Dataset Information

[Promoting Health Promotion: Medical students perceptions about an educational program on behavioral change in primary care].

ABSTRACT:

Objective

To evaluate whether a training program offered by family physicians in the official medical curriculum on principles and strategies to help patients change risk behaviours (HPCRB), produces changes in perceptions, opinions, and attitudes regarding this type of intervention.

Design

Quasi-experimental before-after study.

Setting

A School of Medicine.

Participants

All students in their 4th year (n=110).

Interventions

Experiential training course on communicative strategies for HPCRB.

Measurements

Opinions and perceptions were evaluated before and after the course using an ad hoc survey.

Results

After the course, students (n=103) changed their ideas about motivation as an 'internal' (15, 13%) to 'internal-external' factor (71, 61%) (P=.003), reinforcing their opinions about the clinician's ability for HPCRB (high: 72, 62%; low: 10, 12%; P=.008). They considered themselves more capable to respect patient autonomy when they make decisions or follow harmful behaviours (easy: 58, 50%; difficult: 28, 24%; P=.001), and increased their perception of their ability to cope with this type of interview (83, 72% vs. 1, 1%; P<.001).

Conclusions

This training course seems to contribute to creating positive perceptions and attitudes in students, as regards key aspects when conducting an interview for HPCRB. This is a key preliminary aspect to implement this type of strategy.

SUBMITTER: Ruiz Moral R

PROVIDER: S-EPMC6839202 | biostudies-literature | 2019 Aug - Sep

REPOSITORIES: biostudies-literature

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Publications

[Promoting Health Promotion: Medical students perceptions about an educational program on behavioral change in primary care].

Ruiz Moral Roger R Monge Martín Diana D Garcia de Leonardo Cristina C Pérula de Torres Luis A LA Caballero Martínez Fernando F

Atencion primaria 20180628 7

<h4>Objective</h4>To evaluate whether a training program offered by family physicians in the official medical curriculum on principles and strategies to help patients change risk behaviours (HPCRB), produces changes in perceptions, opinions, and attitudes regarding this type of intervention.<h4>Design</h4>Quasi-experimental before-after study.<h4>Setting</h4>A School of Medicine.<h4>Participants</h4>All students in their 4th year (n=110).<h4>Interventions</h4>Experiential training course on comm ...[more]

PMID: 29961607

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Project description:BackgroundThe environment for medical education in Iraq has been difficult for many years. The 2003 invasion of Iraq accelerated a steady emigration of faculty and graduates. Kidnappings and deaths of doctors became commonplace. To understand current career plans, expectations and perceptions of medical students, three Baghdad medical schools were surveyed.MethodsWritten questionnaires were completed by 418 medical students variously in their 4th, 5th and 6th (final)years of training. We asked about perceptions of the quality of their medical education, the quality of health services in Iraq generally, and about deaths, injuries and migration of faculty, classmates and family.ResultsThe average age of students was 22 years, with 59% women. Most students (90%) were originally from Baghdad. Although there were some positive responses, many students (59%) rated the overall quality of their medical education as fair or poor. Three-fourths of students believed the quality of hospital care in Iraq to be only fair or poor. A majority of students (57%) stated they were thinking frequently or all the time about leaving Iraq after graduation. Reasons given for leaving included the desire for further education, seeking a better lifestyle and fleeing conflict. Leading reasons for staying included the pull of friends and family, familiarity with the health system, and a sense of responsibility to the country. Nearly one in five (18%) students reported the death of a family member attributable to intentional violence, and 15% reported the violent death of a medical school classmate or faculty member since the 2003 invasion. Half the students reported at least one school faculty members had left Iraq because of the war.ConclusionMedical students hold a mediocre view of the quality of their medical education and of Iraq's health system. Many of their faculty members have left the country. The majority of students may leave Iraq after graduation, afforded the opportunity. This poses a significant problem for staffing an already demoralized and stressed health system. Current circumstances suggest the situation will continue to deteriorate.

Project description:BackgroundDespite health behavioral change interventions targeting modifiable lifestyle factors underlying chronic diseases, dropouts and nonadherence of individuals have remained high. The rapid development of machine learning (ML) in recent years, alongside its ability to provide readily available personalized experience for users, holds much potential for success in health promotion and behavioral change interventions.ObjectiveThe aim of this paper is to provide an overview of the existing research on ML applications and harness their potential in health promotion and behavioral change interventions.MethodsA scoping review was conducted based on the 5-stage framework by Arksey and O'Malley and the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews) guidelines. A total of 9 databases (the Cochrane Library, CINAHL, Embase, Ovid, ProQuest, PsycInfo, PubMed, Scopus, and Web of Science) were searched from inception to February 2021, without limits on the dates and types of publications. Studies were included in the review if they had incorporated ML in any health promotion or behavioral change interventions, had studied at least one group of participants, and had been published in English. Publication-related information (author, year, aim, and findings), area of health promotion, user data analyzed, type of ML used, challenges encountered, and future research were extracted from each study.ResultsA total of 29 articles were included in this review. Three themes were generated, which are as follows: (1) enablers, which is the adoption of information technology for optimizing systemic operation; (2) challenges, which comprises the various hurdles and limitations presented in the articles; and (3) future directions, which explores prospective strategies in health promotion through ML.ConclusionsThe challenges pertained to not only the time- and resource-consuming nature of ML-based applications, but also the burden on users for data input and the degree of personalization. Future works may consider designs that correspondingly mitigate these challenges in areas that receive limited attention, such as smoking and mental health.

Dataset Information

[Promoting Health Promotion: Medical students perceptions about an educational program on behavioral change in primary care].

Objective

Design

Setting

Participants

Interventions

Measurements

Results

Conclusions

Publications

[Promoting Health Promotion: Medical students perceptions about an educational program on behavioral change in primary care].

Similar Datasets

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