School of Psychology, The University of Queensland, Brisbane, Australia.
Br J Health Psychol. 2011 Nov;16(4):846-61. doi: 10.1111/j.2044-8287.2011.02022.x. Epub 2011 Apr 8.
Although experiencing weight bias is associated with poor physical and psychological health, health professionals often stigmatize overweight and obese clients. The objective of this study was to evaluate a brief educational intervention that aimed to reduce weight bias among Australian pre-service health students by challenging beliefs about the controllability of weight.
Non-equivalent group comparison trial.
Undergraduate psychology students were assigned to an intervention (n= 30), control (n= 35), or comparison (n= 20) condition. The intervention condition received a lecture on obesity, weight bias, and the multiple determinants of weight; the comparison condition received a lecture on obesity and the behavioural determinants of weight; and the control condition received no lecture. Beliefs about the controllability of weight and attitudes towards overweight and obese people were assessed 1 week pre-intervention, immediately post-intervention, and 3 weeks post-intervention.
After receiving the lecture, participants in the intervention group were less likely to believe that weight is solely within individual control and were also less likely to hold negative attitudes towards overweight and obese people and rate them as unattractive. These changes were maintained 3 weeks post-intervention. There were no such changes in the control or comparison groups. Disparagement of overweight and obese peoples' social character increased over time for participants in the control condition but did not change in the comparison or intervention groups.
This study provides evidence that brief, education-based anti-weight bias interventions show success in challenging weight controllability beliefs and reducing weight bias among pre-service health students.
尽管经历体重偏见与身心健康状况不佳有关,但卫生专业人员常常会对超重和肥胖的客户产生污名化。本研究的目的是评估一项简短的教育干预措施,通过挑战有关体重可控性的信念,减少澳大利亚预备卫生专业学生的体重偏见。
非等效组比较试验。
将心理学专业的本科生分为干预组(n=30)、对照组(n=35)和比较组(n=20)。干预组接受关于肥胖、体重偏见和体重的多种决定因素的讲座;比较组接受关于肥胖和体重行为决定因素的讲座;对照组不接受讲座。在干预前 1 周、干预后立即和干预后 3 周评估对体重可控性的信念和对超重及肥胖人群的态度。
接受讲座后,干预组参与者不太可能认为体重完全由个人控制,对超重和肥胖人群的负面态度也有所减轻,对他们的吸引力评价也有所降低。这些变化在干预后 3 周仍保持不变。对照组和比较组没有发生此类变化。对照组参与者对超重和肥胖人群的社会特征的贬损随着时间的推移而增加,但在比较组和干预组中没有变化。
本研究提供了证据,表明简短的基于教育的反体重偏见干预措施在挑战体重可控性信念和减少预备卫生专业学生的体重偏见方面取得了成功。