Exercise is medicine Canada workshop training improves physical activity practices of physicians across Canada, independent of initial confidence level

Background: Educational workshops help physicians (MDs) include physical activity and exercise (PAE) content in more patient appointments. It is unclear if MDs with varying degrees of self-confidence discussing PAE with their patients equally benefit from such training. We evaluated whether MDs’ in...

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Autores principales:	Myles William O'Brien, Chris Shields, Kara Solmundson, Jonathon Fowles
Formato:	article
Lenguaje:	EN
Publicado:	Canadian Medical Education Journal 2020
Materias:	Education (General) L7-991 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/8d6d13e16f7b429cabfd438e92123fa5
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spelling	oai:doaj.org-article:8d6d13e16f7b429cabfd438e92123fa52021-12-01T22:41:17ZExercise is medicine Canada workshop training improves physical activity practices of physicians across Canada, independent of initial confidence level10.36834/cmej.683761923-1202https://doaj.org/article/8d6d13e16f7b429cabfd438e92123fa52020-04-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/68376https://doaj.org/toc/1923-1202 Background: Educational workshops help physicians (MDs) include physical activity and exercise (PAE) content in more patient appointments. It is unclear if MDs with varying degrees of self-confidence discussing PAE with their patients equally benefit from such training. We evaluated whether MDs’ initial self-confidence affects the impact of an educational PAE workshop. Methods: MDs (n = 63) across Canada completed self-reflection questionnaires initially and 3-months following a PAE workshop. MDs were divided into low-confidence [self-efficacy score (out of 100%): <40%; n = 21], medium-confidence (40-60%; n = 19) and high-confidence (>60%; n = 23). Results: PAE counselling self-efficacy increased in all groups (relative increase: Low=~40%, Medium=~20%, High=~10%). Training increased the low-confidence group’s knowledge, awareness of guidance/resources and perception of their patients’ interest in lifestyle management (~30% change; all p < 0.001). Compared to baseline, a greater proportion (all p < 0.001) of MDs reported prescribing exercise at 3-month follow-up in each of the low-confidence (10% to 62%) medium-confidence (16% to 89%) and high-confidence (57% to 87%) groups. Conclusion: PAE training favorably improved MDs’ self-confidence, perceived impact of many barriers and the proportion of MDs prescribing exercise, at each level of confidence. An educational workshop particularly assisted MDs with low-confidence (i.e., those who needed it the most) integrate PAE into their practice. Myles William O'BrienChris ShieldsKara SolmundsonJonathon FowlesCanadian Medical Education JournalarticleEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 11, Iss 5 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Education (General) L7-991 Medicine (General) R5-920
spellingShingle	Education (General) L7-991 Medicine (General) R5-920 Myles William O'Brien Chris Shields Kara Solmundson Jonathon Fowles Exercise is medicine Canada workshop training improves physical activity practices of physicians across Canada, independent of initial confidence level
description	Background: Educational workshops help physicians (MDs) include physical activity and exercise (PAE) content in more patient appointments. It is unclear if MDs with varying degrees of self-confidence discussing PAE with their patients equally benefit from such training. We evaluated whether MDs’ initial self-confidence affects the impact of an educational PAE workshop. Methods: MDs (n = 63) across Canada completed self-reflection questionnaires initially and 3-months following a PAE workshop. MDs were divided into low-confidence [self-efficacy score (out of 100%): <40%; n = 21], medium-confidence (40-60%; n = 19) and high-confidence (>60%; n = 23). Results: PAE counselling self-efficacy increased in all groups (relative increase: Low=~40%, Medium=~20%, High=~10%). Training increased the low-confidence group’s knowledge, awareness of guidance/resources and perception of their patients’ interest in lifestyle management (~30% change; all p < 0.001). Compared to baseline, a greater proportion (all p < 0.001) of MDs reported prescribing exercise at 3-month follow-up in each of the low-confidence (10% to 62%) medium-confidence (16% to 89%) and high-confidence (57% to 87%) groups. Conclusion: PAE training favorably improved MDs’ self-confidence, perceived impact of many barriers and the proportion of MDs prescribing exercise, at each level of confidence. An educational workshop particularly assisted MDs with low-confidence (i.e., those who needed it the most) integrate PAE into their practice.
format	article
author	Myles William O'Brien Chris Shields Kara Solmundson Jonathon Fowles
author_facet	Myles William O'Brien Chris Shields Kara Solmundson Jonathon Fowles
author_sort	Myles William O'Brien
title	Exercise is medicine Canada workshop training improves physical activity practices of physicians across Canada, independent of initial confidence level
title_short	Exercise is medicine Canada workshop training improves physical activity practices of physicians across Canada, independent of initial confidence level
title_full	Exercise is medicine Canada workshop training improves physical activity practices of physicians across Canada, independent of initial confidence level
title_fullStr	Exercise is medicine Canada workshop training improves physical activity practices of physicians across Canada, independent of initial confidence level
title_full_unstemmed	Exercise is medicine Canada workshop training improves physical activity practices of physicians across Canada, independent of initial confidence level
title_sort	exercise is medicine canada workshop training improves physical activity practices of physicians across canada, independent of initial confidence level
publisher	Canadian Medical Education Journal
publishDate	2020
url	https://doaj.org/article/8d6d13e16f7b429cabfd438e92123fa5
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Exercise is medicine Canada workshop training improves physical activity practices of physicians across Canada, independent of initial confidence level

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