PDF(Pubmed)
Abstract：
Most physicians report inadequate training to provide diet and lifestyle counseling to patients despite its importance to chronic disease prevention and management. To fill the nutrition training gap, elective Culinary Medicine (CM) courses have emerged as an alternative to curriculum reform. We evaluated the impact of an interprofessional CM course for medical and health professional students who experienced the hands-on cooking component in person or a in mixed-mode format (in-person and via Zoom) at the University of Utah from 2019-2023 (n = 84). A factorial ANOVA assessed differences between educational environment and changes between pre- and post-course survey responses related to diet and lifestyle counseling, interprofessional communication, and health behaviors and advocacy. Qualitative comments from post-course surveys were analyzed on a thematic level. Students rated themselves as having greater confidence and competence in diet and lifestyle counseling (p < 0.05) and increased ability to prepare eight healthy meals (p < 0.05). Additionally, a Mann-Whitney two-sample rank-sum test was used to compare data from exit survey responses from medical students who took the CM course (n = 48) and did not take the CM course (n = 297). Medical students who took CM were significantly more likely to agree that they could counsel patients about nutrition (p < 0.05) and physical activity (p < 0.05). CM courses may improve students\' confidence to provide diet and lifestyle counseling.
摘要：
大多数医生报告说，尽管对慢性病的预防和管理很重要，但没有足够的培训来为患者提供饮食和生活方式咨询。为了填补营养培训的空白，选修烹饪医学（CM）课程已成为课程改革的替代方案。我们评估了跨专业CM课程对医学和健康专业学生的影响，这些学生在2019-2023年在犹他大学亲自或混合模式格式（亲自和通过Zoom）体验了动手烹饪组件（n=84）。阶乘方差分析评估了教育环境之间的差异以及与饮食和生活方式咨询相关的课程前和课程后调查响应之间的变化。专业间的沟通,以及健康行为和宣传。从主题层面分析了课程后调查的定性评论。学生认为自己在饮食和生活方式咨询方面具有更大的信心和能力（p<0.05），并增加了准备八种健康膳食的能力（p<0.05）。此外,采用Mann-Whitney双样本秩和检验,比较了参加CM课程(n=48)和未参加CM课程(n=297)的医学生的离职调查回复数据.服用CM的医学生更有可能同意他们可以为患者提供营养（p<0.05）和身体活动（p<0.05）方面的建议。CM课程可以提高学生提供饮食和生活方式咨询的信心。
