Raising awareness of anti-fat stigma in healthcare through lived experience education: a continuing professional development pilot study
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Le résumé fourni par la source
BACKGROUND: Anti-fat attitudes and weight-based discrimination are prevalent in healthcare settings and among healthcare practitioners and clinical trainees, and can result in immense harm to patients. There is increasing recognition that anti-fat bias in healthcare is a critical issue that must be addressed, but there is a dearth of evidence demonstrating sustained attitude and behavioural change among clinicians, illustrating a need for more innovative educational approaches and rigorous evaluation. We describe the co-design and delivery of a narrative-based continuing professional development curriculum aimed at raising awareness of weight-based bias and stigma. METHODS: Our research team of lived experience educators, clinicians and researchers collaboratively developed a series of seven podcast episodes comprised of narrative descriptions of lived experiences with and impacts of weight bias, stigma and discrimination in healthcare settings, as well as a post-podcast workshop to facilitate reflection and discussion between participants. The curriculum was piloted among 20 clinicians practicing at a large urban hospital in Mississauga, Canada. We explored feasibility, acceptability and learning impact by analyzing responses to questionnaires completed following each podcast episode and responses shared during the workshops and follow-up feedback sessions. RESULTS: We observed high acceptability and feasibility of the curriculum. Participants experienced the podcast as a practical and convenient learning format and the workshop as a valuable opportunity to collectively debrief and reflect. The learning impact of the curriculum was strong; participants described a range of emotions elicited by the podcasts, engaged in self-reflection, and expressed a desire to modify clinical approaches. Barriers to the application of learnings identified by participants include pervasiveness of the use of body mass index (BMI) as an indicator of risk and a criterion for referral; discomfort with difficult conversations; prevalent biomedical understandings about the association between weight and health; and clinicians' defensiveness. CONCLUSION: This pilot study yielded promising findings and demonstrated potential impact on weight bias and stigma among healthcare providers. Necessary next steps include conducting larger scale, rigorous evaluations of the curriculum among broader populations, both health professions trainees and current healthcare providers.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Raising awareness of anti-fat stigma in healthcare through lived experience education: a continuing professional development pilot study
- Date Crossref
- 16/01/2024
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Trillium Health Centre pays non établi dans la noticeÉtablissement de santé
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Toronto Metropolitan University pays non établi dans la noticeUniversité ou école supérieure
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Ted Rogers Centre for Heart Research pays non établi dans la noticeÉtablissement de santé
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Wilfrid Laurier University pays non établi dans la noticeUniversité ou école supérieure
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Sheridan College Social Service Worker Program pays non établi dans la noticeUniversité ou école supérieure
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University of Toronto Postgraduate Medical Education pays non établi dans la noticeUniversité ou école supérieure
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Institute for Better Health pays non établi dans la noticeStructure de recherche
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Independent Scholar pays non établi dans la noticeInstitution
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School of Social Work pays non établi dans la noticeUniversité ou école supérieure
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Faculty of Social Work pays non établi dans la noticeUniversité ou école supérieure
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Toronto General Hospital Research Institute Ted Rogers Centre for Heart Research / Peter Munk Cardiac Centre pays non établi dans la noticeStructure de recherche
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Department of Women's and Children's Health Program pays non établi dans la noticeInstitution
Trillium Health Centre, Toronto Metropolitan University et Ted Rogers Centre for Heart Research, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.