Development and Testing of Training Modules Targeting Health Care Providers for the Optimal Implementation of Evidence-Based Dietary Guidelines

Abstract

To develop and test the effectiveness of training-of-trainers (ToT) workshop and supportive training manuals targeting primary health care workers (PHCWs) in Lebanon to optimally implement evidence-based national Food Based Dietary Guidelines (FBDGs). Health coordinators at the Ministry of Public Health (MoPH) and PHCWs across Lebanon. According to World Health Organization guidelines, evidence-based FBDGS were developed in Lebanon to promote healthy lifestyles and prevent chronic diseases among adults. Training of PHCWs on effective implementation of FBDGs was needed. Workshop and ToT manual were developed by a team of nutrition experts from the American University of Beirut, MoPH, and UNICEF. 20 PHCWs participated in the 3-day workshop on FBDGs with supportive educational materials and activities to train other PHCWs on new guidelines for counseling patients. Pre-questionnaires assessed nutritional knowledge and skills of PHCWs and common nutrition-related health conditions reported in centers. Participants evaluated the content of training sessions and supportive educational materials throughout the workshop. New skills learned and planned trainings conducted at health centers were assessed three weeks post training. 62% of participants were involved in assessing dietary intake of patients prior to workshop, yet voiced their need for more training on weight management and dietary guidelines. During the workshop, 90% of participants found the training and manuals to be comprehensible and pertinent to their practice. Post-evaluation, participants had more confidence in planning nutrition programs, conducting lectures, and counseling patients. Participants suggested expanding the workshop to a larger group of PHCWs to prevent chronic diseases in a country undergoing nutrition transition.