The effects of a teaching intervention on weight bias among kinesiology undergraduate students
Objectives Weight bias is present among kinesiology professionals and this may cause a significant negative impact on their clients with obesity. Thus, our objective was to test if learning about uncontrollable cause of obesity and about weight bias would reduce explicit and implicit weight bias amo...
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| Veröffentlicht in: | International Journal of Obesity 2019-11, Vol.43 (11), p.2273-2281 |
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| creator | Wijayatunga, Nadeeja N. Kim, Youngdeok Butsch, Winfield S. Dhurandhar, Emily J. |
| description | Objectives
Weight bias is present among kinesiology professionals and this may cause a significant negative impact on their clients with obesity. Thus, our objective was to test if learning about uncontrollable cause of obesity and about weight bias would reduce explicit and implicit weight bias among kinesiology undergraduate students compared to the
traditional
curriculum which is more focused on controllable causes of weight gain.
Methods
We recruited undergraduates from two classes of the same kinesiology major course taught by the same instructor. In-class teaching activities consisted of 80 min lecture on day 1, video watching session and a group activity on day 3 for both groups. Intervention group (
n
= 33) learned about uncontrollable causes of obesity and about weight bias and had activities to evoke empathy. Control group (
n
= 34) learned the
traditional
curriculum where they learned the role of exercise and diet in weight management. We measured explicit and implicit weight bias using Anti-Fat Attitude Test (AFAT) and Implicit Association Test (IAT), respectively pre-intervention, immediate post intervention and 1 month later.
Results
In mixed model analysis, AFAT Blame scores had significant group by time interaction (
p
|
| doi_str_mv | 10.1038/s41366-019-0325-0 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2229092357</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A604932734</galeid><sourcerecordid>A604932734</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-5a57656045e32ca78c520c7f08f29957db1cdb8c0b9b4776eb3e7a601c2919e03</originalsourceid><addsrcrecordid>eNp1kVFr1jAUhoso7nP6A7yRgCC76TxJmubL5Rg6hYE389aQpqdtZpvMJFX27035pnOiJBA4ed6Xc85bVS8pnFLg-7epobxta6CqBs5EDY-qHW1kW4tGycfVDjjIGkQrjqpnKV0DgBDAnlZHpS5Eq_a76svVhASHAW1OJAzEkIzGTs6PxPmM8Tv67IIn5f5AN06ZdM4kYpZQiK_OY3JhDuMtWX2PcYymX01GkvLaF2V6Xj0ZzJzwxd17XH1-_-7q_EN9-eni4_nZZW0bCbkWRshWtNAI5MwaubeCgZUD7AemlJB9R23f7S10qmukbLHjKE0L1DJFFQI_rk4OvjcxfFsxZb24ZHGejcewJs0YU6AYF7Kgr_9Cr8MafelOM04ZExQY3FOjmVE7P4Qcjd1M9VnpU3EmeVOo039Q5fS4OBs8Dq7UHwje_CGY0Mx5SmFetx2nhyA9gDaGlCIO-ia6xcRbTUFv4etD-LqEr7fw9dbzq7vJ1m7B_rfiV9oFYAcglS8_Yrwf_f-uPwHYurcT</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2312251020</pqid></control><display><type>article</type><title>The effects of a teaching intervention on weight bias among kinesiology undergraduate students</title><source>Nature</source><source>SpringerLink Journals - AutoHoldings</source><creator>Wijayatunga, Nadeeja N. ; Kim, Youngdeok ; Butsch, Winfield S. ; Dhurandhar, Emily J.</creator><creatorcontrib>Wijayatunga, Nadeeja N. ; Kim, Youngdeok ; Butsch, Winfield S. ; Dhurandhar, Emily J.</creatorcontrib><description>Objectives
Weight bias is present among kinesiology professionals and this may cause a significant negative impact on their clients with obesity. Thus, our objective was to test if learning about uncontrollable cause of obesity and about weight bias would reduce explicit and implicit weight bias among kinesiology undergraduate students compared to the
traditional
curriculum which is more focused on controllable causes of weight gain.
Methods
We recruited undergraduates from two classes of the same kinesiology major course taught by the same instructor. In-class teaching activities consisted of 80 min lecture on day 1, video watching session and a group activity on day 3 for both groups. Intervention group (
n
= 33) learned about uncontrollable causes of obesity and about weight bias and had activities to evoke empathy. Control group (
n
= 34) learned the
traditional
curriculum where they learned the role of exercise and diet in weight management. We measured explicit and implicit weight bias using Anti-Fat Attitude Test (AFAT) and Implicit Association Test (IAT), respectively pre-intervention, immediate post intervention and 1 month later.
Results
In mixed model analysis, AFAT Blame scores had significant group by time interaction (
p
< 0.001). Blame scores significantly reduced with mean differences (standard error (SE)) of −0.35 (0.08) post intervention (
p
< 0.001) and persisted to be reduced with mean differences (SE) of −0.39 (0.08) even after 4-week follow-up (
p
< 0.001) only in the intervention group. Odds of having less implicit weight bias was significantly lower at 4-week follow-up than pre-intervention (odds ratio = 0.4; 95% CI: 0.22–0.73) in the control group but no changes were seen in the intervention group.
Conclusions
“Blame” component of explicit weight bias significantly decreased when students learned about controllable causes of obesity and weight bias, but implicit bias did not reduce. However, implicit weight bias appears to increase when education on obesity is limited to diet and exercise interventions as taught in the
traditional
curriculum.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/s41366-019-0325-0</identifier><identifier>PMID: 30755698</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/700 ; 692/700/2817 ; Beliefs, opinions and attitudes ; Bias ; Body weight gain ; Causes of ; College students ; Curricula ; Diet ; Epidemiology ; Health Promotion and Disease Prevention ; Internal Medicine ; Intervention ; Kinesiology ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Obesity ; Public Health ; Set (Psychology) ; Stability ; Standard error ; Students ; Study and teaching ; Weight control ; Weight reduction</subject><ispartof>International Journal of Obesity, 2019-11, Vol.43 (11), p.2273-2281</ispartof><rights>Springer Nature Limited 2019</rights><rights>COPYRIGHT 2019 Nature Publishing Group</rights><rights>2019© Springer Nature Limited 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-5a57656045e32ca78c520c7f08f29957db1cdb8c0b9b4776eb3e7a601c2919e03</citedby><cites>FETCH-LOGICAL-c470t-5a57656045e32ca78c520c7f08f29957db1cdb8c0b9b4776eb3e7a601c2919e03</cites><orcidid>0000-0002-7725-2420</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41366-019-0325-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41366-019-0325-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30755698$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wijayatunga, Nadeeja N.</creatorcontrib><creatorcontrib>Kim, Youngdeok</creatorcontrib><creatorcontrib>Butsch, Winfield S.</creatorcontrib><creatorcontrib>Dhurandhar, Emily J.</creatorcontrib><title>The effects of a teaching intervention on weight bias among kinesiology undergraduate students</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes (Lond)</addtitle><description>Objectives
Weight bias is present among kinesiology professionals and this may cause a significant negative impact on their clients with obesity. Thus, our objective was to test if learning about uncontrollable cause of obesity and about weight bias would reduce explicit and implicit weight bias among kinesiology undergraduate students compared to the
traditional
curriculum which is more focused on controllable causes of weight gain.
Methods
We recruited undergraduates from two classes of the same kinesiology major course taught by the same instructor. In-class teaching activities consisted of 80 min lecture on day 1, video watching session and a group activity on day 3 for both groups. Intervention group (
n
= 33) learned about uncontrollable causes of obesity and about weight bias and had activities to evoke empathy. Control group (
n
= 34) learned the
traditional
curriculum where they learned the role of exercise and diet in weight management. We measured explicit and implicit weight bias using Anti-Fat Attitude Test (AFAT) and Implicit Association Test (IAT), respectively pre-intervention, immediate post intervention and 1 month later.
Results
In mixed model analysis, AFAT Blame scores had significant group by time interaction (
p
< 0.001). Blame scores significantly reduced with mean differences (standard error (SE)) of −0.35 (0.08) post intervention (
p
< 0.001) and persisted to be reduced with mean differences (SE) of −0.39 (0.08) even after 4-week follow-up (
p
< 0.001) only in the intervention group. Odds of having less implicit weight bias was significantly lower at 4-week follow-up than pre-intervention (odds ratio = 0.4; 95% CI: 0.22–0.73) in the control group but no changes were seen in the intervention group.
Conclusions
“Blame” component of explicit weight bias significantly decreased when students learned about controllable causes of obesity and weight bias, but implicit bias did not reduce. However, implicit weight bias appears to increase when education on obesity is limited to diet and exercise interventions as taught in the
traditional
curriculum.</description><subject>692/700</subject><subject>692/700/2817</subject><subject>Beliefs, opinions and attitudes</subject><subject>Bias</subject><subject>Body weight gain</subject><subject>Causes of</subject><subject>College students</subject><subject>Curricula</subject><subject>Diet</subject><subject>Epidemiology</subject><subject>Health Promotion and Disease Prevention</subject><subject>Internal Medicine</subject><subject>Intervention</subject><subject>Kinesiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Obesity</subject><subject>Public Health</subject><subject>Set (Psychology)</subject><subject>Stability</subject><subject>Standard error</subject><subject>Students</subject><subject>Study and teaching</subject><subject>Weight control</subject><subject>Weight reduction</subject><issn>0307-0565</issn><issn>1476-5497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kVFr1jAUhoso7nP6A7yRgCC76TxJmubL5Rg6hYE389aQpqdtZpvMJFX27035pnOiJBA4ed6Xc85bVS8pnFLg-7epobxta6CqBs5EDY-qHW1kW4tGycfVDjjIGkQrjqpnKV0DgBDAnlZHpS5Eq_a76svVhASHAW1OJAzEkIzGTs6PxPmM8Tv67IIn5f5AN06ZdM4kYpZQiK_OY3JhDuMtWX2PcYymX01GkvLaF2V6Xj0ZzJzwxd17XH1-_-7q_EN9-eni4_nZZW0bCbkWRshWtNAI5MwaubeCgZUD7AemlJB9R23f7S10qmukbLHjKE0L1DJFFQI_rk4OvjcxfFsxZb24ZHGejcewJs0YU6AYF7Kgr_9Cr8MafelOM04ZExQY3FOjmVE7P4Qcjd1M9VnpU3EmeVOo039Q5fS4OBs8Dq7UHwje_CGY0Mx5SmFetx2nhyA9gDaGlCIO-ia6xcRbTUFv4etD-LqEr7fw9dbzq7vJ1m7B_rfiV9oFYAcglS8_Yrwf_f-uPwHYurcT</recordid><startdate>20191101</startdate><enddate>20191101</enddate><creator>Wijayatunga, Nadeeja N.</creator><creator>Kim, Youngdeok</creator><creator>Butsch, Winfield S.</creator><creator>Dhurandhar, Emily J.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7TK</scope><scope>7TS</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7725-2420</orcidid></search><sort><creationdate>20191101</creationdate><title>The effects of a teaching intervention on weight bias among kinesiology undergraduate students</title><author>Wijayatunga, Nadeeja N. ; Kim, Youngdeok ; Butsch, Winfield S. ; Dhurandhar, Emily J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-5a57656045e32ca78c520c7f08f29957db1cdb8c0b9b4776eb3e7a601c2919e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>692/700</topic><topic>692/700/2817</topic><topic>Beliefs, opinions and attitudes</topic><topic>Bias</topic><topic>Body weight gain</topic><topic>Causes of</topic><topic>College students</topic><topic>Curricula</topic><topic>Diet</topic><topic>Epidemiology</topic><topic>Health Promotion and Disease Prevention</topic><topic>Internal Medicine</topic><topic>Intervention</topic><topic>Kinesiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Obesity</topic><topic>Public Health</topic><topic>Set (Psychology)</topic><topic>Stability</topic><topic>Standard error</topic><topic>Students</topic><topic>Study and teaching</topic><topic>Weight control</topic><topic>Weight reduction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wijayatunga, Nadeeja N.</creatorcontrib><creatorcontrib>Kim, Youngdeok</creatorcontrib><creatorcontrib>Butsch, Winfield S.</creatorcontrib><creatorcontrib>Dhurandhar, Emily J.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>International Journal of Obesity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wijayatunga, Nadeeja N.</au><au>Kim, Youngdeok</au><au>Butsch, Winfield S.</au><au>Dhurandhar, Emily J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effects of a teaching intervention on weight bias among kinesiology undergraduate students</atitle><jtitle>International Journal of Obesity</jtitle><stitle>Int J Obes</stitle><addtitle>Int J Obes (Lond)</addtitle><date>2019-11-01</date><risdate>2019</risdate><volume>43</volume><issue>11</issue><spage>2273</spage><epage>2281</epage><pages>2273-2281</pages><issn>0307-0565</issn><eissn>1476-5497</eissn><abstract>Objectives
Weight bias is present among kinesiology professionals and this may cause a significant negative impact on their clients with obesity. Thus, our objective was to test if learning about uncontrollable cause of obesity and about weight bias would reduce explicit and implicit weight bias among kinesiology undergraduate students compared to the
traditional
curriculum which is more focused on controllable causes of weight gain.
Methods
We recruited undergraduates from two classes of the same kinesiology major course taught by the same instructor. In-class teaching activities consisted of 80 min lecture on day 1, video watching session and a group activity on day 3 for both groups. Intervention group (
n
= 33) learned about uncontrollable causes of obesity and about weight bias and had activities to evoke empathy. Control group (
n
= 34) learned the
traditional
curriculum where they learned the role of exercise and diet in weight management. We measured explicit and implicit weight bias using Anti-Fat Attitude Test (AFAT) and Implicit Association Test (IAT), respectively pre-intervention, immediate post intervention and 1 month later.
Results
In mixed model analysis, AFAT Blame scores had significant group by time interaction (
p
< 0.001). Blame scores significantly reduced with mean differences (standard error (SE)) of −0.35 (0.08) post intervention (
p
< 0.001) and persisted to be reduced with mean differences (SE) of −0.39 (0.08) even after 4-week follow-up (
p
< 0.001) only in the intervention group. Odds of having less implicit weight bias was significantly lower at 4-week follow-up than pre-intervention (odds ratio = 0.4; 95% CI: 0.22–0.73) in the control group but no changes were seen in the intervention group.
Conclusions
“Blame” component of explicit weight bias significantly decreased when students learned about controllable causes of obesity and weight bias, but implicit bias did not reduce. However, implicit weight bias appears to increase when education on obesity is limited to diet and exercise interventions as taught in the
traditional
curriculum.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>30755698</pmid><doi>10.1038/s41366-019-0325-0</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-7725-2420</orcidid></addata></record> |
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| ispartof | International Journal of Obesity, 2019-11, Vol.43 (11), p.2273-2281 |
| issn | 0307-0565 1476-5497 |
| language | eng |
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| source | Nature; SpringerLink Journals - AutoHoldings |
| subjects | 692/700 692/700/2817 Beliefs, opinions and attitudes Bias Body weight gain Causes of College students Curricula Diet Epidemiology Health Promotion and Disease Prevention Internal Medicine Intervention Kinesiology Medicine Medicine & Public Health Metabolic Diseases Obesity Public Health Set (Psychology) Stability Standard error Students Study and teaching Weight control Weight reduction |
| title | The effects of a teaching intervention on weight bias among kinesiology undergraduate students |
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