Community Health Systems Resource Group, The Hospital for Sick Children, 555 University Ave, Toronto, Ontario, Canada.
Prev Chronic Dis. 2013 Apr 4;10:E46. doi: 10.5888/pcd10.120185.
Promoting healthy weight is a top priority in Canada. Recent federal guidelines call for sustained, multisectoral partnerships that address childhood obesity on multiple levels. Current healthy weight messaging does not fully acknowledge the influence of social determinants of health on weight.
An interactive workshop was developed and implemented by a team of academic researchers and health promoters from the psychology and public health disciplines to raise awareness about 1) weight bias and its negative effect on health, 2) ways to balance healthy weight messaging to prevent the triggering of weight and shape preoccupation, and 3) the incorporation of mental health promotion into healthy weight messaging. We conducted a full-day workshop with 342 Ontario public health promoters and administered a survey at preintervention, postintervention, and follow-up.
Participation in the full-day workshop led to significant decreases in antifat attitudes and the internalization of media stereotypes and to significant increases in self-efficacy to address weight bias. Participants reported that the training heightened their awareness of their own personal weight biases and the need to broaden their scope of healthy weight promotion to include mental health promotion. There was consensus that additional sessions are warranted to help translate knowledge into action. Buy-in and resource support at the organizational level was also seen as pivotal.
Professional development training in the area of weight bias awareness is associated with decreases in antifat attitudes and the internalization of media stereotypes around thinness. Health promoters' healthy weight messaging was improved by learning to avoid messages that trigger weight and shape preoccupation or unhealthful eating practices among children and youth. Participants also learned ways to integrate mental health promotion and resiliency-building into daily practice.
促进健康体重是加拿大的首要任务。最近的联邦指南呼吁建立持续的、多部门的伙伴关系，从多个层面解决儿童肥胖问题。目前的健康体重信息并没有充分认识到健康决定因素对体重的影响。
一个由来自心理学和公共卫生学科的学术研究人员和健康促进人员组成的团队开发并实施了一个互动研讨会，以提高对以下方面的认识：1）体重偏见及其对健康的负面影响，2）平衡健康体重信息传递以防止引发体重和体型关注的方法，3）将心理健康促进纳入健康体重信息传递。我们与 342 名安大略省公共卫生促进者进行了为期一天的研讨会，并在干预前、干预后和随访时进行了调查。
参加全天研讨会导致反肥胖态度显著下降，媒体刻板印象内化程度显著降低，而解决体重偏见的自我效能感显著提高。参与者报告说，培训提高了他们对自己个人体重偏见的认识，以及拓宽健康体重促进范围以包括心理健康促进的必要性。大家一致认为，需要额外的课程来帮助将知识转化为行动。组织层面的认可和资源支持也被视为关键。
体重偏见意识领域的专业发展培训与反肥胖态度的减少以及对瘦的媒体刻板印象的内化有关。健康促进者通过学习避免向儿童和青少年传递引发体重和体型关注或不健康饮食行为的信息，改善了他们的健康体重信息传递。参与者还学会了将心理健康促进和韧性建设融入日常实践的方法。
