Health care professionals' attitudes about obesity: An integrative review

Budd, Geraldine M.; Mariotti, Megan; Graff, Diane; Falkenstein, Kathleen

doi:10.1016/j.apnr.2009.05.001

Cited by 133 publications

(99 citation statements)

References 31 publications

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“…Variables examined include: socio-demographic characteristics, such as gender [9], age [9,15], BMI [16,17], specialties [9,15] and previous training [15,18], and psychosocial characteristics, such as negative attitudes towards obese patients [18,19], perceived barriers [20], perceived skills [21] and self-efficacy [22,23]. However, little theory-based research has been directed towards exploring the interrelationships among the above factors and professional weight management practices of health professionals.…”

Section: Introductionmentioning

confidence: 99%

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Nurses’ self-efficacy and practices relating to weight management of adult patients: a path analysis

Zhu

Norman

While

2013

Int J Behav Nutr Phys Act

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BackgroundHealth professionals play a key role in the prevention and treatment of excess weight and obesity, but many have expressed a lack of confidence in their ability to manage obese patients with their delivery of weight-management care remaining limited. The specific mechanism underlying inadequate practices in professional weight management remains unclear. The primary purpose of this study was to examine a self-efficacy theory-based model in understanding Registered Nurses’ (RNs) professional performance relating to weight management.MethodsA self-report questionnaire was developed based upon the hypothesized model and administered to a convenience sample of 588 RNs. Data were collected regarding socio-demographic variables, psychosocial variables (attitudes towards obese people, professional role identity, teamwork beliefs, perceived skills, perceived barriers and self-efficacy) and professional weight management practices. Structural equation modeling was conducted to identify correlations between the above variables and to test the goodness of fit of the proposed model.ResultsThe survey response rate was 71.4% (n = 420). The respondents reported a moderate level of weight management practices. Self-efficacy directly and positively predicted the weight management practices of the RNs (β = 0.36, p < 0.01), and fully or partially mediated the relationships between perceived skills, perceived barriers, professional role identity and teamwork beliefs and weight management practices. The final model constructed in this study demonstrated a good fit to the data [χ2 (14) =13.90, p = 0.46; GFI = 0.99; AGFI = 0.98; NNFI = 1.00; CFI = 1.00; RMSEA = 0.00; AIC = 57.90], accounting for 38.4% and 43.2% of the variance in weight management practices and self-efficacy, respectively.ConclusionsSelf-efficacy theory appears to be useful in understanding the weight management practices of RNs. Interventions targeting the enhancement of self-efficacy may be effective in promoting RNs’ professional performance in managing overweight and obese patients.

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Section: Introductionmentioning

confidence: 99%

“…Negative weight-based attitudes towards obese patients have been reported among physicians, nurses, psychologists, dieticians, and medical students [19,32]. It is not known how these negative attitudes (e.g.…”

Section: Introductionmentioning

confidence: 99%

Nurses’ self-efficacy and practices relating to weight management of adult patients: a path analysis

Zhu

Norman

While

2013

Int J Behav Nutr Phys Act

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“…This differential treatment is contrary to the ideal of healthcare equity, and a threat to equitable healthcare in the United States. Weight discrimination is an ongoing problem that affects increasing numbers of the United States population (Budd et al, 2011;Johnson, 2012;Puhl & Heuer, 2009).…”

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confidence: 99%

Impact of Perceived Weight Discrimination on Patient Satisfaction and Physician Trust

2013

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Fat patients may perceive weight discrimination from their physician or the support personnel with whom they interact. This in turn may harm the physician-patient relationship. Physician trust and patient satisfaction are two domains in which the effect of perceived weight discrimination can be assessed. The authors assessed whether size as measured by body mass index (BMI) is related to patient satisfaction and physician trust, and whether this relationship is mediated by perceived weight discrimination. Eighty-nine men and women of all weight classes were recruited to participate in the study. Participants completed an online survey of healthcare perceptions. The relationship between BMI and accessibility and convenience satisfaction was fully mediated by perceived weight discrimination, suggesting that measures to reduce perceived weight discrimination may be warranted in medical care settings. 45 Downloaded by [University of Auckland Library] at 16:33 11 March 2015 46 A. M. Balkhi et al.

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“…Bias and stigma can then augment the perception of criticism and lack of understanding experienced by clients from the professionals from whom support and care is sought (Budd, Mariotti, Graff, & Falkenstein, 2011;Kirk et al, 2014;Mold & Forbes, 2013), influencing not only client interactions within the health system for weight management purposes, but whether clients will continue to access healthcare for other related care issues (Drury, Aramburu, & Louis, 2002;Lewis et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

An Innovative, Arts-Based Approach to Interprofessional Education

Price¹,

Sim²,

Aston³

et al. 2017

Health &Amp; Interprofessional Practice

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Obesity is a global health concern that is challenging to address at the health system level. This is partly because health professionals perceive themselves to be poorly equipped to effectively handle weight management issues. Compounding this are the biases held by health professionals towards clients living with excess weight. This project aimed to address these biases among health professionals through the use of live, dramatic arts as a pedagogical tool to disseminate findings from an original research study that explored multiple health system perspectives on weight management. Using an interprofessional learning format, the research team facilitated four, interprofessional education (IPE) workshops in universities across Atlantic Canada with health professional students and their faculty. Post-workshop evaluations indicate that the workshop was well received; the live, dramatic presentation of professional-client perspectives on obesity management was effective for not only facilitating understanding about the original research findings, but in provoking thought about issues of weight management and providing an opportunity for attendees to engage in interprofessional learning. The majority of participants perceived that this workshop would positively benefit them in their future work as health professionals.

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Health care professionals' attitudes about obesity: An integrative review

Cited by 133 publications

References 31 publications

Nurses’ self-efficacy and practices relating to weight management of adult patients: a path analysis

Nurses’ self-efficacy and practices relating to weight management of adult patients: a path analysis

Impact of Perceived Weight Discrimination on Patient Satisfaction and Physician Trust

An Innovative, Arts-Based Approach to Interprofessional Education

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