Developing and validating a survey to assess physician-implementation of dietary guidelines for patients with hypertension in primary care
Date
2017-11-01
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Abstract
Dietary modifications are a key component for the health behaviour management of
hypertension. Primary care physicians are key facilitators in encouraging patients with
hypertension to adopt healthy diets; however, barriers related to nutrition knowledge, attitudes
and behaviours may influence their provision of diet to hypertensive patients. Such barriers
have not been well described in the literature. The study objective was to develop and validate
a survey to identify barriers and facilitators to the implementation of dietary guidelines for
hypertensive patients. A MEDLINE search was conducted to identify physician-related barriers,
and facilitators related to dietary advice in clinical practice. Content and face validity were
assessed by consulting primary care physicians, experts on hypertension, and experts on
survey development. Finally, a feasibility study was conducted among primary care physicians
and medical residents in the Durham region, Ontario. The final web-based survey included 33
questions. The survey takes 8 minutes to complete.
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Keywords
Hypertension, Nutrition education, Diet, Sodium, Physicians, Knowledge