Evidence map›Paper›PMID 36211094›Full record

ArticleCureus2022

Nutrition Education, Understanding, and Counseling Practices Among Physiatrists: A Survey Study.

Jessica M Calandra, Frances S Shofer, Ariana M Chao, Randel L Swanson

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 25% of its field
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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Brain Injury: How Dietary Patterns Impact Long-Term Outcomes.Current physical medicine and rehabilitation reports · 2023
    Review
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

4 authors at 1 institution in 1 country.

Jessica M CalandraPhysical Medicine and Rehabilitation, MossRehab, Albert Einstein Healthcare Network, Elkins Park, USA.
Frances S ShoferEmergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA.
Ariana M ChaoBiobehavioral Health Sciences, University of Pennsylvania School of Nursing, Philadelphia, USA.
Randel L SwansonCenter for Neurotrauma, Neurodegeneration and Restoration, Cpl. Michael J. Crescenz VA Medical Center, Philadelphia, USA.
University of Pennsylvania · US

Funding

Neural response to food stimuli: fMRI changes following cognitive behavioral therapy for binge eating disorderK23NR017209 · NINR · UNIVERSITY OF PENNSYLVANIA · PI CHAO, ARIANA MARIE · 2018 to 2020
$520k
Traumatic and Treatable Vascular Pathology in the Outcome of TBIIK2RX003651 · VA · PHILADELPHIA VA MEDICAL CENTER · PI SWANSON, RANDEL L · 2022 to 2025
–
NINR NIH HHS K23 NR017209RRD VA IK2 RX003651
6 · The paper itself

Abstract

introductionNutritional counseling is relevant to physiatry practice. However, physiatrists' nutrition knowledge base and their frequency of incorporating nutritional education into routine clinical encounters are currently unknown. The objective of this study was to assess physiatrists' nutrition education, nutrition knowledge, willingness to implement nutrition counseling in clinical practice, and perceived barriers to providing nutritional counseling to patients, using an online survey. The hypothesis was that few physiatrists offer dietary counseling to their patients on a routine basis and that barriers likely include time constraints in a typical office visit, lack of provider confidence in providing dietary recommendations, and lack of provider reimbursement.

methodsThis study was a cross-sectional online survey that was distributed via email to a convenience sample of 179 resident, fellow, and attending physiatrists associated with two major academic institutions. The survey consisted of 26 questions regarding demographics, nutrition counseling practices and attitudes, basic nutrition knowledge, and perceived barriers to providing nutrition counseling.

resultsOf 59 participants, 78% reported receiving education in nutrition and/or behavioral counseling in medical school. In contrast, 39% of participants did not feel adequately trained to discuss nutrition and diet-related issues with patients. Barriers to providing nutritional counseling were time constraints (83%), socioeconomic factors outside of patients' control preventing them from adhering to a healthier diet (76%), and not having enough nutrition knowledge to do so appropriately (62%). Respondents (86%) either agreed or strongly agreed that additional training in nutrition would allow them to provide better clinical care in the prevention of progressive cardiovascular and neurovascular disease. Further, respondents (85%) either agreed or strongly agreed that they would be interested in a web-based continuing medical education training in nutrition behavioral counseling and evidence-based dietary recommendations.

conclusionsThe findings refuted the hypothesis that few physiatrists in the sample offer dietary counseling to their patients on a routine basis. Results demonstrated that many of them acknowledge its relevance and would be interested in further education on the subject. Physiatrists also appear to have perceived barriers to offering nutritional counseling, but some of them varied by the amount of medical experience. Based on these findings, this study demonstrated that it would be worthwhile to develop such a continuing medical education activity with a focus on populations commonly treated by physiatrists.

Indexed as

continuing educationmedical educationnutritionphysical and rehabilitation medicinepublic health

Identifiers

PMID36211094
PMCPMC9531699
OpenAlexW4294712667

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.