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Improving dietitians' teaching skills.

R R Roach1, J W Pichert, B A Stetson

  • 1Department of Home Economics, Memphis State University, TN 38152.

Journal of the American Dietetic Association
|December 1, 1992
PubMed
Summary
This summary is machine-generated.

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Effective patient teaching training improved dietitian skills immediately, but gains faded after three months. Patient outcomes like satisfaction and recall did not significantly differ between trained and control groups.

Area of Science:

  • Dietetics and Nutrition
  • Medical Education
  • Health Professions Education

Background:

  • Health professionals, including dietitians, often lack essential patient teaching skills.
  • This deficit can hinder patients' understanding and adherence to therapeutic diets.
  • Continuing education may enhance dietitian teaching effectiveness.

Purpose of the Study:

  • To evaluate the persistence of improved dietitian teaching skills after a continuing education course.
  • To determine if enhanced skills impact patient outcomes such as satisfaction and recall.
  • To assess specific teaching skill subsets (presentation, essential functions, interpersonal, adherence promotion).

Main Methods:

  • Thirty staff dietitians were videotaped teaching patients and randomly assigned to a continuing education course or control group.

Related Experiment Videos

  • Follow-up videotapes were recorded at 1 week, 1 month, and 3 months post-intervention.
  • Patient satisfaction and recall were assessed, and two judges rated 20 specific teaching skills.

    • Main Results:

    • Dietitians who completed the 'Effective Patient Teaching' course showed significant skill gains at 1 week and 1 month compared to the control group.
    • Gains were observed in presentation and essential teaching functions, but not sustained at 3 months.
    • No significant differences were found between groups in patient satisfaction or recall; adherence promotion skills remained low.

    Conclusions:

    • Continuing education can immediately improve dietitian teaching skills, particularly presentation and essential functions.
    • Skill retention is a concern, as improvements were not fully sustained at 3 months.
    • Dietitians should self-assess and periodically reassess teaching skills, focusing on adherence promotion.