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Caring for Kids of All Sizes: An Outpatient Quality Improvement Pilot Project to Decrease Weight Stigma
Julia L Clemens1, Michael Shen1, Brittany J Allen2
1Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Insights
Pediatric providers showed improved confidence in addressing weight stigma after a year-long education and practice change program. These positive outcomes persisted at long-term follow-up, suggesting a scalable model for clinics.
Area of Science:
- Pediatric healthcare
- Public health
- Medical education
Background:
- Weight stigma negatively impacts children's health.
- Pediatric providers require enhanced skills to address weight stigma effectively.
Purpose of the Study:
- To assess the impact of combined education and practice changes on pediatric providers' attitudes and skills regarding weight stigma.
- To evaluate the sustainability of these improvements over time.
Main Methods:
- A 1-year pilot intervention combining educational modules and practice modifications related to the weighing process in a pediatric primary care clinic.
- Self-assessment surveys administered to providers at baseline, post-intervention, project end, and 6-month follow-up.
Main Results:
- Statistically significant increases in provider confidence in identifying and addressing weight stigma were observed.
- Improvements in skills and confidence were maintained at both project conclusion and long-term follow-up.
Conclusions:
- A combined educational and practice-based intervention can effectively enhance pediatric providers' confidence and skills in managing weight stigma.
- This model offers a potential framework for other clinics to implement similar successful interventions.
Abstract:
Weight stigma is a pervasive problem affecting children's mental and physical health. This unique pilot project sought to improve pediatric providers' attitudes and confidence in skills around weight stigma by combining education with practice changes. Educational interventions and practice changes around the weighing process were performed at a pediatric primary care clinic across 1 year. Providers at the practice took the same self-assessment survey at baseline, before and after each intervention, at project end, and 6 months post-project completion. Results showed statistically significant increases in confidence in skills related to identifying and addressing weight stigma in clinic, both at project end and in long-term follow-up. This project may represent a model that other practices could adapt to improve weight stigma in their own clinics.
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