BACKGROUND Quality, evidence-based obesity management training for family medicine residents is needed to better support patients. To address this gap, we developed a comprehensive course based on the 5As of Obesity Management™ (ASK, ASSESS, ADVISE, AGREE, ASSIST), a framework and suite of resources to improve residents' knowledge and confidence in obesity counselling. This study assessed the course's impact on residents' attitudes, beliefs, and confidence with obesity counselling. METHODS The course combines lectures with a bariatric empathy suit experience, standardized and in-clinic patient practice, and narrative reflections. Using a multi-methods design we measured changes in 42 residents' attitudes, beliefs, and self-confidence and thematically analyzed the narrative reflections to understand residents' experience with the course content and pedagogy. RESULTS Following the course, residents reported improved attitudes towards people living with obesity and improved confidence for obesity counselling. Pre/post improvement in BAOP scores (n = 32) were significant (p < .001)., ATOP scores did not change significantly. Residents showed improvement in assessing root causes of weight gain (p < .01), advising patients on treatment options (p < .05), agreeing with patients on health outcomes (p < .05), assisting patients in addressing their barriers (p < .05), counseling patients on weight gain during pregnancy, (p < .05), counseling patients on depression and anxiety (p < .01), counseling patients on iatrogenic causes of weight gain (p < .01), counseling patients who have children with obesity (p < .05), and referring patients to interdisciplinary providers for care (p < .05). Qualitative analysis of narrative reflections illustrates that experiential learning was crucial in increasing residents' ability to empathically engage with patients and to critically reflect on implications for their practice. CONCLUSION The 5AsT-MD course has the potential to increase residents' confidence and competency in obesity prevention and management. Findings reflect the utility of the 5As to improve residents' confidence and competency in obesity management counselling.

中文翻译：

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改善家庭医学中的肥胖管理培训：5AsT-MD试点课程的多方法评估。

背景技术需要对家庭医学居民进行高质量的循证肥胖管理培训，以更好地支持患者。为了解决这一差距，我们基于肥胖管理5A（ASK，ASSESS，ADVISE，AGREE，ASSIST）开发了综合课程，该框架和资源套件可提高居民对肥胖咨询的知识和信心。这项研究通过肥胖咨询评估了该课程对居民态度，信念和自信心的影响。方法该课程将讲课与减肥疗法的移情服体验，标准化的和诊所式的患者实践以及叙述性思考相结合。使用多方法设计，我们测量了42位居民的态度，信念和自信的变化，并通过专题分析了叙事性思考以了解居民的感受。具有课程内容和教学法的经验。结果课程结束后，居民报告称他们对肥胖症患者的态度有所改善，对肥胖症咨询的信心也有所提高。BAOP评分的前/后改善（n = 32）是显着的（p <.001）。ATOP评分没有显着变化。居民在评估体重增加的根本原因方面表现出改善（p <.01），为患者提供治疗选择建议（p <.05），与患者就健康结果达成共识（p <.05），协助患者解决障碍（p <.05），为患者的妊娠期体重增加提供咨询服务（p <.05），为抑郁症和焦虑症提供咨询服务（p <.01），为医源性原因引起的体重增加提供咨询服务（p <.01），为患者提供咨询服务患有肥胖症的儿童（p <.05），并将患者推荐给跨学科的医疗服务提供者（p <.05）。对叙事性反思的定性分析表明，体验式学习对于提高居民同情患者的能力并批判性地反思对患者实践的影响至关重要。结论5AsT-MD课程有可能增强居民在预防和管理肥胖方面的信心和能力。调查结果反映了5A在提高居民对肥胖管理咨询的信心和能力方面的效用。善于与患者互动并批判性地反思其实践意义的能力。结论5AsT-MD课程有可能增强居民在预防和管理肥胖方面的信心和能力。调查结果反映了5A在提高居民对肥胖管理咨询的信心和能力方面的效用。善于与患者互动并批判性地反思其实践意义的能力。结论5AsT-MD课程有可能增强居民在预防和管理肥胖方面的信心和能力。调查结果反映了5A在提高居民对肥胖管理咨询的信心和能力方面的效用。