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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT06088251
Other study ID # 00005155
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date October 24, 2023
Est. completion date February 15, 2024

Study information

Verified date May 2024
Source University of Texas at Austin
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial 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.


Recruitment information / eligibility

Status Completed
Enrollment 58
Est. completion date February 15, 2024
Est. primary completion date February 15, 2024
Accepts healthy volunteers No
Gender All
Age group 18 Years to 65 Years
Eligibility Inclusion Criteria: - Dell Medical School Internal Medicine Residents - Dell Medical School Family Medicine Residents Exclusion Criteria: - N/A

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Nutri 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.
Standard 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.

Locations

Country Name City State
United States University of Texas at Austin - Burgermaster Lab Austin Texas

Sponsors (1)

Lead Sponsor Collaborator
University of Texas at Austin

Country where clinical trial is conducted

United States, 

References & 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. — View Citation

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. — View Citation

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. — View Citation

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. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Other Physician Diet Counseling Outcome Expectations Self-report of diet counseling outcome expectations; 5-point Likert-like scale; higher score means better outcome. Resident pre-assessment and post-assessment, expected to be 2 weeks after enrollment
Other Semi-structured debrief interview Semi-structured debrief interview to better understand the resident's experience and feedback on the training session and simulation activity. Post-hoc analysis of simulation activity, expected to be at 2 weeks after training intervention
Other Training Satisfaction Self-report of satisfaction with training; 5-point Likert-like scale scale; higher score means a better outcome. Resident post-assessment, expected to be 2 weeks after enrollment
Primary 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
Primary 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
Primary 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
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