Advice over empathy: a national cross-sectional examination of communication in United States dietetic education
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| Pubblicato in: | BMC Medical Education vol. 25 (2025), p. 1 |
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| Autore principale: | |
| Altri autori: | , , , , , |
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Springer Nature B.V.
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| 022 | |a 1472-6920 | ||
| 024 | 7 | |a 10.1186/s12909-025-07254-z |2 doi | |
| 035 | |a 3216559285 | ||
| 045 | 2 | |b d20250101 |b d20251231 | |
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| 100 | 1 | |a Braun, Ashlea | |
| 245 | 1 | |a Advice over empathy: a national cross-sectional examination of communication in United States dietetic education | |
| 260 | |b Springer Nature B.V. |c 2025 | ||
| 513 | |a Journal Article | ||
| 520 | 3 | |a BackgroundEmpathy is an important element of patient communication and is well operationalized in established approaches to one-on-one communication, such as motivational interviewing (MI). The accurate demonstration of empathy is especially important when seeking to facilitate a change in behavior, such as in lifestyle or diet, given these issues often involve psychological barriers versus knowledge deficits. Registered dietitians are a key licensed healthcare provider tasked with facilitating changes in diet, but the extent to which current educational standards in the United States (US) contribute to cultivation of empathy as a professional skill has not been systematically evaluated. The objective of this study was to characterize therapeutic empathy and communication among US dietetics students.MethodsA cross-sectional survey-based study was conducted among US-based dietetics students, recruited via forwarded e-mail messages from directors of accredited programs. Personal characteristics and responses to the Helpful Responses Questionnaire (HRQ)– a validated measure of therapeutic empathy– were collected. All HRQ responses (6/participant) were reviewed and scored from 1 to 5 based on the use of reflections and communication roadblocks (1 = least empathetic, 5 = most empathetic) per established methods. One mean total HRQ score was computed per participant and precise roadblocks used were tabulated. Given the distribution of the final data set, a binary variable was created to capture whether participants had a total HRQ score of 1 or > 1. Logistic regression and chi-square tests were used to identify participant attributes associated with achieving scores > 1.ResultsParticipants (n = 506) were mostly white females (95.06% female, 79.05% white). The mean total HRQ score was 1.21 (SD: 0.47), with n = 175 participants (34.6%) achieving a mean total HRQ score > 1. Age, being married, having a previous non-nutrition-related career, or enrollment in a standalone internship were associated with HRQ score > 1 (P ≤ 0.001). The most common roadblock used was advising followed by using logic.ConclusionUS-based dietetics students may not be consistently using empathetic communication, instead prioritizing problem-solving-oriented strategies (e.g., giving advice). Exploring optimal strategies to training that facilitate improved empathy, and the relative importance of empathy versus problem-solving strategies in facilitating behavior change, are important next steps. Further, the HRQ was successfully implemented, and its use should be replicated in other regions and populations. | |
| 651 | 4 | |a United States--US | |
| 653 | |a Behavior | ||
| 653 | |a Students | ||
| 653 | |a Communication | ||
| 653 | |a Nutrition research | ||
| 653 | |a Questionnaires | ||
| 653 | |a Diet | ||
| 653 | |a Confidence | ||
| 653 | |a Counseling | ||
| 653 | |a Academic standards | ||
| 653 | |a Patients | ||
| 653 | |a Trauma | ||
| 653 | |a Dietitians | ||
| 653 | |a Electronic mail systems | ||
| 653 | |a Empathy | ||
| 653 | |a Education | ||
| 653 | |a Medical education | ||
| 653 | |a Dietetics | ||
| 653 | |a Patient education | ||
| 653 | |a Stimuli | ||
| 653 | |a Behavior Modification | ||
| 653 | |a Nutrition Instruction | ||
| 653 | |a Outcomes of Treatment | ||
| 653 | |a Interrater Reliability | ||
| 653 | |a Communication (Thought Transfer) | ||
| 653 | |a Interviews | ||
| 653 | |a Meta Analysis | ||
| 653 | |a Feedback (Response) | ||
| 653 | |a Student Surveys | ||
| 653 | |a Student Participation | ||
| 653 | |a Health Behavior | ||
| 653 | |a Nutrition | ||
| 653 | |a Behavior Change | ||
| 653 | |a Recruitment | ||
| 653 | |a Individual Characteristics | ||
| 700 | 1 | |a Corcoran, Sarah | |
| 700 | 1 | |a Wollenberg, Gena | |
| 700 | 1 | |a McClanahan, Kristen | |
| 700 | 1 | |a Liebe, Rachel | |
| 700 | 1 | |a Businelle, Michael | |
| 700 | 1 | |a Joyce, Jillian | |
| 773 | 0 | |t BMC Medical Education |g vol. 25 (2025), p. 1 | |
| 786 | 0 | |d ProQuest |t Healthcare Administration Database | |
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| 856 | 4 | 0 | |3 Full Text - PDF |u https://www.proquest.com/docview/3216559285/fulltextPDF/embedded/L8HZQI7Z43R0LA5T?source=fedsrch |