Educational intervention to improve the competence of Mexican physicians to provide nutritional management for diabetes mellitus type 2

Author:

Cabrera-Pivaral Carlos E.,Crocker-Sagástume René C.,Zavala-González Marco A.,Muñiz-Mendoza Priscilla

Abstract

Objective To evaluate the effect of a participative educational intervention on the clinical competence of Mexican family physicians regarding the nutritional management of patients with diabetes mellitus Type 2.Materials and Methods Quasi-experimental study with a before-and-after control group. Convenience sample included 60 family physicians distributed in two social security primary health care units, randomly selected: 30 in the “A” unit and 30 in the “B” unit. Unit “A” was assigned randomly as control group, and “B” unit as intervention group. The intervention consisted of a theoretical-practical course-workshop that lasted six months where real cases were discussed and solved. Clinical competence was evaluated by means of an instrument designed ex professo, with a maximum theoretical value of 100 and 94% reliability according to the Kuder-Richardson test. Medians of clinical competence were compared among groups, before and after intervention, using the Mann-Whitney U test, while frequencies distribution of clinical competence level were analyzed with the Kolmogorov–Smirnov test (p≤0.05).Results Overall medians and intervals for unit “A” were 28 (9-45) pre-intervention and 34 (11-51) pos-intervention, with before-after difference p>0.05; for unit “B”, values were 32 (12-50) pre-intervention, 61 (36-82) pos-intervention, and before-after difference p≤0.05. No significant differences were found among groups pre-intervention (p>0.05), although they were observed pos-intervention (p≤0.05).Conclusions The educational intervention evaluated proved to improve, in a statistically significant way, the overall and by dimensions clinical competence level of Mexican family physicians for nutritional management of patients with diabetes mellitus type 2.

Publisher

Universidad Nacional de Colombia

Subject

Public Health, Environmental and Occupational Health

Reference33 articles.

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