一种多方面的培训工具，可减少医疗保健学生中的体重偏见：一项随机对照试验。

A multifaceted training tool to reduce weight bias among healthcare students: A randomized controlled trial.

机构信息

Department of Nutrition Sciences, School of Health Sciences, Ariel University, Ariel, Israel; Department of Nutrition, Assuta Medical Center, Tel Aviv, Israel.

Nursing Department, School of Health Sciences, Ariel University, Ariel, Israel.

出版信息

Obes Res Clin Pract. 2024 Jan-Feb;18(1):35-42. doi: 10.1016/j.orcp.2023.12.002. Epub 2024 Jan 5.

DOI:10.1016/j.orcp.2023.12.002

PMID:38184475

Abstract

BACKGROUND

Weight bias toward people with obesity (PwO) is common in healthcare settings. Efforts to address weight bias in healthcare settings should begin during university studies. This study aimed to explore the effect of a multifaceted intervention on weight bias among undergraduate healthcare students.

METHODS

An open label randomized controlled trial. The intervention tool consisted of short video lectures on obesity, vignettes simulating interactions between health professionals and PwO, and open discourse with a PwO. The control group received a short-written document on obesity. Online questionnaires on Anti-Fat Attitudes ('AFA'), short form of the Fat-Phobia Scale ('FPS'), Weight Implicit Association Test ('Weight-IAT'), and knowledge about obesity were administered at baseline, 1-week, and 6-week post-intervention.

RESULTS

A total of 162, 152, and 146 students participated in the study at baseline, 1-week, and 6-week post-intervention, respectively. Their mean age was 25.8 ± 6.7 years and 88.3% were women. Means of AFA total scores and FPS scores decreased significantly over time only within the intervention group (P TimeGroup = 0.002 and 0.014). Both groups showed a similar trend over time in mean scores of Weight-IAT (P TimeGroup = 0.868) and knowledge about obesity (P Time*Group = 0.115).

CONCLUSIONS

A multifaceted intervention resulted in a significant reduction in explicit weight bias but did not yield any additional advantages over the control group in implicit weight bias and knowledge about obesity.

GOV NUMBER

NCT05482802.

摘要

背景

在医疗保健环境中，人们普遍对肥胖者存在体重偏见。在医疗保健环境中解决体重偏见的努力应在大学阶段开始。本研究旨在探讨一种多方面干预措施对本科医疗保健学生体重偏见的影响。

方法

这是一项开放标签随机对照试验。干预工具包括关于肥胖的短视频讲座、模拟健康专业人员与肥胖者之间互动的情景案例以及与肥胖者的公开讨论。对照组接受了关于肥胖的简短书面文件。在基线、干预后 1 周和 6 周时，通过在线问卷评估反肥胖态度（“AFA”）、肥胖恐惧症量表简表（“FPS”）、体重内隐联想测验（“Weight-IAT”）和肥胖知识。

结果

共有 162、152 和 146 名学生分别在基线、干预后 1 周和 6 周时参加了研究，他们的平均年龄为 25.8±6.7 岁，88.3%为女性。仅在干预组中，AFA 总分和 FPS 评分的平均值随时间显著降低（P TimeGroup = 0.002 和 0.014）。两组的 Weight-IAT（P TimeGroup = 0.868）和肥胖知识（P Time*Group = 0.115）的平均分随时间的变化趋势相似。