Villanova University M. Louise Fitzpatrick College of Nursing, Villanova, Pennsylvania, USA.
MacDonald Center for Obesity Prevention and Education, Villanova University M. Louise Fitzpatrick College of Nursing, Villanova, Pennsylvania, USA.
Clin Obes. 2022 Apr;12(2):e12498. doi: 10.1111/cob.12498. Epub 2021 Nov 25.
To explore whether case-based learning will enhance a weight bias reduction (WBR) programme among nursing students to improve their attitudes and beliefs towards persons with obesity. A cluster-randomized controlled trial (CRT) among 13 medical-surgical clinical practicum groups consisting of six to eight third-year baccalaureate nursing students was conducted to compare a WBR training enhanced by case-based learning (WBR-I, n = 7) with a standard WBR control group (n = 6). All participants completed the Attitudes Towards Obese Persons (ATOP) and Beliefs About Obese Persons (BAOP) questionnaires before the randomized assignment and at the end of the 14-week semester. The BAOP scores of participants in the WBR-I group were significantly improved compared to controls (26.68 ± 7.85 and 22.93 ± 2.80, respectively; F = 18.23; p = .001 (<.01) indicating improved beliefs about the controllability of obesity. There were no significant changes to attitudes about individuals with obesity, as indicated by the ATOP scores. The findings of this pilot study suggest that a more intensive WBR programme that includes case-based learning scenarios that elicit critical thinking coupled with a standard WBR programme may reduce some aspects of weight bias.
探讨基于案例的学习是否会增强护理学生的体重偏见减少（WBR）计划，以改善他们对肥胖者的态度和信念。在由六到八名三年级护理学士学生组成的 13 个医疗外科临床实习小组中进行了一项群组随机对照试验（CRT），以比较基于案例学习增强的 WBR 培训（WBR-I，n=7）与标准 WBR 对照组（n=6）。所有参与者在随机分组前和 14 周学期结束时完成了对肥胖者的态度（ATOP）和对肥胖者的信念（BAOP）问卷。与对照组相比，WBR-I 组的 BAOP 评分显着提高（分别为 26.68±7.85 和 22.93±2.80；F=18.23；p=.001（<.01），表明对肥胖可控制性的信念有所改善。ATOP 评分表明，对肥胖个体的态度没有明显变化。这项初步研究的结果表明，包括引发批判性思维的基于案例的学习情景的更强化的 WBR 计划，加上标准的 WBR 计划，可能会减少体重偏见的某些方面。
