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Weight Bias Interventions for Healthcare Professionals: An Integrative Review.

Gregory S Marler1,2, Melanie T Turk1, Melissa Kalarchian1

  • 1School of Nursing, Duquesne University, Pittsburgh, Pennsylvania, USA.

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|May 19, 2025
PubMed
Summary

Healthcare providers can reduce weight bias through active learning interventions. Multicomponent, theory-based approaches with repeated sessions are most effective for mitigating provider bias and improving patient care.

Keywords:
healthcare providerinterventionsnursing weight biasobesityweight biasweight bias attitudesweight bias beliefsweight stigma

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Area of Science:

  • Medical Education
  • Health Psychology
  • Public Health

Background:

  • Healthcare providers frequently exhibit weight bias, negatively impacting patient care.
  • Weight bias in healthcare settings contributes to disparities and poorer health outcomes for individuals with obesity.

Purpose of the Study:

  • To identify and evaluate interventions designed to reduce weight bias among practicing healthcare professionals.
  • To synthesize evidence on the effectiveness of various strategies for mitigating weight bias in clinical practice.

Main Methods:

  • An integrative review was conducted using the Whittemore and Knafl framework.
  • Searches across five major databases (CINAHL, Embase, EBSCOhost, APA PsycINFO, Scopus) identified 16 relevant peer-reviewed articles.
  • Study quality was assessed using Joanna Briggs Institute Critical Appraisal Tools.

Main Results:

  • Active learning methods were more effective than passive learning in reducing weight bias.
  • Multicomponent interventions and theory-based approaches with repeated sessions demonstrated superior outcomes.
  • Healthcare providers showed willingness to modify practices, with explicit attitudes being more amenable to change than implicit ones.

Conclusions:

  • Weight bias mitigation among healthcare providers is achievable through targeted interventions.
  • Effective strategies include active, repeated, and multicomponent learning approaches.
  • Reducing provider weight bias can enhance patient-centered care for individuals with obesity.