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Physician Knowledge, Attitudes, and ...

Manuel, Katherine M.

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Physician Knowledge, Attitudes, and Practices, in the Nutrition Care of Obese Patients.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Physician Knowledge, Attitudes, and Practices, in the Nutrition Care of Obese Patients./
Author:	Manuel, Katherine M.
Description:	120 p.
Notes:	Source: Dissertation Abstracts International, Volume: 72-09, Section: B, page: .
Contained By:	Dissertation Abstracts International72-09B.
Subject:	Health Sciences, Nutrition. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3460677
ISBN:	9781124728407

Physician Knowledge, Attitudes, and Practices, in the Nutrition Care of Obese Patients.
Manuel, Katherine M.

Physician Knowledge, Attitudes, and Practices, in the Nutrition Care of Obese Patients. - 120 p.

Source: Dissertation Abstracts International, Volume: 72-09, Section: B, page: .

Thesis (Ph.D.)--Howard University, 2011.

Several studies document that despite their important role in obesity treatment, physicians may not be equipped to adequately treat this disease. However the relationships among physician knowledge, attitudes, and specific practices have not been widely studied. The purpose of the study was to examine the roles of physician knowledge, attitudes and practices in the nutrition care of obese patients. Eleven percent of 2,363 questionnaires (including questions regarding knowledge of and attitudes toward obesity treatment, treatment practices, nutrition instruction, and perceived barriers to obesity treatment) mailed to primary care physicians in the Washington D.C metropolitan area were returned. Statistical procedures included Pearson's correlations, chi-square tests, analysis of variance and t-tests. Physicians were not very knowledgeable of medical nutrition therapy for obesity (average knowledge score=6.7+/-0.1out of a possible score of 13). Those who used recommended standards (BMI and waist circumference) for diagnosing obesity had higher knowledge scores (7.8 +/-0.5) than those who used no standard (5.5+/-0.3). Physician attitude was positively correlated with treatment practices (r=0.25, p= 0.003). Eighty-six percent of physicians received less than the recommended 25 hours of nutrition instruction in medical school, and those with adequate number of hours of nutrition education in medical school had a significantly higher mean practice score (60+/-0.9) than those with inadequate nutrition instruction (57+/-0.6). Physicians who participated in nutrition-related continuing medical education sessions had significantly higher knowledge (7.0 +/-0.2 vs. 6.5+/-0.2) and practice scores (58.4+/-.4 vs. 56.2+/-0.5). The majority of physicians (93%) indicated that one or more barriers presented a challenge to caring for the obese patient. Practice scores were significantly lower among physicians who indicated that the following factors presented barriers to treatment: 1) unfamiliarity with weight loss options (55.5+/-0.8 vs. 58.0+/-0.3), 2) inadequate knowledge regarding obesity treatment. (56.2+/-0.6 vs. 57.8+/-0.4), and 3) insufficient confidence in their treatment of obese patients (55.9+/-0.9 vs. 57.5+/-0.4). It was concluded that physicians in this sample are not adequately prepared to treat obesity. Strategies are needed to improve their obesity-related knowledge, attitudes and practices.

ISBN: 9781124728407Subjects--Topical Terms:

1017801
Health Sciences, Nutrition.

Physician Knowledge, Attitudes, and Practices, in the Nutrition Care of Obese Patients.
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245 1 0 $a Physician Knowledge, Attitudes, and Practices, in the Nutrition Care of Obese Patients.
300 $a 120 p.
500 $a Source: Dissertation Abstracts International, Volume: 72-09, Section: B, page: .
500 $a Adviser: Allan A. Johnson.
502 $a Thesis (Ph.D.)--Howard University, 2011.
520 $a Several studies document that despite their important role in obesity treatment, physicians may not be equipped to adequately treat this disease. However the relationships among physician knowledge, attitudes, and specific practices have not been widely studied. The purpose of the study was to examine the roles of physician knowledge, attitudes and practices in the nutrition care of obese patients. Eleven percent of 2,363 questionnaires (including questions regarding knowledge of and attitudes toward obesity treatment, treatment practices, nutrition instruction, and perceived barriers to obesity treatment) mailed to primary care physicians in the Washington D.C metropolitan area were returned. Statistical procedures included Pearson's correlations, chi-square tests, analysis of variance and t-tests. Physicians were not very knowledgeable of medical nutrition therapy for obesity (average knowledge score=6.7+/-0.1out of a possible score of 13). Those who used recommended standards (BMI and waist circumference) for diagnosing obesity had higher knowledge scores (7.8 +/-0.5) than those who used no standard (5.5+/-0.3). Physician attitude was positively correlated with treatment practices (r=0.25, p= 0.003). Eighty-six percent of physicians received less than the recommended 25 hours of nutrition instruction in medical school, and those with adequate number of hours of nutrition education in medical school had a significantly higher mean practice score (60+/-0.9) than those with inadequate nutrition instruction (57+/-0.6). Physicians who participated in nutrition-related continuing medical education sessions had significantly higher knowledge (7.0 +/-0.2 vs. 6.5+/-0.2) and practice scores (58.4+/-.4 vs. 56.2+/-0.5). The majority of physicians (93%) indicated that one or more barriers presented a challenge to caring for the obese patient. Practice scores were significantly lower among physicians who indicated that the following factors presented barriers to treatment: 1) unfamiliarity with weight loss options (55.5+/-0.8 vs. 58.0+/-0.3), 2) inadequate knowledge regarding obesity treatment. (56.2+/-0.6 vs. 57.8+/-0.4), and 3) insufficient confidence in their treatment of obese patients (55.9+/-0.9 vs. 57.5+/-0.4). It was concluded that physicians in this sample are not adequately prepared to treat obesity. Strategies are needed to improve their obesity-related knowledge, attitudes and practices.
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