Internal Medicine Residents’ Comfort with and Frequency of Providing Dietary Counseling to Diabetic Patients
Open Access
- 18 August 2009
- journal article
- research article
- Published by Springer Nature in Journal of General Internal Medicine
- Vol. 24 (10), 1140-1143
- https://doi.org/10.1007/s11606-009-1084-8
Abstract
Resident physicians' preparedness to provide dietary counseling for the rising number of diabetic patients is unclear. To assess the comfort with, frequency of, and perceived effectiveness of diabetic dietary counseling by internal medicine (IM) residents. Cross-sectional survey. One hundred eleven IM residents at a single academic institution. Survey response rate was 94%. Fewer residents (56%) were comfortable with diabetic dietary counseling compared with counseling on symptoms of hypo/hyperglycemia (90%, p < 0.001). Residents less frequently provided diabetic dietary counseling (63%), compared with counseling for medication adherence (87%, p < 0.001). The 28% of residents reporting prior education with chronic disease self-management were more comfortable with diabetic dietary counseling (OR 3.2, 95% CI 1.4-7.3, p = 0.006), and reported counseling more frequently, although this difference was not statistically significant (OR 1.8, 95% CI 0.86-3.8, p = 0.12). More frequent counseling was reported by those residents who were more comfortable (OR 1.5, 95% CI 1.0-2.2, p = 0.03) or felt more effective (OR 3.6, 95% CI 2.1-6.1, p < 0.001) with their diabetic dietary counseling. Overall, IM residents reported low levels of comfort with and frequency of diabetic dietary counseling. However, residents who were more comfortable or who felt more effective with their dietary counseling counseled more frequently.Keywords
This publication has 19 references indexed in Scilit:
- National Prevalence of Lifestyle Counseling or Referral Among African-Americans and Whites with DiabetesJournal of General Internal Medicine, 2008
- Reduction in Weight and Cardiovascular Disease Risk Factors in Individuals With Type 2 DiabetesDiabetes Care, 2007
- Nutrition Recommendations and Interventions for DiabetesDiabetes Care, 2007
- Physician Advice About Being Overweight: Association With Self-Reported Weight Loss, Dietary, and Physical Activity Behaviors of US Adolescents in the National Health and Nutrition Examination Survey, 1999–2002Pediatrics, 2007
- A validated tool for gaining insight into clinicians' preventive medicine behaviors and beliefs: The preventive medicine attitudes and activities questionnaire (PMAAQ)Preventive Medicine, 2006
- Prevalence of Diabetes and Impaired Fasting Glucose in Adults in the U.S. PopulationDiabetes Care, 2006
- Lifestyle Modification to Improve Blood Pressure Control in Individuals With DiabetesDiabetes Care, 2003
- Physician Advice, Patient Actions, and Health-Related Quality of Life in Secondary Prevention of Stroke Through Diet and ExerciseStroke, 2002
- Barriers to Providing Nutrition Counseling by Physicians: A Survey of Primary Care PractitionersPreventive Medicine, 1995
- Cancer screening by primary care physicians: a comparison of rates obtained from physician self-report, patient survey, and chart audit.American Journal of Public Health, 1995