Evidence map›Paper›PMID 32917149›Full record

ArticleBMC family practice2020

A nationwide assessment of lifestyle medicine counseling: knowledge, attitudes, and confidence of Israeli senior family medicine residents.

Lilach Malatskey, Yael Bar Zeev, Rani Polak, Adva Tzuk-Onn, Erica Frank

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In one paragraph

Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Lifestyle Medicine in Medical Education: Maximizing Impact.Mayo Clinic proceedings. Innovations, quality & outcomes · 2024
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lilach MalatskeyIsraeli Society of Lifestyle Medicine, Israeli Association of Family Physicians, Tel Aviv, Israel. Lilach.Malatskey@gmail.com.ORCID 0000-0001-9852-5718
Yael Bar ZeevBraun School of Public Health and Community Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Rani PolakDepartment of Physical Medicine & Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Boston, MA, USA.
Adva Tzuk-OnnIsraeli Society of Lifestyle Medicine, Israeli Association of Family Physicians, Tel Aviv, Israel.
Erica FrankNextGenU.org, Nanoose Bay, British Columbia, Canada and Clear Lake, Washington, USA.

Funding

Erica Frank's time funded by the Canada Research Chair program. Efforts supported by the Canada Research Chair in Preventive Medicine and Population Healththe Israeli Association of Family Physicians Supported the research assistants and statistician time,
6 · The paper itself

Abstract

backgroundNon-communicable diseases are the leading causes of death, largely due to the last century's often-unhealthy lifestyles. Family medicine (FM) and other physicians can improve patients' lifestyle behaviors, yet FM residency programs in Israel and other countries do not uniformly deliver lifestyle medicine (LM) training. The readiness of FM residents to counsel on lifestyle issues is not known. The purpose of this study is to assess knowledge, attitudes, and confidence levels of senior Israeli FM residents regarding LM counseling, and to evaluate the influence of LM training and personal health behaviors on residents' LM knowledge, attitudes, and confidence.

methodsFrom May to June 2017, we surveyed all senior Israeli FM residents regarding their knowledge, attitudes, confidence, and personal health behaviors. We compared health behaviors, attitudes, and confidence in counselling between: 1) trained residents vs. untrained residents; 2) physically active residents vs. not physically active residents; 3) residents with a BMI < 25 vs. those with a BMI > 25; and 4) residents who eat a Mediterranean diet vs. those who do not.

resultsA total of 169 senior Israeli FM residents were surveyed, and 143 completed the survey, a response rate of 84.6%. Senior FM residents said they considered LM counseling to be an integral part of their role and an effective tool by which to improve a patient's health. Yet, their knowledge of LM and their confidence in delivering LM counseling are low. Compared with untrained residents (n = 84), LM-trained residents (n = 55) had higher knowledge scores (30.9% vs. 13.1%, p = 0.016) and were more confident in their ability to impact their patients' behaviors (53.7% vs. 34.5%, p = 0.004). Residents' positive personal health behaviors correlated with a higher level of confidence to provide LM counseling.

conclusionsFM physicians can play a key role in the management of patients with chronic diseases. Israeli FM residents consider counseling patients about a healthy lifestyle to be an integral part of their work, but do not feel well prepared to do so. Dedicated LM training and resident's personal health promotion may improve critically important levels of LM counseling and patient outcomes, and this training should therefore become a higher priority.

Indexed as

Family PracticeInternship and ResidencyCounselingHealth Knowledge, Attitudes, PracticeHumansLife StyleSurveys and QuestionnairesEducational programFamily medicineHealth behaviorLifestyle medicineLifestyle medicine courseResidents

Identifiers

PMID32917149
PMCPMC7488771

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.