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

Chronic Disease Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06088251
• Other study ID #: 00005155
• Status: Completed
• Phase: N/A
• 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
• 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

Related Conditions & MeSH terms

• Chronic Disease

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