A nationwide assessment of lifestyle medicine counseling: knowledge, attitudes, and confidence of Israeli senior family
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RESEARCH ARTICLE
Open Access
A nationwide assessment of lifestyle medicine counseling: knowledge, attitudes, and confidence of Israeli senior family medicine residents Lilach Malatskey1,2,3* , Yael Bar Zeev4, Rani Polak5,6, Adva Tzuk-Onn1 and Erica Frank3,7
Abstract Background: Non-communicable diseases are the leading causes of death, largely due to the last century’s oftenunhealthy lifestyles. Family medicine (FM) and other physicians can improve patients’ lifestyle behaviors, yet FM residency programs in Israel and other countries do not uniformly deliver lifestyle medicine (LM) training. The readiness of FM residents to counsel on lifestyle issues is not known. The purpose of this study is to assess knowledge, attitudes, and confidence levels of senior Israeli FM residents regarding LM counseling, and to evaluate the influence of LM training and personal health behaviors on residents’ LM knowledge, attitudes, and confidence. Methods: From May to June 2017, we surveyed all senior Israeli FM residents regarding their knowledge, attitudes, confidence, and personal health behaviors. We compared health behaviors, attitudes, and confidence in counselling between: 1) trained residents vs. untrained residents; 2) physically active residents vs. not physically active residents; 3) residents with a BMI < 25 vs. those with a BMI > 25; and 4) residents who eat a Mediterranean diet vs. those who do not. Results: A total of 169 senior Israeli FM residents were surveyed, and 143 completed the survey, a response rate of 84.6%. Senior FM residents said they considered LM counseling to be an integral part of their role and an effective tool by which to improve a patient’s health. Yet, their knowledge of LM and their confidence in delivering LM counseling are low. Compared with untrained residents (n = 84), LM-trained residents (n = 55) had higher knowledge scores (30.9% vs. 13.1%, p = 0.016) and were more confident in their ability to impact their patients’ behaviors (53.7% vs. 34.5%, p = 0.004). Residents’ positive personal health behaviors correlated with a higher level of confidence to provide LM counseling. (Continued on next page)
* Correspondence: [email protected]; [email protected] 1 Israeli Society of Lifestyle Medicine, Israeli Association of Family Physicians, Tel Aviv, Israel 2 Siaal Research Center for Family Medicine and Primary Care, Department of Family Medicine, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, 84105 Beer-Sheva, Israel Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creat
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