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IBD Diet Knowledge and Education of GI Fellows

Pasek, Beata B. (2021) IBD Diet Knowledge and Education of GI Fellows. Doctoral Dissertation, University of Pittsburgh. (Unpublished)

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Abstract

Inflammatory Bowel Disease (IBD) is one of the most rapidly growing chronic diseases worldwide. Although the exact cause of the disease is still unknown some epidemiological studies suggests that factors related to diet might exacerbate the signs and symptoms of the disease. The value of a multidisciplinary approach, combined with dietary counseling, has been well documented across literature in various chronic disease management, and could be further adapted in the care of IBD patients. My problem of practice is that the gastroenterology practitioners at the Digestive Disorder Center (DDC) at UPMC underutilize nutritional services to manage the symptomology of the disease. Currently, our gastroenterology clinics operate without the use of dietary services to care for Crohn’s and ulcerative colitis patients; both patients and practitioners could greatly benefit from the use of nutritional services at the DDC. In this inquiry, I sought to investigate if educating gastroenterology fellows about the role of diet in IBD management would increase nutrition knowledge and the referral rate to nutritional counseling. My proposed intervention was to design and implement a brief online education module on the role of diet in the management of IBD for gastroenterology fellows. In Phase I, fellows completed a baseline survey assessing their knowledge of IBD diets and nutritional services at the DDC, and current referral practices. In Phase II, they participated in the online education module. In Phase III, I assessed their knowledge immediately post-module and in Phase IV, their behavior (i.e., referral rates and conversations with patients) 30 days later. Analysis comparing the pre- and post-intervention responses revealed that there was significant intervention effect in participants’ familiarity of patient dietary services at DDC, knowledge of natural diet modalities in IBD; change in participants’ frequency of talking to patients about natural diet modalities were borderline significant. The education module was easy to implement online, low cost, and fellows reported high levels of learning and intentions to refer patients. Based on these findings, I recommend this training be integrated into the fellow’s standard training curriculum. Future PDSA cycles should consider feedback from the fellows’ to strengthen the module, include a longer follow up period, and more interaction/prompts for fellows after the training.


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Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Pasek, Beata B.bbp10@pitt.edubbp10
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee MemberBinion, Davidbinion@pitt.edubinion
Committee MemberPerry, Jilljperry@pitt.edujperry
Committee ChairRoss, Sharonseross@pitt.eduseross
Date: 31 August 2021
Date Type: Publication
Defense Date: 25 June 2021
Approval Date: 31 August 2021
Submission Date: 19 July 2021
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 105
Institution: University of Pittsburgh
Schools and Programs: School of Education > Health and Physical Activity
Degree: EdD - Doctor of Education
Thesis Type: Doctoral Dissertation
Refereed: Yes
Uncontrolled Keywords: IBD diet physician education, Crohn's disease diet education, physicians and diet in IBD,
Date Deposited: 31 Aug 2021 17:14
Last Modified: 31 Aug 2021 17:14
URI: http://d-scholarship.pitt.edu/id/eprint/41430

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