title: Nutrition guidance by primary-care physicians: perceived barriers and low involvement.
abstract: OBJECTIVE
  To investigate the activities of general practitioners (GPs) in nutritional matters and the factors that influence their attitudes, knowledge and behaviour, especially perceived barriers.
  
  
  METHODS
  Postal questionnaires (result of focus group discussions and in-depth interviews) were sent to a nationwide random sample of GPs in the Netherlands.
  
  
  METHODS
  1000 GPs, in practice for between 5 and 15 years.
  
  
  METHODS
  The identification of GPs' perceived barriers to nutritional guidance of their patients, their nutritional attitudes and behaviours.
  
  
  RESULTS
  Net response rate was 64% (633/990). GPs perceived smoking to be the greatest health hazard, followed by dietary pattern and genome. 70% expressed considerable interest in the role of nutrition in health. In daily practice nutrition plays a minor role in the work of the GP. 28% of GPs gave daily nutrition information to about 10% of their patients and 48% to about 5% of their patients. It is found that GPs do perceive strong barriers of being involved in nutrition issues during their practice. The most important barriers expressed were: not being trained in nutrition, lack of time to address nutrition issues and the perception that patients lack motivation to change lifestyle and/or dietary patterns.
  
  
  CONCLUSIONS
  The involvement of GPs in nutritional matters is very low. The fact that lack of training is considered as the most important barrier is, however, unexpected. This finding offers possibilities for improvement in which in-service courses and inter-active distant-learning programmes on nutrition for GPs should get special attention.
authors.affiliation: Dairy Foundation on Nutrition and Health, Maarssen, The Netherlands.
authors.forename: G J
authors.initials: GJ
authors.lastname: Hiddink
authors.forename: J G
authors.initials: JG
authors.lastname: Hautvast
authors.forename: C M
authors.initials: CM
authors.lastname: van Woerkum
authors.forename: C J
authors.initials: CJ
authors.lastname: Fieren
authors.forename: M A
authors.initials: MA
authors.lastname: van 't Hof
mesh_terms: D000328:Adult; D005163:Factor Analysis, Statistical; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D009426:Netherlands; D052756:Nutritional Sciences / Q000193:education*; D010349:Patient Compliance; D010353:Patient Education as Topic; D010821:Physicians, Family / Q000193:education / Q000523:psychology; D010818:Practice Patterns, Physicians'; D011795:Surveys and Questionnaires; D016526:Workload