Wiese H J, Wilson J F, Jones R A, Neises M
University of Kentucky College of Medicine, Department of Behavioral Science, Lexington 40536-0086.
Int J Obes Relat Metab Disord. 1992 Nov;16(11):859-68.
The purpose of this study was to develop and evaluate an educational intervention designed to modify the stigma held by first-year medical students towards obese patients. The intervention, composed of video, audio and written components, was based on Petty and Cacioppo's elaboration likelihood model. Prior to the course, the medical students held largely accurate beliefs about the causes of obesity, but they still maintained negative stereotypes of the obese as lazy and lacking in self-control. Analysis of students' attitudes toward obese patients five weeks and one year after the course indicates that the intervention was effective. At the five-week assessment, students in the intervention group differed from students in the control group on six of eight measures of attitudes toward the obese. One year after the course, the intervention group was significantly more likely to rate genetic factors as important in obesity and less likely to blame the obese for their condition.
本研究的目的是开发并评估一种教育干预措施，旨在改变一年级医学生对肥胖患者的污名化态度。该干预措施由视频、音频和书面材料组成，基于佩蒂和卡乔波的精细加工可能性模型。在课程开始前，医学生对肥胖的成因持有大致准确的认知，但他们仍然对肥胖者持有负面刻板印象，认为其懒惰且缺乏自控力。对学生在课程结束五周和一年后对肥胖患者态度的分析表明，该干预措施是有效的。在五周评估时，干预组学生在八项肥胖患者态度测量指标中的六项上与对照组学生存在差异。课程结束一年后，干预组学生更有可能认为遗传因素在肥胖中很重要，而不太可能指责肥胖者自身的状况。
