Nutrition Counseling Training Changes Physician Behavior and Improves Caregiver Knowledge Acquisition

Gretel H. Pelto, Iná Santos, Helen Gonçalves, Cesar Victora, José Martines, Jean Pierre Habicht

Research output: Contribution to journalArticle

Abstract

Physician behavior and caregiver retention of nutrition advice were examined as potential mediating factors in the success of a nutrition counseling efficacy trial in Pelotas, Brazil, which reduced growth faltering in children 12-24 mo old. After pair-matching on socioeconomic status and nutrition indicators, municipal health centers were randomly assigned to an intervention group, in which physicians were trained with an IMCI-derived (Integrated Management of Childhood Illness) nutrition counseling protocol, or to a control group, without continuing education in nutrition. In a substudy of the larger trial, direct observation of consultations, followed by home interviews with mothers, provided data on physician counseling behavior and mothers' retention of nutrition advice. Trained providers were more likely to engage in nutrition counseling (P <0.013) and to deliver more extensive advice (P <0.02). They also used communication skills designed to improve rapport and ensure that mothers understood the advice (P <0.01). Mothers who received advice from trained providers had high rates of recalling the messages on specific foods (95 vs. 27%; P <0.01) and feeding practice and food preparation recommendations (90 vs. 20%; P <0.01), whereas the proportions of the messages recalled on breast-feeding (60% vs. 30%) did not differ significantly (P <0.20). The training course contained several elements that may explain why intervention group mothers were better able to recall nutrition advice. These include locally appropriate messages, tools for assessing individual problems, and counseling skills.

Original languageEnglish (US)
Pages (from-to)357-362
Number of pages6
JournalJournal of Nutrition
Volume134
Issue number2
StatePublished - Feb 2004
Externally publishedYes

Fingerprint

diet counseling
health care workers
physicians
Caregivers
Counseling
Mothers
nutrition
Physicians
counseling
communication skills
child growth
Food
adult education
food preparation
Continuing Education
breast feeding
socioeconomic status
Breast Feeding
education programs
childhood

Keywords

  • Improving communication
  • Integrated Management of Childhood Illness
  • Prevention of growth faltering

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Food Science

Cite this

Pelto, G. H., Santos, I., Gonçalves, H., Victora, C., Martines, J., & Habicht, J. P. (2004). Nutrition Counseling Training Changes Physician Behavior and Improves Caregiver Knowledge Acquisition. Journal of Nutrition, 134(2), 357-362.

Nutrition Counseling Training Changes Physician Behavior and Improves Caregiver Knowledge Acquisition. / Pelto, Gretel H.; Santos, Iná; Gonçalves, Helen; Victora, Cesar; Martines, José; Habicht, Jean Pierre.

In: Journal of Nutrition, Vol. 134, No. 2, 02.2004, p. 357-362.

Research output: Contribution to journalArticle

Pelto, GH, Santos, I, Gonçalves, H, Victora, C, Martines, J & Habicht, JP 2004, 'Nutrition Counseling Training Changes Physician Behavior and Improves Caregiver Knowledge Acquisition', Journal of Nutrition, vol. 134, no. 2, pp. 357-362.
Pelto GH, Santos I, Gonçalves H, Victora C, Martines J, Habicht JP. Nutrition Counseling Training Changes Physician Behavior and Improves Caregiver Knowledge Acquisition. Journal of Nutrition. 2004 Feb;134(2):357-362.
Pelto, Gretel H. ; Santos, Iná ; Gonçalves, Helen ; Victora, Cesar ; Martines, José ; Habicht, Jean Pierre. / Nutrition Counseling Training Changes Physician Behavior and Improves Caregiver Knowledge Acquisition. In: Journal of Nutrition. 2004 ; Vol. 134, No. 2. pp. 357-362.
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