Chronic Disease
Conditions
Keywords
Medical Education, Nutrition Counseling, Technology
Brief summary
Investigators will conduct a randomized controlled evaluation of standard nutrition education vs. standard education + Nutri, and interactive clinical software that automates diet assessment and guides resident physicians through personalized and evidence-based diet counseling. Investigators will evaluate differences in resident-reported diet counseling competence and self-efficacy using survey measures. Investigators will evaluate skills using a simulated patient appointment and coding scheme described in prior work.
Interventions
BEHAVIORALNutri Training
Nutri Training will begin with 1) a presentation of diet counseling evidence and best practices for advising patients, along with information about nutrition recommendations for patients with chronic illness and 2) tools supporting the patient for follow-up. This content will be delivered via a live demonstration of the Nutri interactive software and case demonstration, a novel approach to delivering the learning objectives of standard nutrition education for residents.
BEHAVIORALStandard Nutrition Education
Standard Nutrition Education Standard Nutrition Training will present an overview of 1) nutrition recommendations for patients with chronic disease and 2) cover the role of a registered dietitian and referrals.
Sponsors
University of Texas at Austin
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Dell Medical School Internal Medicine Residents * Dell Medical School Family Medicine Residents
Exclusion criteria
* N/A
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diet Counseling Competence | Resident pre-assessment and post-assessment, expected to be 2 weeks after enrollment | Self-report of diet counseling competency; 4-point Likert-like scale scale; higher score means better outcome |
| Diet Counseling Self-Efficacy | Resident pre-assessment and post-assessment, expected to be 2 weeks after enrollment | Self-report of confidence (self-efficacy) in diet counseling; 4-point Likert-like scale scale; higher score means a better outcome. |
| Diet Counseling Skills | Post-hoc analysis of simulation activity, expected to be at 2 weeks after training intervention | We will also use an observation checklist to systematically capture resident shared decision-making and diet counseling skills. We will create this checklist based on a literature review of similar tools, such as the Shared Decision Making (SDM) SDM-9 and the coding scheme described in Alexander 2011. Higher score indicates a better outcome. Score range will be reported once the scale has been finalized. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Physician Diet Counseling Outcome Expectations | Resident pre-assessment and post-assessment, expected to be 2 weeks after enrollment | Self-report of diet counseling outcome expectations; 5-point Likert-like scale; higher score means better outcome. |
| Semi-structured debrief interview | Post-hoc analysis of simulation activity, expected to be at 2 weeks after training intervention | Semi-structured debrief interview to better understand the resident's experience and feedback on the training session and simulation activity. |
| Training Satisfaction | Resident post-assessment, expected to be 2 weeks after enrollment | Self-report of satisfaction with training; 5-point Likert-like scale scale; higher score means a better outcome. |
Countries
United States
Outcome results
None listed