Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany.
BMJ Open. 2019 Aug 5;9(8):e029738. doi: 10.1136/bmjopen-2019-029738.
With the growing prevalence of overweight and obesity, medical students should be prepared to engage in weight management and obesity-related communications in order to prevent patients from having stigmatising experiences. In addition, medical students should have training to reduce anti-fat prejudices.
Cross-sectional proof of concept study.
University Hospital Tuebingen, Germany.
246 participants (207 second-year medical students, 13 standardised patients (SPs) and 22 teachers) took part in the study.
The primary outcome was the assessment of degree of reality of the encounter with the SP wearing an obesity simulation suit (OSS). The secondary outcome was the evaluation of students' awareness and prejudice against patients with obesity in a simulated role play. Additionally, a description of the advantages and disadvantages when using such a teaching tool is delivered.
The OSS contributed to a realistic perception of the patient group depicted in a role play according to students, teachers and SPs. OSS body mass index estimation by students, teachers and SPs correctly was over 30 kg/m-thus in the range of obesity. In a selected subscale of the Anti-Fat Attitudes Test, students showed significantly stronger anti-fat stigmatisation compared with teachers and SPs.
An OSS worn by an SP is a valuable teaching tool to raise awareness about patients with obesity. It gives a realistic picture of the encounter. Stigmatisation was low in general but was especially present in the students. Further research should include intervention studies to address this issue.
随着超重和肥胖的患病率不断上升，医学生应该准备好进行体重管理和与肥胖相关的沟通，以防止患者产生污名化体验。此外，医学生应该接受培训以减少对肥胖的偏见。
横断面概念验证研究。
德国图宾根大学医院。
246 名参与者（207 名二年级医学生、13 名标准化患者（SP）和 22 名教师）参与了这项研究。
主要结果是评估与穿着肥胖模拟服（OSS）的 SP 相遇的现实程度。次要结果是评估学生在模拟角色扮演中对肥胖患者的意识和偏见。此外，还描述了使用这种教学工具的优点和缺点。
OSS 有助于学生、教师和 SP 对角色扮演中描绘的患者群体产生现实的感知。学生、教师和 SP 对 OSS 体重指数的估计正确地超过了 30kg/m2，处于肥胖范围。在抗肥胖态度测试的一个选择子量表中，学生表现出比教师和 SP 更强的抗肥胖污名化。
由 SP 穿着的 OSS 是提高对肥胖患者认识的有价值的教学工具。它提供了与肥胖患者相遇的真实画面。总的来说，污名化程度较低，但在学生中尤其明显。进一步的研究应包括干预研究来解决这个问题。
