'Beyond the Scale': A Qualitative Exploration of the Impact of Weight Stigma Experienced by Patients With Obesity in General Practice.

Objective: Obesity is a complex, chronic, relapsing disease that requires an individualised approach to treatment. However, weight stigma (WS) experienced in healthcare settings poses a significant barrier to achieving person‐centred care for obesity. Understanding the experiences of people living w...

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Publicado en:Health Expectations Vol. 27; no. 3; pp. 1 - 12
Autores principales: Ryan, Leona, Quigley, Fiona, Birney, Susie, Crotty, Michael, Conlan, Owen, Walsh, Jane C.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2024
      vid: 27
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: 'Beyond the Scale': A Qualitative Exploration of the Impact of Weight Stigma Experienced by Patients With Obesity in General Practice.
      aug:
        au:
          Ryan, Leona
          Quigley, Fiona
          Birney, Susie
          Crotty, Michael
          Conlan, Owen
          Walsh, Jane C.
        affil: School of Psychology, University of Galway, Galway, Ireland
      sug:
        subj:
          Family Practice
          Obesity Psychosocial Factors
          Stigma
          Patient Attitudes
          Attitude to Obesity Evaluation
          Life Experiences
          Body Weight
          Psychological Well-Being
          Health Behavior
          Obesity Prevention and Control
          Human
          Male
          Female
          Qualitative Studies
          Purposive Sample
          Snowball Sample
          Descriptive Statistics
          Semi-Structured Interview
          Thematic Analysis
          Ireland
          Shame
          Communication
          Funding Source
          Physician-Patient Relations
          Patient Centered Care
          Adult
          Middle Age
          Aged
          Eating Behavior
          Self Concept
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Objective: Obesity is a complex, chronic, relapsing disease that requires an individualised approach to treatment. However, weight stigma (WS) experienced in healthcare settings poses a significant barrier to achieving person‐centred care for obesity. Understanding the experiences of people living with obesity (PwO) can inform interventions to reduce WS and optimise patient outcomes. This study explores how patients with obesity perceive WS in general practice settings; its impact on their psychological well‐being and health behaviours, and the patients suggestions for mitigating it. Methods: In‐depth semistructured interviews were conducted with 11 PwO who had experienced WS in general practice settings in Ireland. The interviews were conducted online via Zoom between May and August 2023; interviews lasted between 31 and 63 min (M = 34.36 min). Interviews were audio‐recorded, transcribed verbatim and analysed using inductive reflexive thematic analysis. Results: Three overarching themes specific to participants' experience of WS in general practice were generated: (1) shame, blame and 'failure'; (2) eat less, move more—the go‐to treatment; (3) worthiness tied to compliance. A fourth theme: (4) the desire for a considered approach, outlines the participants' suggestions for reducing WS by improving the quality of patient–provider interactions in general practice. Conclusion: The findings call for a paradigm shift in the management of obesity in general practice: emphasising training for GPs in weight‐sensitive communication and promoting respectful, collaborative, and individualised care to reduce WS and improve outcomes for people with obesity. Patient or Public Contribution: PPI collaborators played an active and equal role in shaping the research, contributing to the development of the research questions, refining the interview schedule, identifying key themes in the data, and granting final approval to the submitted and published version of the study.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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