Development of a weight bias reduction intervention for third‐year nursing students

Oliver, Tracy L.; Qi, Bing-Bing; Diewald, Lisa; Shenkman, Rebecca; Kaufmann, Peter

doi:10.1111/cob.12498

Cited by 5 publications

(4 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On average, students in this study reported low to medium anti-fat attitudes, low to moderate fat phobia, and modest body appreciation. Our quantitative results did not reveal significant differences between students in the pedagogical intervention compared to those who were not, echoing previous research employing similar content and duration (Elboim-Gabyzon et al, 2020; Oliver et al, 2022; Usta et al, 2021; Werkhoven, 2020; Wijayatunga et al, 2021). However, self-reported BMI was a positive, significant predictor of students’ fear of becoming fat themselves, and this relationship was significant for students in the comparison, but not the intervention, classrooms.…”

Section: Discussionsupporting

confidence: 86%

“…Recent interventions focused on reducing weight bias among college students pursuing healthcare-related degrees have yielded mixed results (Oliver et al, 2022; Rukavina et al, 2008; Werkhoven, 2021; Wijayatunga et al, 2019). Some studies have indicated mild improvements in bias reduction, while others have not.…”

Section: Introductionmentioning

confidence: 99%

“…Some studies have indicated mild improvements in bias reduction, while others have not. A few studies revealed minimal bias at pre-intervention, limiting the potential for change (Flint, 2015; Oliver et al, 2022; Poustchi et al, 2013; Werkhoven, 2021; Wijayatunga et al, 2019). Programmes, actions, and interventions have been evaluated primarily through quantitative surveys, with fewer including qualitative data to understand outcomes (Werkhoven, 2021).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Changing perspectives among pre-health undergraduates through a brief weight bias pedagogical intervention

Bolter

Sosna

Arauzo

et al. 2023

Health Education Journal

View full text Add to dashboard Cite

Background: Weight stigma and bias are present in education, employment, and health care institutions, and have increased in recent years. College students in pre-health majors have been documented to hold weight biases, and interventions to mitigate these beliefs have had varying results. Objectives: This study’s purpose was to assess the impact of a pedagogical intervention regarding weight stigma outcomes among first-year students. Method: Three instructors of lower-division health and social science courses implemented a 3-module lecture series on weight stigma, the environmental sources of weight variability, and body appreciation. Participants ( N = 81; 48 from intervention (INT) classrooms, 33 from comparison [COM] classrooms) completed an end-of-semester survey regarding their anti-fat biases, fat phobia, and body appreciation, and a subset ( n = 13) participated in a semi-structured interview about their experiences. Results: Results revealed no outcome differences between the treatment versus comparison groups, although self-reported body mass index (BMI) was a significant covariate ( p = .008). A significant correlation emerged between BMI and fear of fat scores for COM ( r = .52, p < .01) but not for INT students ( r = .28, p > .05), suggesting the intervention may have impacted how students form their anti-fat biases in relation to their BMI. Qualitative findings yielded five themes – connected course material with personal experiences; learned about weight stigma; shifted perspective on weight stigma; recognised application of weight stigma; material to future career; and valued learning about weight stigma – that provided insight into how the intervention positively affected students. Conclusion: Informed by the findings from this study, future interventions should take a more immersive pedagogical approach.

show abstract

Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Changing perspectives among pre-health undergraduates through a brief weight bias pedagogical intervention

Bolter

Sosna

Arauzo

et al. 2023

Health Education Journal

View full text Add to dashboard Cite

show abstract

“…Of the 14 studies included, only four used nursing students as the population, and not a single study used NPs. Barra and Singh Hernandez (2018) and Oliver et al (2022) focused on undergraduate nursing education, conducted weight sensitivity education as part of a clinical nursing practicum, and assessed attitudes and beliefs contributing to weight bias over an entire semester and found significant positive changes in students' attitudes after receiving obesity sensitivity education. It is noted that beliefs tend to be most impacted through positive interactions with individuals with lived experiences through evoking empathy.…”

Section: Discussion and Implications For Practicementioning

confidence: 99%

Weight bias reduction intervention among nurse practitioner students using simulation-based experiences

Oliver,

Burrell,

Furman

et al. 2023

J Am Assoc Nurse Pract

Self Cite

View full text Add to dashboard Cite

Few nurse practitioner (NP) programs include obesity and weight bias education in their curriculum. However, NPs will likely provide care for people living with obesity, many of whom have been discriminated against based on their weight by previous providers, and many NP students may feel unprepared to navigate weight management competently. This pilot study included a weight bias reduction (WBR) intervention, which included a simulation-based experience (SBE) with a standardized participant (SP) and educational activities embedded within the NP curriculum. Nineteen NP students participated in this pilot study, but only seven students had matching data for preintervention to postintervention scores. There were no statistically significant differences in preintervention and postintervention Attitudes Toward Obese Persons (ATOP) or Beliefs About Obese Persons (BAOP) scores. Despite this small sample size and not achieving statistical significance, SBE-SP holds promise to depict realistic patient encounters to improve NPs' attitudes and beliefs toward persons with obesity and to reduce weight bias. Therefore, incorporating SBE-SP may be a feasible component of the NP curriculum.

show abstract

Clinical observations of weight stigma among nursing students: A descriptive approach

Kerbyson,

Clark

2024

Obesity Science & Practice

View full text Add to dashboard Cite

BackgroundMistreatment of individuals due to their body size or weight stigma has been described as a source of stress and as a deterrent for engagement in the healthcare system. Efforts to reduce weight stigma have included curricular interventions to reduce weight bias among future healthcare professionals. However, few studies have examined students’ observations of weight stigma and subsequent socialization to healthcare environmental norms.AimsThe purpose of this study is to evaluate observed weight stigma among pre‐licensure nursing students and recent graduates during clinical rotations and its effect on the perceived ability to provide respectful care to people in larger bodies.Materials and MethodsA cross‐sectional, descriptive study was conducted from February to March 2023. Participants answered questions related to personal weight bias (Fat Phobia Scale), observations of weight stigma, and perceived ability to provide respectful care.ResultsNinety‐one participants completed the survey, of whom half (n = 48) held a high level of weight bias. A quarter of participants (n = 23) reported that they engaged in weight stigma behaviors and a quarter (n = 24) of participants observed weight stigma behaviors from two or more healthcare professional roles. Almost one‐third (n = 10) of participants who observed weight stigma behaviors perceived that it impacted their ability to provide respectful care to patients in larger bodies.ConclusionsThese findings describe that weight stigma enacted by multiple healthcare professional roles is observed by nursing students during clinical rotations and is perceived to impact their ability to provide respectful care. Efforts to improve healthcare professionals’ sensitivity to the effects of weight bias and weight stigma should include addressing the role of socialized norms on weight bias among future healthcare professionals.

show abstract

Development of a weight bias reduction intervention for third‐year nursing students

Cited by 5 publications

References 46 publications

Changing perspectives among pre-health undergraduates through a brief weight bias pedagogical intervention

Changing perspectives among pre-health undergraduates through a brief weight bias pedagogical intervention

Weight bias reduction intervention among nurse practitioner students using simulation-based experiences

Clinical observations of weight stigma among nursing students: A descriptive approach

Contact Info

Product

Resources

About