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Development of a weight bias reduction intervention for third-year nursing students
Tracy L Oliver1, Bing-Bing Qi1, Lisa K Diewald2
1Villanova University M. Louise Fitzpatrick College of Nursing, Villanova, Pennsylvania, USA.
Clinical Obesity
|November 26, 2021
Summary
Case-based learning improved nursing students' beliefs about obesity controllability in a weight bias reduction (WBR) program. Attitudes towards individuals with obesity did not significantly change, suggesting WBR enhancement may reduce some weight bias aspects.
Area of Science:
- Medical Education
- Nursing
- Public Health
Background:
- Weight bias among healthcare professionals can negatively impact patient care.
- Weight bias reduction (WBR) programs aim to improve attitudes and beliefs towards individuals with obesity.
- Nursing students require effective training to address weight bias in clinical practice.
Purpose of the Study:
- To determine if case-based learning enhances a WBR program for nursing students.
- To assess the impact of enhanced WBR on nursing students' attitudes and beliefs towards persons with obesity.
- To evaluate the effectiveness of integrating critical thinking through case studies into WBR training.
Main Methods:
- A cluster-randomized controlled trial (CRT) involving 13 nursing student groups.
- Comparison of a WBR program enhanced with case-based learning (WBR-I) against a standard WBR control group.
- Administration of Attitudes Towards Obese Persons (ATOP) and Beliefs About Obese Persons (BAOP) questionnaires pre- and post-intervention over a 14-week semester.
Main Results:
- The WBR-I group showed significant improvement in BAOP scores compared to the control group (p = .001).
- Improvements in BAOP scores indicate enhanced beliefs regarding the controllability of obesity.
- No significant changes were observed in ATOP scores, indicating no significant shift in attitudes towards individuals with obesity.
Conclusions:
- An intensive WBR program incorporating case-based learning may reduce specific aspects of weight bias in nursing students.
- Case-based learning scenarios can elicit critical thinking, potentially improving beliefs about obesity.
- Further research is needed to fully understand the impact of enhanced WBR on attitudes and long-term clinical practice.
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