
L. Joubert ◽  
A. C. Usher ◽  
...  
Keyword(s):  
Risk Factors ◽  
Low Back Pain ◽  
Back Pain ◽  
Confidence Interval ◽  
Descriptive Study ◽  
Job Design ◽  
Physical Activities ◽  
Low Back ◽  
Physiotherapy Practice ◽  
Work Related

Physiotherapy practice involves the performance of strenuous physical activities related to the delivery of patient rehabilitation.  No evidence of studies relating to physiotherapy work-related low back pain (WRLBP) in South Africa could be found.  The aims of this study were to retrospectively investigate the incidence of work related low back pain among currently practicing physiotherapists in Bloemfontein, to determine the contributing risk factors, and to determine the responses of the physiotherapists to injury. Eighty four physiotherapists participated in this descriptive study. The results indicated that 67% of respondents had experienced work related low back pain and the 95% confidence interval for the incidence of WRLBP among physiotherapists in Bloemfontein is [56.8%; 76.6%].  Therapists performing cardio-thoracic related tasks had the most significant confidence interval of WRLBP [2.2%; 35.1%]. Fifty eight percent of respondents who had WRLBP reported that their symptoms were exacerbated by clinical practice.  The results of the study suggest that it is the nature of the job design which predisposes physiotherapists to injury and not a lack of kinetic handling knowledge. Further research is needed to develop methods to reduce the risks of WRLBP which are inherently part of physio-therapy practice.

Development of a six-factor questionnaire for use in weight management counseling

2016 ◽  
Vol 99 (12) ◽  
pp. 2018-2025 ◽  
Author(s):  
Robert F. Kushner ◽  
Seung W. Choi ◽  
James L. Burns
Keyword(s):  
Weight Management ◽  
Weight Management Counseling

scholarly journals Transtheoretical Model-based multiple behavior intervention for weight management: Effectiveness on a population basis

2008 ◽  
Vol 46 (3) ◽  
pp. 238-246 ◽  
Author(s):  
Sara S. Johnson ◽  
Andrea L. Paiva ◽  
Carol O. Cummins ◽  
Janet L. Johnson ◽  
Sharon J. Dyment ◽  
...  
Keyword(s):  
Weight Management ◽  
Transtheoretical Model ◽  
Behavior Intervention ◽  
Management Effectiveness ◽  
Model Based
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