Predictors of nutrition counseling behaviors and attitudes in US medical students

American Journal of Clinical Nutrition

Volumn 84, Issue 3, 2006, Pages 655-662

  Spencer, Elsa H ^a   Frank, Erica ^a,d   Elon, Lisa K ^b   Hertzberg, Vicki S ^b   Serdula, Mary K ^c   Galuska, Deborah A ^c  

^a EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b EMORY UNIVERSITY   (United States)

^c NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION   (United States)

^d UNIVERSITY OF BRITISH COLUMBIA   (Canada)

Author keywords

Counseling correlates; Diet; Fruit and vegetable intakes; Medical students; Nutrition counseling

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; CONTROLLED STUDY; COUNSELING; FEMALE; FOOD INTAKE; FRUIT; HUMAN; HUMAN EXPERIMENT; MALE; MEDICAL EDUCATION; MEDICAL SCHOOL; MEDICAL STUDENT; NUTRITIONAL ASSESSMENT; PHYSICIAN; PRIMARY MEDICAL CARE; PROPHYLAXIS; QUESTIONNAIRE; UNITED STATES; VEGETABLE; ATTITUDE TO HEALTH; BODY MASS; CLINICAL COMPETENCE; EDUCATION; HEALTH PERSONNEL ATTITUDE; METHODOLOGY; MIDDLE AGED; NUTRITION; PREVENTIVE MEDICINE; PSYCHOLOGICAL ASPECT;

ADOLESCENT; ADULT; ATTITUDE OF HEALTH PERSONNEL; ATTITUDE TO HEALTH; BODY MASS INDEX; CLINICAL COMPETENCE; COUNSELING; FEMALE; FRUIT; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; MALE; MIDDLE AGED; NUTRITION PHYSIOLOGY; PREVENTIVE MEDICINE; QUESTIONNAIRES; STUDENTS, MEDICAL; VEGETABLES;

EID: 33750120040     PISSN: 00029165     EISSN: None     Source Type: Journal    
DOI: 10.1093/ajcn/84.3.655     Document Type: Article

References (50)

1. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. 2000. Healthy People 2010 Database. Internet: http://wonder.cdc.gov/data2010/focus.htm (accessed 8 November 2003).
2. Mokdad AH, Bowman BA, Ford ES, Vinicor F, Marks JS, Koplan JP. The continuing epidemics of obesity and diabetes in the United States. J Am Med Assoc 2001;286:1195-200.
3. Flegal KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults, 1999-2000. JAMA 2002;288:1723-7.
4. Horrocks P, Blackmore R, Wright AD. A long-term follow-up of dietary advice in maturity-onset diabetes: the experience of one centre in the U.K. Prospective Study. Diabet Med 1987;4:241-4.
5. Ammerman AS, DeVellis RF, Carey TS, et al. Physician-based diet counseling for cholesterol reduction: current practices, determinants, and strategies for improvement. Prev Med 1993;22:96-109.
6. Russell NK, Roter DL. Health promotion counseling of chronic-disease patients during primary care visits. Am J Public Health 1993;83:979-82.
7. Kushner RF. Barriers to providing nutrition counseling by physicians: a survey of primary care practitioners. Prev Med 1995;24:546-52.
8. Wechsler H, Levine S, Idelson RK, Schor EL, Coakley E. The physician's role in health promotion revisited - a survey of primary care practitioners. N Engl J Med 1996;334:996-8.
9. Sciamanna CN, DePue JD, Goldstein MG, et al. Nutrition counseling in the promoting cancer prevention in primary care study. Prev Med 2002;35:437-46.
10. Frank E, Wright EH, Serdula MK, Elon LK, Baldwin G. US women physicians' personal and clinical nutrition-related practices. Am J Clin Nutr 2002;75:326-32.
11. Anis NA, Lee RE, Ellerbeck EF, Nazir N, Greiner A, Ahluwalia JS. Direct observation of physician counseling on dietary habits and exercise: patient, physician, and office correlates. Prev Med 2004;38:198-202.
12. Lewis CE, Clancy C, Leake B, Schwartz JS. The counseling practices of internists. Ann Intern Med 1991;114:54-8.
13. Schwartz JS, Lewis CE, Clancy C, Kinosian MS, Radany MH, Koplan JP. Internists' practices in health promotion and disease prevention. A survey. Ann Intern Med 1991;114:46-53.
14. Hyman D, Maibach EW, Flora JA, Fortmann SP. Cholesterol treatment practices of primary care physicians. Public Health Rep 1992;107:441-8.
15. Frank E, Rothenberg R, Lewis C, Belodoff BF. Correlates of physicians' prevention-related practices. Findings from the Women Physicians' Health Study. Arch Fam Med 2000;9:359-67.
16. Shea S, Basch CE, Zybert P. Correlates of internists' practices in caring for patients with elevated serum cholesterol. Am J Health Promot 1990;4:421-8.
17. Levine BS, Wigren MM, Chapman DS, Kerner JF, Bergman RL, Rivlin RS. A national survey of attitudes and practices of primary-care physicians relating to nutrition: strategies for enhancing the use of clinical nutrition in medical practice. Am J Clin Nutr 1993;57:115-9.
18. Heimburger D, Ullmann D, Ramsey MJ, et al. Dietary habits of first-year medical students assessed during clinical nutrition course. Nutrition 1994;10:214-20.
19. Kolasa K, Jobe AC, Miller MG, Clay MC. Teaching medical students cancer risk reduction nutrition counseling using a multimedia program. Fam Med 1999;31:200-4.
20. Kann P, Lane DS. Breast cancer screening knowledge and skills of students upon entering and exiting a medical school. Acad Med 1998;73:904-6.
21. Frank E. Physician health and patient care. JAMA 2004;291:637.
22. US Department of Health and Human Services. Healthy people 2010. With understanding and improving health and objectives for improving health. 2000. Internet: http://www.healthypeople.gov/document/tableofcontents.htm (accessed 16 December 2003).
23. National Institutes of Health, National Cancer Institute, Produce for Better Health Foundation. 2006. Eat 5 to 9 a day for better health. Internet: http://www.5aday.gov. (accessed 14 February 2004).
24. American Association of Medical Colleges. AAMC data warehouse: student records system as of December 12, 2000, reflecting those actively enrolled on October 31, 2000. Internet: http://www.aamc.org/stuapps/facts/start.htm (accessed 13 July 2004).
25. National Institutes of Health. Support to US medical schools, fiscal year 2000. Internet: http://silk.nih.gov/public/cbz2zoz.@www.med.total.fy2000.dsncc (accessed 13 July 2004).
26. Stoll M. The best medical schools. 2000 ed. New York, NY: Princeton Review Publishing, 1999.
27. American Association of Medical Colleges. Matriculant age at anticipated matriculation, 1992-2001. Internet: http://www.aamc.org/data/facts/archive/ famg112001a.htm (accessed 10 December 2004).
28. Spencer EH, Elon LK, Hertzberg VS, Stein AD, Frank E. Validation of a brief diet survey instrument among medical students. J Am Diet Assoc 2005;105:802-6.
29. Frank E, Hedgecock J, Elon LK. Personal health promotion at U.S. medical schools: a quantitative study and qualitative description of deans' and students' perceptions. BioMed Central Medical Education. Internet: http://www.biomedcentral.com/1472-6920/4/29 (accessed 29 January 2005).
30. SUDAAN. Version 8.0.2. Research Triangle Park, NC: Research Triangle Institute, 2003.
31. Allison PD. Missing data. London, UK: Sage Publications, Inc, 2002.
32. Rubin DB. Multiple imputation for nonresponse in surveys. New York, NY: J Wiley & Sons, 1987.
33. SAS Institute Inc. Statistical analysis software for Windows. Version 8.2. Cary, NC: SAS Institute Inc, 2000.
34. Radecki SE. Patient counseling by specialists in internal medicine: results of a nationwide survey. Patient Educ Counsel 1986;8:179-88.
35. American Association of Medical Colleges. Medical school graduation questionnaire, all schools report. Internet: http://www.aamc.org/data/gq/ allschoolsreports/start.htm (accessed 7 February 2006).
36. Foster KY, Diehl NS, Shaw D, et al. Medical students' readiness to provide lifestyle counseling for overweight patients. Eating Behav 2002;3:1-13.
37. Scott C, Greig LM, Neighbor WE. Curricular influences on preventive-care attitudes. Prev Med 1986;15:422-31.
38. Bandura A. Social learning through imitation. In: Jones MR, ed. Nebraska symposium on motivation. Lincoln, NE: University of Nebraska Press, 1962.
39. Bandura A. Self-efficacy in changing societies. New York, NY: Cambridge University Press, 1995.
40. Zimmerman BJ. Enhancing student academic and health functioning: a self-regulatory perspective. School Psychol Q 1996;11:47-66.
41. Yeager KK, Donehoo RS, Macera CA, Croft JB, Heath GW, Lane MJ. Health promotion practices among physicians. Am J Prev Med 1996;12:238-41.
42. Price J, Desmond SM, Krol RA, Snyder FF, O'Connell JK. Family practice physicians' beliefs, attitudes, and practices regarding obesity. Am J Prev Med 1987;3:694-704.
43. Schucker B, Wittes JT, Cutler JA, et al. Change in physician perspective on cholesterol and heart disease. Results from two national surveys. JAMA 1987;258):3521-6.
44. Frank E, Harvey LK. Prevention advice rates of women and men physicians. Arch Fam Med 1996;5:215-2.
45. Crapse F, Hudgins PM, Baker HH. Lifestyle changes associated with osteopathic medical education. J Am Osteopath Assoc 1993;93:1051-4.
46. Dresselhaus T, Peabody J, Lee M, Wang M, Luck J. Measuring compliance with preventive care guidelines: standardized patients, clinical vignettes, and the medical record. J Gen Intern Med 2000;15:782-8.
47. Peabody J, Luck J, Glassman P, Dresselhaus T, Lee M. Comparison of vignettes, standardized patients, and chart abstraction: a prospective validation study of 3 methods for measuring quality. JAMA 2000;283:1715-22.
48. Frank E, McLendon L, Elon LK, Denniston M, Fitzmaurice D, Hertzberg V. Medical students' self-reported typical counseling practices are similar to those assessed using standardized patients. MedGenMed 2005;7:2.
49. Babbott D, Baldwin DC, Killian CD, Weaver SO. Trends in evolution of specialty choice. J Am Med Assoc 1989;261:2367-73.
50. Konen JC, Fromm BS. Changes in personal health behaviors of medical students. Med Teach 1992;14:321-5.