Evaluation of Nutrition Training Augmented With Digital Technology in Graduate Medical Education

NCT06088251 | Completed

• 1 other identifier: 00005155
• Study Type: interventional
• Target: 58
• Locations: 1 country
• Sites: 1

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.

Conditions

Chronic Disease

Keywords

Medical Education; Nutrition Counseling; Technology

Outcome Measures

Primary Outcomes (3)

• Diet Counseling Competence

  Self-report of diet counseling competency; 4-point Likert-like scale scale; higher score means better outcome

  Resident pre-assessment and post-assessment, expected to be 2 weeks after enrollment

• Diet Counseling Self-Efficacy

  Self-report of confidence (self-efficacy) in diet counseling; 4-point Likert-like scale scale; higher score means a better outcome.

  Resident pre-assessment and post-assessment, expected to be 2 weeks after enrollment

• Diet Counseling Skills

  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.

  Post-hoc analysis of simulation activity, expected to be at 2 weeks after training intervention

Other Outcomes (3)

• Physician Diet Counseling Outcome Expectations

  Resident pre-assessment and post-assessment, expected to be 2 weeks after enrollment

• Semi-structured debrief interview

  Post-hoc analysis of simulation activity, expected to be at 2 weeks after training intervention

• Training Satisfaction

  Resident post-assessment, expected to be 2 weeks after enrollment

Study Arms (2)

Nutri Training

EXPERIMENTAL

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.

Behavioral: Nutri Training

Standard Nutrition Education

ACTIVE COMPARATOR

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.

Behavioral: Standard Nutrition Education

Interventions

Nutri Training BEHAVIORAL

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.

Nutri Training

Standard Nutrition Education BEHAVIORAL

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.

Standard Nutrition Education

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Dell Medical School Internal Medicine Residents
• Dell Medical School Family Medicine Residents

You may not qualify if:

• N/A

Sponsors & Collaborators

• University of Texas at Austin: lead

Study Sites (1)

University of Texas at Austin - Burgermaster Lab

Austin, Texas, 78705, United States

Location

Related Publications (4)

• Alexander SC, Cox ME, Boling Turer CL, Lyna P, Ostbye T, Tulsky JA, Dolor RJ, Pollak KI. Do the five A's work when physicians counsel about weight loss? Fam Med. 2011 Mar;43(3):179-84.

  PMID: 21380950 BACKGROUND

• Jay M, Gillespie C, Ark T, Richter R, McMacken M, Zabar S, Paik S, Messito MJ, Lee J, Kalet A. Do internists, pediatricians, and psychiatrists feel competent in obesity care?: using a needs assessment to drive curriculum design. J Gen Intern Med. 2008 Jul;23(7):1066-70. doi: 10.1007/s11606-008-0519-y.

  PMID: 18612746 BACKGROUND

• Kriston L, Scholl I, Holzel L, Simon D, Loh A, Harter M. The 9-item Shared Decision Making Questionnaire (SDM-Q-9). Development and psychometric properties in a primary care sample. Patient Educ Couns. 2010 Jul;80(1):94-9. doi: 10.1016/j.pec.2009.09.034. Epub 2009 Oct 30.

  PMID: 19879711 BACKGROUND

• Vetter ML, Herring SJ, Sood M, Shah NR, Kalet AL. What do resident physicians know about nutrition? An evaluation of attitudes, self-perceived proficiency and knowledge. J Am Coll Nutr. 2008 Apr;27(2):287-98. doi: 10.1080/07315724.2008.10719702.

  PMID: 18689561 BACKGROUND

MeSH Terms

Conditions

Chronic Disease

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Marissa Burgermaster, PhD

  University of Texas at Austin

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 11, 2023
• First Posted: October 18, 2023
• Study Start: October 24, 2023
• Primary Completion: February 15, 2024
• Study Completion: February 15, 2024
• Last Updated: May 9, 2024

Record last verified: 2024-05

Locations

US (1)