Enhancing self-efficacy and patient care with cardiovascular nutrition eduction

Jo Ann S Carson, M. Beth Gillham, Lynne M. Kirk, Shalini T. Reddy, James B. Battles

Research output: Contribution to journalArticlepeer-review

35 Scopus citations


Background: Provision of medical education that develops nutrition knowledge and self-efficacy is critical if physicians are to incorporate nutrition in preventive care. We studied the impact of a cardiovascular nutrition module on the knowledge, attitudes, and self-efficacy of fourth-year medical students and the relationship of these attributes to patient care practices. Methods: Based on national practice guidelines and learner needs, an educational intervention consisting of two web-based cases, pocket reference cards, and classroom discussion was developed and implemented. Knowledge, attitudes, and self-efficacy were measured at the beginning and end of the 4-week ambulatory care rotation for 40 control and 156 experimental students. Performance in patient care was approximated using a self-report; chart audits were performed for a subset of students. Results: Knowledge scores of experimental students increased significantly from a mean of 10.3 to 14.4 (p<0.001), while the change for control students from 9.2 to 9.8 was not significant (p=0.20). The increase in self-efficacy scores from 26.2 to 35.7 in the experimental group (p<0.001) was twice that of the increase from 25.8 to 29.9 in the control group (p=0.001). Small but significant increases in attitude scores were similar for both groups. Limited data on student performance revealed that students with greater cardiovascular nutrition self-efficacy were more likely to address nutrition with cardiovascular patients. Conclusion: Incorporation of cardiovascular nutrition concepts in an ambulatory care rotation including use of computer-based cases improved student knowledge and self-efficacy, which may translate to increased frequency of future physicians addressing nutrition with patients.

Original languageEnglish (US)
Pages (from-to)296-302
Number of pages7
JournalAmerican Journal of Preventive Medicine
Issue number4
StatePublished - Nov 2002


  • Attitude
  • Computer-assisted instructions
  • Medical education
  • Nutrition
  • Self-efficacy

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health


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