Xiaohong Xu, Juan Yuan, Man Zhan, Xue Li, Jie Peng, Wei Lu, Liangshu Wu, Chang Zheng, Lingfang Tian
{"title":"医疗保健专业人员关于2型糖尿病医学营养治疗的知识、态度和实践：一项多中心横断面研究","authors":"Xiaohong Xu, Juan Yuan, Man Zhan, Xue Li, Jie Peng, Wei Lu, Liangshu Wu, Chang Zheng, Lingfang Tian","doi":"10.1007/s12020-025-04320-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate healthcare professionals' knowledge, attitudes, and practices (KAP) concerning medical nutrition therapy (MNT) for type 2 diabetes.</p><p><strong>Methods: </strong>A multicenter, cross-sectional study was conducted between September and October 2024 across hospitals of various levels in Guiyang City, China. Participants included healthcare professionals who voluntarily agreed to take part in the study. We included healthcare professionals from the entire hospital system to capture a broad perspective on the knowledge, attitudes, and practices towards MNT for type 2 diabetes, reflecting the multidisciplinary nature of diabetes care. Data on demographic characteristics and KAP scores were collected using a self-administered questionnaire.</p><p><strong>Results: </strong>A total of 1348 (90.77%) valid questionnaires were analyzed. Of the respondents, 1254 (93.03%) were female, 491 (36.42%) had 5-10 years of work experience, and 700 (51.93%) were actively engaged in the care and nutritional management of patients with type 2 diabetes. The mean ± SD knowledge, attitude, and practice scores were 14.18 ± 4.80 (possible range: 0-20), 36.73 ± 3.67 (possible range: 9-45), and 27.13 ± 5.27 (possible range: 7-35), respectively. Structural equation modeling show that knowledge has had specific effects on attitudes (β = 0.464, P < 0.001) and practice (β = 0.681, P < 0.001), as well as attitudes had a specific effect on practice (β = 0.491, P < 0.001).</p><p><strong>Conclusion: </strong>Healthcare professionals demonstrated suboptimal knowledge but maintained positive attitudes and proactive practices regarding MNT for type 2 diabetes. Targeted educational programs should be developed to enhance healthcare professionals' knowledge, as this could further strengthen their attitudes and practices, ultimately improving patient outcomes in MNT for type 2 diabetes.</p>","PeriodicalId":49211,"journal":{"name":"Endocrine","volume":" ","pages":""},"PeriodicalIF":3.0000,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Knowledge, attitudes, and practices of healthcare professionals regarding medical nutrition therapy for type 2 diabetes: a multicenter cross-sectional study.\",\"authors\":\"Xiaohong Xu, Juan Yuan, Man Zhan, Xue Li, Jie Peng, Wei Lu, Liangshu Wu, Chang Zheng, Lingfang Tian\",\"doi\":\"10.1007/s12020-025-04320-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This study aimed to evaluate healthcare professionals' knowledge, attitudes, and practices (KAP) concerning medical nutrition therapy (MNT) for type 2 diabetes.</p><p><strong>Methods: </strong>A multicenter, cross-sectional study was conducted between September and October 2024 across hospitals of various levels in Guiyang City, China. Participants included healthcare professionals who voluntarily agreed to take part in the study. We included healthcare professionals from the entire hospital system to capture a broad perspective on the knowledge, attitudes, and practices towards MNT for type 2 diabetes, reflecting the multidisciplinary nature of diabetes care. Data on demographic characteristics and KAP scores were collected using a self-administered questionnaire.</p><p><strong>Results: </strong>A total of 1348 (90.77%) valid questionnaires were analyzed. Of the respondents, 1254 (93.03%) were female, 491 (36.42%) had 5-10 years of work experience, and 700 (51.93%) were actively engaged in the care and nutritional management of patients with type 2 diabetes. The mean ± SD knowledge, attitude, and practice scores were 14.18 ± 4.80 (possible range: 0-20), 36.73 ± 3.67 (possible range: 9-45), and 27.13 ± 5.27 (possible range: 7-35), respectively. Structural equation modeling show that knowledge has had specific effects on attitudes (β = 0.464, P < 0.001) and practice (β = 0.681, P < 0.001), as well as attitudes had a specific effect on practice (β = 0.491, P < 0.001).</p><p><strong>Conclusion: </strong>Healthcare professionals demonstrated suboptimal knowledge but maintained positive attitudes and proactive practices regarding MNT for type 2 diabetes. Targeted educational programs should be developed to enhance healthcare professionals' knowledge, as this could further strengthen their attitudes and practices, ultimately improving patient outcomes in MNT for type 2 diabetes.</p>\",\"PeriodicalId\":49211,\"journal\":{\"name\":\"Endocrine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-06-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Endocrine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s12020-025-04320-w\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Endocrine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s12020-025-04320-w","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
Knowledge, attitudes, and practices of healthcare professionals regarding medical nutrition therapy for type 2 diabetes: a multicenter cross-sectional study.
Purpose: This study aimed to evaluate healthcare professionals' knowledge, attitudes, and practices (KAP) concerning medical nutrition therapy (MNT) for type 2 diabetes.
Methods: A multicenter, cross-sectional study was conducted between September and October 2024 across hospitals of various levels in Guiyang City, China. Participants included healthcare professionals who voluntarily agreed to take part in the study. We included healthcare professionals from the entire hospital system to capture a broad perspective on the knowledge, attitudes, and practices towards MNT for type 2 diabetes, reflecting the multidisciplinary nature of diabetes care. Data on demographic characteristics and KAP scores were collected using a self-administered questionnaire.
Results: A total of 1348 (90.77%) valid questionnaires were analyzed. Of the respondents, 1254 (93.03%) were female, 491 (36.42%) had 5-10 years of work experience, and 700 (51.93%) were actively engaged in the care and nutritional management of patients with type 2 diabetes. The mean ± SD knowledge, attitude, and practice scores were 14.18 ± 4.80 (possible range: 0-20), 36.73 ± 3.67 (possible range: 9-45), and 27.13 ± 5.27 (possible range: 7-35), respectively. Structural equation modeling show that knowledge has had specific effects on attitudes (β = 0.464, P < 0.001) and practice (β = 0.681, P < 0.001), as well as attitudes had a specific effect on practice (β = 0.491, P < 0.001).
Conclusion: Healthcare professionals demonstrated suboptimal knowledge but maintained positive attitudes and proactive practices regarding MNT for type 2 diabetes. Targeted educational programs should be developed to enhance healthcare professionals' knowledge, as this could further strengthen their attitudes and practices, ultimately improving patient outcomes in MNT for type 2 diabetes.
期刊介绍：
Well-established as a major journal in today’s rapidly advancing experimental and clinical research areas, Endocrine publishes original articles devoted to basic (including molecular, cellular and physiological studies), translational and clinical research in all the different fields of endocrinology and metabolism. Articles will be accepted based on peer-reviews, priority, and editorial decision. Invited reviews, mini-reviews and viewpoints on relevant pathophysiological and clinical topics, as well as Editorials on articles appearing in the Journal, are published. Unsolicited Editorials will be evaluated by the editorial team. Outcomes of scientific meetings, as well as guidelines and position statements, may be submitted. The Journal also considers special feature articles in the field of endocrine genetics and epigenetics, as well as articles devoted to novel methods and techniques in endocrinology.
Endocrine covers controversial, clinical endocrine issues. Meta-analyses on endocrine and metabolic topics are also accepted. Descriptions of single clinical cases and/or small patients studies are not published unless of exceptional interest. However, reports of novel imaging studies and endocrine side effects in single patients may be considered. Research letters and letters to the editor related or unrelated to recently published articles can be submitted.
Endocrine covers leading topics in endocrinology such as neuroendocrinology, pituitary and hypothalamic peptides, thyroid physiological and clinical aspects, bone and mineral metabolism and osteoporosis, obesity, lipid and energy metabolism and food intake control, insulin, Type 1 and Type 2 diabetes, hormones of male and female reproduction, adrenal diseases pediatric and geriatric endocrinology, endocrine hypertension and endocrine oncology.
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