对加拿大现有和未来医疗专业人员肥胖教育干预措施的范围审查

Taniya S. Nagpal , Nicole Pearce , Sanjeev Sockalingam , Raed Hawa , Khushmol K. Dhaliwal , Dayna Lee-Baggley , Mohamed El-Hussein , Sarah Nutter , Helena Piccinini-Vallis , Michael Vallis , Liz Dennett , Mary Forhan , Stasia Hadjiyanakkis , Robert F. Kushner , Michelle McMillan , Sean Wharton , David Wiljer , Joseph Roshan Abraham
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引用次数: 0

摘要

肥胖是加拿大一种常见的慢性病。肥胖患者经常与医疗专业人员互动,医疗专业人员必须准备好提供循证和以人为本的护理选择。这项范围界定审查的目的是总结加拿大现有的针对当前和未来医学专业人员的肥胖教育干预措施,并确定未来的主要实践和研究方向。方法根据系统评价的首选报告项目和范围审查的Meta分析扩展进行范围审查。搜索策略使用Medline(通过PubMed)、Embase、Eric、CBCA、Proquest Education和Proquest Theses进行。纳入标准包括为目前的医学专业人员、医学本科生受训人员或在加拿大管理的居民提供肥胖教育干预。从纳入的研究中提取数据,以主题总结干预内容和评估的主要结果。确定了未来的研究和实践方向。结果8项研究符合入选标准。干预措施的实施方式各不相同,包括互动式面对面研讨会和研讨会、在线学习模块、网络研讨会和视频。评估的主要结果是对肥胖患者的态度、与肥胖相关的敏感讨论的自我效能感、评估肥胖的技能以及管理选择的提供。所有研究都报告了结果的改善。确定的未来方向是需要发展标准化的肥胖能力,以纳入医学教育项目,进一步研究将内容纳入现有课程的有效教学方法,以及需要更广泛地认识和评估肥胖教育资源的质量。结论尽管加拿大目前和未来的医学专业人员很少有针对肥胖的教育干预措施,但现有证据表明学习效果良好。这些发现倡导继续投资于肥胖医学培训和教育干预的发展。
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A scoping review of obesity education interventions for current and prospective medical professionals in Canada

Background

Obesity is a prevalent chronic disease in Canada. Individuals living with obesity frequently interact with medical professionals who must be prepared to provide evidence-based and person-centred care options. The purpose of this scoping review was to summarize existing educational interventions on obesity in Canada for current and prospective medical professionals and to identify key future directions for practice and research.

Methods

A scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. The search strategy was conducted using Medline (via PubMed), Embase, Eric, CBCA, Proquest Education, and Proquest Theses. The inclusion criteria included delivery of an educational intervention on obesity for current medical professionals, medical undergraduate trainees, or residents administered in Canada. Data were extracted from the included studies to thematically summarize the intervention content, and main outcomes assessed. Future directions for research and practice were identified.

Results

Eight studies met the inclusion criteria. The interventions ranged in terms of the mode of delivery, including interactive in-person workshops and seminars, online learning modules, webinars, and videos. The main outcomes assessed were attitudes towards patients living with obesity, self-efficacy for having sensitive obesity-related discussions, skills to assess obesity and provision of management options. All studies reported improvements in the outcomes. Future directions identified were the need to develop standardized obesity competencies for inclusion across medical education programs, further research on effective pedagogical approaches to integrating content into existing curricula and the need for broader awareness and assessment of the quality of obesity education resources.

Conclusion

Although there have been few obesity-specific educational interventions for current and prospective medical professionals in Canada, existing evidence shows positive learning outcomes. These findings advocate for continued investment in the development of obesity medical training and educational interventions.

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