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A cluster randomised trial to evaluate a nutrition training programme.

Helen Moore1, Darren Greenwood, Timothy Gill

  • 1Centre for Research in Primary Care, University of Leeds.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|July 26, 2003
PubMed
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Nutrition training for primary care teams showed limited impact on dietary counseling skills. While providing diet sheets improved, overall patient recall of consulting behaviors saw minimal change.

Area of Science:

  • Public Health Nutrition
  • Primary Care Practice
  • Health Professional Training

Background:

  • Primary care staff require training for effective public dietary advice.
  • The impact of such training on multidisciplinary teams' skills is under-researched.

Purpose of the Study:

  • To assess the effectiveness of a dietitian-led nutrition training program for primary care teams.
  • To evaluate changes in patient recall of consulting behaviors and practitioner knowledge/attitudes.

Main Methods:

  • A paired-cluster randomized trial involving 12 general practices in the UK.
  • Intervention group received nutrition training; control group did not.
  • Patient recall of seven key consulting behaviors and practitioner knowledge/attitude changes were measured pre- and post-intervention.

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Main Results:

  • Only the provision of written diet sheets significantly increased in intervention practices post-training (13% higher).
  • No significant improvements were observed in patients' recall of other targeted consulting behaviors.
  • Some minor improvements in practitioner knowledge and attitudes were noted.

Conclusions:

  • The nutrition training intervention had a limited effect on primary care practitioners' dietary consultation behaviors.
  • Further research may be needed to enhance the effectiveness of nutrition training in primary care settings.