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Evaluation of Nutrition Training Augmented With Digital Technology in Graduate Medical Education

Primary Purpose

Chronic Disease

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Nutri Training
Standard Nutrition Education
Sponsored by
University of Texas at Austin
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Chronic Disease focused on measuring Medical Education, Nutrition Counseling, Technology

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Dell Medical School Internal Medicine Residents Dell Medical School Family Medicine Residents Exclusion Criteria: N/A

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Nutri Training

    Standard Nutrition Education

    Arm Description

    Nutri Training will begin with 1) a presentation of diet counseling evidence and best practices for advising patients, along with information about nutrition recommendations for patients with chronic illness and 2) tools supporting the patient for follow-up. This content will be delivered via a live demonstration of the Nutri interactive software and case demonstration, a novel approach to delivering the learning objectives of standard nutrition education for residents.

    Standard Nutrition Training will present an overview of 1) nutrition recommendations for patients with chronic disease and 2) cover the role of a registered dietitian and referrals.

    Outcomes

    Primary Outcome Measures

    Diet Counseling Competence
    Self-report of diet counseling competency; 4-point Likert-like scale scale; higher score means better outcome
    Diet Counseling Self-Efficacy
    Self-report of confidence (self-efficacy) in diet counseling; 4-point Likert-like scale scale; higher score means a better outcome.
    Diet Counseling Skills
    We will also use an observation checklist to systematically capture resident shared decision-making and diet counseling skills. We will create this checklist based on a literature review of similar tools, such as the Shared Decision Making (SDM) SDM-9 and the coding scheme described in Alexander 2011.

    Secondary Outcome Measures

    Full Information

    First Posted
    October 11, 2023
    Last Updated
    October 11, 2023
    Sponsor
    University of Texas at Austin
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    1. Study Identification

    Unique Protocol Identification Number
    NCT06088251
    Brief Title
    Evaluation of Nutrition Training Augmented With Digital Technology in Graduate Medical Education
    Official Title
    Evaluation of Nutrition Training Augmented With Digital Technology in Graduate Medical Education
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    October 24, 2023 (Anticipated)
    Primary Completion Date
    December 31, 2023 (Anticipated)
    Study Completion Date
    December 31, 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    University of Texas at Austin

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    We will conduct a randomized controlled evaluation of standard nutrition education vs. standard education + Nutri, and interactive clinical software that automates diet assessment and guides resident physicians through personalized and evidence-based diet counseling. We will evaluate differences in resident-reported diet counseling competence and self-efficacy using survey measures. We will evaluate skills using a simulated patient appointment and coding scheme described in prior work.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Chronic Disease
    Keywords
    Medical Education, Nutrition Counseling, Technology

    7. Study Design

    Primary Purpose
    Health Services Research
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    Outcomes Assessor
    Allocation
    Randomized
    Enrollment
    88 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Nutri Training
    Arm Type
    Experimental
    Arm Description
    Nutri Training will begin with 1) a presentation of diet counseling evidence and best practices for advising patients, along with information about nutrition recommendations for patients with chronic illness and 2) tools supporting the patient for follow-up. This content will be delivered via a live demonstration of the Nutri interactive software and case demonstration, a novel approach to delivering the learning objectives of standard nutrition education for residents.
    Arm Title
    Standard Nutrition Education
    Arm Type
    Active Comparator
    Arm Description
    Standard Nutrition Training will present an overview of 1) nutrition recommendations for patients with chronic disease and 2) cover the role of a registered dietitian and referrals.
    Intervention Type
    Behavioral
    Intervention Name(s)
    Nutri Training
    Intervention Description
    Nutri Training will begin with 1) a presentation of diet counseling evidence and best practices for advising patients, along with information about nutrition recommendations for patients with chronic illness and 2) tools supporting the patient for follow-up. This content will be delivered via a live demonstration of the Nutri interactive software and case demonstration, a novel approach to delivering the learning objectives of standard nutrition education for residents.
    Intervention Type
    Behavioral
    Intervention Name(s)
    Standard Nutrition Education
    Intervention Description
    Standard Nutrition Education Standard Nutrition Training will present an overview of 1) nutrition recommendations for patients with chronic disease and 2) cover the role of a registered dietitian and referrals.
    Primary Outcome Measure Information:
    Title
    Diet Counseling Competence
    Description
    Self-report of diet counseling competency; 4-point Likert-like scale scale; higher score means better outcome
    Time Frame
    Resident pre-assessment and post-assessment, expected to be 2 weeks after enrollment
    Title
    Diet Counseling Self-Efficacy
    Description
    Self-report of confidence (self-efficacy) in diet counseling; 4-point Likert-like scale scale; higher score means a better outcome.
    Time Frame
    Resident pre-assessment and post-assessment, expected to be 2 weeks after enrollment
    Title
    Diet Counseling Skills
    Description
    We will also use an observation checklist to systematically capture resident shared decision-making and diet counseling skills. We will create this checklist based on a literature review of similar tools, such as the Shared Decision Making (SDM) SDM-9 and the coding scheme described in Alexander 2011.
    Time Frame
    Post-hoc analysis of simulation activity, expected to be at 2 weeks after training intervention
    Other Pre-specified Outcome Measures:
    Title
    Physician Diet Counseling Outcome Expectations
    Description
    Self-report of diet counseling outcome expectations; 5-point Likert-like scale; higher score means better outcome.
    Time Frame
    Resident pre-assessment and post-assessment, expected to be 2 weeks after enrollment
    Title
    Semi-structured debrief interview
    Description
    Semi-structured debrief interview to better understand the resident's experience and feedback on the training session and simulation activity.
    Time Frame
    Post-hoc analysis of simulation activity, expected to be at 2 weeks after training intervention
    Title
    Training Satisfaction
    Description
    Self-report of satisfaction with training; 5-point Likert-like scale scale; higher score means a better outcome.
    Time Frame
    Resident post-assessment, expected to be 2 weeks after enrollment

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Dell Medical School Internal Medicine Residents Dell Medical School Family Medicine Residents Exclusion Criteria: N/A
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    MADALYN ROSENTHAL, BS
    Phone
    2057213389
    Email
    madalyn.rosenthal@austin.utexas.edu
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Marissa Burgermaster, PhD
    Organizational Affiliation
    University of Texas at Austin
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    21380950
    Citation
    Alexander SC, Cox ME, Boling Turer CL, Lyna P, Ostbye T, Tulsky JA, Dolor RJ, Pollak KI. Do the five A's work when physicians counsel about weight loss? Fam Med. 2011 Mar;43(3):179-84.
    Results Reference
    background
    PubMed Identifier
    18612746
    Citation
    Jay M, Gillespie C, Ark T, Richter R, McMacken M, Zabar S, Paik S, Messito MJ, Lee J, Kalet A. Do internists, pediatricians, and psychiatrists feel competent in obesity care?: using a needs assessment to drive curriculum design. J Gen Intern Med. 2008 Jul;23(7):1066-70. doi: 10.1007/s11606-008-0519-y.
    Results Reference
    background
    PubMed Identifier
    19879711
    Citation
    Kriston L, Scholl I, Holzel L, Simon D, Loh A, Harter M. The 9-item Shared Decision Making Questionnaire (SDM-Q-9). Development and psychometric properties in a primary care sample. Patient Educ Couns. 2010 Jul;80(1):94-9. doi: 10.1016/j.pec.2009.09.034. Epub 2009 Oct 30.
    Results Reference
    background
    PubMed Identifier
    18689561
    Citation
    Vetter ML, Herring SJ, Sood M, Shah NR, Kalet AL. What do resident physicians know about nutrition? An evaluation of attitudes, self-perceived proficiency and knowledge. J Am Coll Nutr. 2008 Apr;27(2):287-98. doi: 10.1080/07315724.2008.10719702.
    Results Reference
    background

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    Evaluation of Nutrition Training Augmented With Digital Technology in Graduate Medical Education

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