Adolescent girls commonly report weight-stigmatizing experiences in physical activity contexts, which may contribute to negative experiences and lower rates of participation. As such, psychological intervention strategies that target the negative effects of weight stigma on girls' physical activity experiences may be beneficial. The aim of the present study was to test group differences in physical activity motivation among adolescent girls who engaged in a self-compassion writing, compared to a neutral writing induction, after recalling a weight-stigmatizing physical activity experience. In an online brief experimental task, 195 adolescent girls (M age = 16.95, SD = 1.24) recalled a weight-stigmatizing experience in physical activity and were randomized to a self-compassionate writing (n = 98) or attentional control condition (n = 97). Using a between-subjects postmanipulation design, participants self-reported their motivation and intent to re-engage in future physical activity. Compared to the attentional control group, girls in the self-compassion condition reported lower levels of external motivation (η 2 = .057), though no between-condition differences were detected for other psychosocial correlates of physical activity (i.e., intent to re-engage in physical activity, identified regulation, intrinsic motivation, amotivation). Although the results show initial promise for the utility of a brief self-compassion induction using a randomized experimental design, future research should integrate pretest assessments to determine the extent to which cultivating self-compassion can combat the negative effects associated with weight-stigmatizing experiences in physical activity among adolescent girls.

Background Prescribing rates of some analgesics decreased during the public health crisis. Yet, up to a quarter of opioid-naïve persons prescribed opioids for noncancer pain develop prescription opioid use disorder. We, therefore, sought to evaluate a pilot educational session to support primary care-based sparing of opioid analgesics for noncancer pain among opioid-naïve patients in British Columbia (BC). Methods Therapeutics Initiative in BC has launched an audit and feedback intervention. Individual prescribing portraits were mailed to opioid prescribers, followed by academic detailing webinars. The webinars’ learning outcomes included defining the terms opioid naïve and opioid sparing, and educating attendees on the (lack of) evidence for opioid analgesics to treat noncancer pain. The primary outcome was change in knowledge measured by four multiple-choice questions at the outset and conclusion of the webinar. Results Two hundred participants attended four webinars; 124 (62%) responded to the knowledge questions. Community-based primary care professionals (80/65%) from mostly urban settings (77/62%) self-identified as family physicians (46/37%), residents (22/18%), nurse practitioners (24/19%), and others (32/26%). Twelve participants (10%) recalled receiving the individualized portraits. While the correct identification of opioid naïve definitions increased by 23%, the correct identification of opioid sparing declined by 7%. Knowledge of the gaps in high-quality evidence supporting opioid analgesics and risk tools increased by 26% and 35%, respectively. Conclusion The educational session outlined in this pilot yielded mixed results but appeared acceptable to learners and may need further refinement to become a feasible way to train professionals to help tackle the current toxic drugs crisis.