PURPOSE Cancer is the second leading cause of death in the USA, and malnutrition secondary to cancer progression and treatment side effects is common. While abundant evidence indicates that nutrition support improves patient outcomes, it is estimated that up to half of malnutrition cases are misclassified or undiagnosed. The use of a multidisciplinary team to assess nutrition status has been observed previously to reduce delays in nutritional support. Hence, educating all members of the oncology healthcare team to assess nutrition status may encourage earlier diagnosis and lead to improved patient outcomes. Thus, the objective was to perform a pilot study to assess change in knowledge and self-efficacy among oncology team members after watching an educational video about malnutrition. METHODS A pre-test post-test educational video intervention was given to 77 ambulatory oncology providers during weekly staff meetings at a community ambulatory oncology center in central Illinois. Change in knowledge and self-efficacy in malnutrition assessment and diagnosis was measured and acceptability of the brief educational video format was also observed. RESULTS Mean test scores improved by 1.95 ± 1.48 points (p < 0.001). Individual occupational groups improved scores significantly (p ≤ 0.005) except for specialty clinical staff. Self-efficacy improved from 38 to 70%. 90.8% of participants indicated the educational video improved their confidence in assessing malnutrition. CONCLUSIONS The educational video was well accepted and improved knowledge and self-efficacy of malnutrition assessment and diagnosis among ambulatory oncology providers. Wider implementation of such an educational intervention and longitudinal testing of knowledge retention and behaviors change is warranted.

中文翻译：

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教育视频干预提高了癌症中心医疗保健提供者识别营养不良的知识和自我效能：一项试点研究。

目的癌症是美国第二大死亡原因，癌症进展和治疗副作用继发的营养不良很常见。虽然大量证据表明营养支持可以改善患者的预后，但据估计，多达一半的营养不良病例被错误分类或未被诊断。之前已经观察到使用多学科团队来评估营养状况可以减少营养支持的延误。因此，教育肿瘤医疗团队的所有成员评估营养状况可能会鼓励早期诊断并改善患者的治疗效果。因此，我们的目标是进行一项试点研究，以评估肿瘤学团队成员在观看有关营养不良的教育视频后知识和自我效能的变化。方法 在伊利诺伊州中部社区门诊肿瘤中心的每周员工会议上，对 77 名门诊肿瘤医生进行了测试前测试后教育视频干预。测量了营养不良评估和诊断方面的知识和自我效能的变化，并观察了简短教育视频格式的可接受性。结果 平均测试分数提高了 1.95 ± 1.48 分 (p < 0.001)。除专业临床人员外，各个职业组的分数均显着提高（p ≤ 0.005）。自我效能感从 38% 提高到 70%。90.8% 的参与者表示，教育视频提高了他们评估营养不良的信心。结论 该教育视频得到了广泛接受，提高了门诊肿瘤医生对营养不良评估和诊断的知识和自我效能。有必要更广泛地实施这种教育干预以及对知识保留和行为改变的纵向测试。