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Training physicians in behavioural change counseling: A systematic review

Title:

Training physicians in behavioural change counseling: A systematic review

Bacon, Simon L. ORCID: https://orcid.org/0000-0001-7075-0358, Dragomir, Anda I., Julien, Cassandre A., Boucher, Vincent Gosselin, Lavoie, Kim L., Bacon, Simon L., Campbell, Tavis S., Corace, Kimberly, Garber, Gary, Lavoie, Kim L., Rouleau, Codie and Vallis, Michael T. (2018) Training physicians in behavioural change counseling: A systematic review. Patient Education and Counseling . ISSN 07383991 (In Press)

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Official URL: http://dx.doi.org/10.1016/j.pec.2018.08.025

Abstract

Background: Poor health behaviours (e.g., smoking, physical inactivity) represent major underlying causes of non-communicable chronic diseases (NCDs). Prescriptive behaviour change interventions employed by physicians show limited effectiveness. Physician training in evidence-based behaviour change counselling (BCC) may improve behavioural risk factor management, but the efficacy and feasibility of current programs remains unclear.

Objective: (1) To systematically review the efficacy of BCC training programs for physicians, and (2) to describe program content, dose and structure, informing better design and dissemination.

Methods: Using PRISMA guidelines, a database search up to January 2018, yielded 1889 unique articles, screened by 2 authors; 9 studies met inclusion criteria and were retained for analysis.

Results: 100% of studies reported significant improvements in BCC skills among physicians, most programs targeting provider-patient collaboration, supporting patient autonomy, and use of open questions to elicit “change-talk”. Limitation included: poor reporting quality, high program heterogeneity, small sample sizes, 78% of studies having no comparison group, and less than 30% of skills taught being formally assessed.

Conclusion: Training programs were efficacious, but methodological weaknesses limit the ability to determine content and delivery. Caution is necessary when interpreting the results.

Divisions:Concordia University > Faculty of Arts and Science > Health, Kinesiology and Applied Physiology
Item Type:Article
Refereed:Yes
Authors:Bacon, Simon L. and Dragomir, Anda I. and Julien, Cassandre A. and Boucher, Vincent Gosselin and Lavoie, Kim L. and Bacon, Simon L. and Campbell, Tavis S. and Corace, Kimberly and Garber, Gary and Lavoie, Kim L. and Rouleau, Codie and Vallis, Michael T.
Journal or Publication:Patient Education and Counseling
Date:2018
Digital Object Identifier (DOI):10.1016/j.pec.2018.08.025
Keywords:Behavioural change counseling; Physician training; Counseling
ID Code:984374
Deposited By: ALINE SOREL
Deposited On:06 Sep 2018 18:36
Last Modified:26 Sep 2018 14:41

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