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.

Childhood Obesity (Print)
|September 30, 2025
PubMed

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.

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