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解决物理治疗师中肥胖的体重偏见和耻辱问题。

Addressing weight bias and stigma of obesity amongst physiotherapists.

机构信息

Faculty of Rehabilitation Medicine, 2-50 Corbett Hall, University of Alberta, Edmonton, AB, Canada.

出版信息

Physiother Theory Pract. 2021 Jul;37(7):808-816. doi: 10.1080/09593985.2019.1648623. Epub 2019 Jul 31.

Abstract

: Physiotherapists, as with all other healthcare professionals, report attitudes toward patients with obesity and beliefs about obesity that contribute to weight bias and stigma. : Determine if physiotherapists' attitudes and/or beliefs changed after attending an educational seminar that included content about the challenges faced by patients with obesity undergoing joint replacement and strategies on how to work effectively and sensitively with this population.: Physiotherapists completed a survey before and after attending a one day seminar to evaluate attitudes (The Attitude Towards Obese Persons, ATOP) and beliefs (Beliefs About Obese Persons, BAOP) towards obesity. To provide a reference, the seminar group's attitudes and beliefs were compared to a provincial cohort of 383 physiotherapists who completed the online version of the survey.: The pre-seminar mean ATOP score (71.3 ± 19.3) was similar to the online mean score (72.6 ± 15.3) ( = .66). The post-seminar ATOP score decreased (63.6 ± 15.9) ( = .02) indicating greater negative attitudes. The mean difference of the seminar BAOP showed a modest increase (mean difference 4.6, = .001) indicating that participants believed obesity was less in control of the individual.: Seminar information presented by respected and trusted leaders did not challenge participants' implicit attitudes and beliefs towards obesity. Further evaluation of theory-driven approaches specifically targeting physiotherapists is needed to address stigmatization within the profession.

摘要

: 物理治疗师与所有其他医疗保健专业人员一样,对肥胖患者的态度和对肥胖的看法导致了体重偏见和耻辱。: 确定物理治疗师在参加了一个教育研讨会后,其态度和/或信念是否发生了变化,该研讨会包括有关接受关节置换手术的肥胖患者所面临的挑战的内容以及与该人群有效和敏感地合作的策略。: 物理治疗师在参加为期一天的研讨会之前和之后完成了一项调查,以评估对肥胖的态度(肥胖者态度量表,ATOP)和信念(肥胖者信念量表,BAOP)。为了提供参考,将研讨会小组的态度和信念与完成在线调查的 383 名省级物理治疗师队列进行了比较。: 研讨会前的平均 ATOP 得分为(71.3 ± 19.3),与在线平均得分(72.6 ± 15.3)相似( =.66)。研讨会后的 ATOP 得分下降(63.6 ± 15.9)( =.02),表明态度更加消极。研讨会 BAOP 的平均差异显示出适度增加(平均差异 4.6, =.001),表明参与者认为肥胖对个人的控制较少。: 由受尊敬和信任的领导者提供的研讨会信息并未挑战参与者对肥胖的隐性态度和信念。需要进一步评估专门针对物理治疗师的基于理论的方法,以解决该专业中的污名化问题。

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