Search

Objective: To investigate the nutrition education provided by primary-care physicians (PCP).Design: An integrative review was used to examine literature on nutrition care provided by PCP from 2012 to 2018. A literature search was conducted in MEDLINE, PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL) and Scopus using key search terms.Setting: USA, Netherlands, Germany, Denmark, UK, Lebanon, Australia and New Zealand.Participants: Primary-care physicians.Results: Sixteen qualitative and quantitative studies were analysed thematically using meta-synthesis informed by the COM-B model of behaviour (capability, motivation and opportunity), to understand the influences on PCP behaviours to provide nutrition care. PCP perceive that they lack nutrition capability. While PCP motivation to provide nutrition care differs based on patient characteristics and those of their own, opportunity is influenced by medical educators, mentors and policy generated by professional and governmental organisations.Conclusions: The development of PCP capability, motivation and opportunity to provide nutrition care should begin in undergraduate medical training, and continue into PCP training, to create synergy between these behaviours for PCP to become confident providing nutrition care as an integral component of disease prevention and management in contemporary medical practice. [ABSTRACT FROM AUTHOR]

ObjectiveGeneral practitioners (GP) are uniquely placed to guide their patients on nutrition and physical activity. The aims of the present study were to assess: (i) the extent to which GP guide on nutrition and physical activity; (ii) the determinants that cause GP to give guidance on nutrition and physical activity; and (iii) the extent to which these guidance practices have the same determinants.DesignCross-sectional study, mail questionnaire.SettingDutch general practice.SubjectsFour hundred and seventy-two GP in practice for 5–30 years.ResultsOur study showed that the majority of GP had similar practices for both nutrition and physical activity guidance. Fair associations were found between nutrition and physical activity guidance practices. More than half of the explained variance in the models of physical activity guidance practices was improved by the inclusion of nutrition guidance practices in the models. Moreover, GP reported higher frequencies of physical activity guidance practices than nutrition guidance practices. Nutrition guidance practices predicted the same physical activity guidance practices.ConclusionsThe majority of GP had similar practices for nutrition and physical activity guidance. GP were more inclined to guide their patients on physical activity than on nutrition. Self-efficacy was found to be a determinant in most models for guidance practices. Guidance practices proved to be a mix of prevention and treatment components. Consequently, we advise raising the self-efficacy of GP by training in medical school and in continuing medical education. We also recommend the combination of both nutrition and physical activity guidance in general practice. [ABSTRACT FROM AUTHOR]

Abstract: Objective: To explore the influence of a life event (pregnancy) on nutrition awareness and the motivations for nutrition behaviour. Study design: In-depth, face-to-face interviews with five groups of 12 women: women wishing to conceive a child, women in the first, second, and third trimesters of their first pregnancy, and women in the first trimester of their second pregnancy. As is common in qualitative research, participants were selected on the basis of diversity together with maximum representativeness within normal populations with respect to socio-demographic characteristics. Results: With respect to nutrition awareness, three groups of women can be distinguished: (1) those who are ‘going all the way’; these women try to live precisely by the book, (2) those who are ‘taking the flexible way’; these women are more aware of their nutrition, but are more flexible in handling it, and (3) women who ‘continue the same way’; these women have a no-nonsense mentality and do not experience essential shifts in their nutrition awareness. The extent and fluctuations in nutrition awareness throughout preconception and pregnancy are based on three types of motivations, the interest of (1) the child, (2) the mother, and (3) the social environment. Conclusions: This study provides indications that preconception and pregnancy could indeed be a life event leading to increased general nutrition awareness that might influence women''s future nutrition-related behaviours. [Copyright &y& Elsevier]

Abstract: Objective: The objectives of this study were to identify nutrition communication styles of Dutch GPs, their strategies regarding nutrition communication and nutrition information seeking behaviours. Another aim is to provide a hypothetical model for nutrition communication style, including psycho-social and socio-demographic variables. Methods: Nine focus groups with 81 GPs were used to obtain GPs’ perceptions of nutrition communication. Data were analysed with the computer software program NUD*IST. Results: Five nutrition communication styles were identified, namely informational, reference, motivational, confrontational and holistic style. Referring to a dietician, providing advice according to Dietary Guidelines, and offering written education materials were mentioned as strategies regarding nutrition communication. GPs sought nutrition information in scientific studies, specialist literature, and postgraduate training courses. Conclusion: The informational style of nutrition communication was dominant among Dutch GPs. GPs hardly provided maintenance advice for nutrition behaviour. Many GPs referred patients to dieticians, who were viewed as colleagues. GPs tried to get basic information about nutrition by scanning the literature, but they were seldom actively involved in seeking specific nutrition information. Although GPs felt that patients expect expert nutrition information, they perceived their nutrition knowledge as restricted. Practice implications: We advise to raise self-efficacy of GPs regarding nutrition communication and to build good collaboration with dieticians. [Copyright &y& Elsevier]

Studies the nutrition information seeking behavior of primary care physicians (PCPs) in Netherlands. PCPs' implementation of different strategies of nutrition guidance of patients; Determinants of nutrition information seeking behavior; Attitudes of primary care physicians about themselves receiving nutrition information.

Investigates the role of primary care physician in providing nutrition information to the public in Netherlands by using a random sample of Dutch consumers referral to 11 nutrition information sources (NIS). Response, characteristics and background of respondents; Perceived expertise of NIS; Factor analysis on NIS; Determinants of referral to NIS.

Background. Theory-based interventions on nutrition guidance practices of primary care physicians (PCPs) are thought to be more effective than those that do not use theory.Objective. To assess how often and which theoretical models of behaviour change are used in research on nutrition guidance practices of PCPs.Method. A review of articles published from 1995 to October 2008 (n = 111).Results. It was found that 45% of the articles in this review included theories or theoretical models of behaviour change. No difference in proportion of model use was found with time. Model use differed between type of study. In 29% of the articles, the Transtheoretical Model was used. Little was found on authors’ views on theoretical model applicability.Conclusions. Forty-five per cent of the articles on nutrition guidance practices of PCPs published from 1995 to October 2008 included theories or theoretical models of behaviour change. It would be beneficial for nutrition behaviour change research if more researchers use theoretical models and report on applicability of the selected theory, to increase effectiveness of nutrition guidance by PCPs. [ABSTRACT FROM PUBLISHER]

Objectives. To examine whether preconception and pregnancy could be an occasion triggering women's interest, search and need for both general and pregnancy-specific nutrition-related information, in order to: (i) provide a greater understanding of the life course perspective (in this case on nutrition behaviours and pregnancy) and (ii) to contribute to the rationale of nutrition interventions aimed at women of child-bearing age. [ABSTRACT FROM PUBLISHER]