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If you’re not bothered, neither am I: The implications of disengaged obese patients for clinician education.

McAloon, Toni, Coates, Vivien and Fitzsimons, Donna (2016) If you’re not bothered, neither am I: The implications of disengaged obese patients for clinician education. In: Diabetes UK Professional Conference 2016, Glasgow. DUK. Vol 33 (1) 1 pp. [Conference contribution]

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Introduction: Obesity is a major factor leading to over 36 million deaths annually worldwide, often related to diabetes and cardio-vascular disease. In light of premature mortality, increasing morbidity and healthcare costs, clinical practice is under scrutiny to improve management practices. However it is acknowledged globally that obesity management strategies are failing to have an impact. Aim: to establish healthcare clinicians’ attitudes towards patients with obesity and test the extent their attitudes influence obesity management.Methods: This innovative study generated online vignettes via Factorial Survey Design methods to assess clinician obesity management. Attitude measures assessed anti-fat bias. Data were collected anonymously from a multi-professional convenience sample in a virtual research site. Multiple gatekeepers in four sites emailed invitations to potential participants who participated via a hyperlink. Volunteers self-administered vignettes with integrated patient photographs, demographic questions and attitude measures. Completion provided instant personalised obesity attitude feedback. Analysis utilised multivariate regression, ANOVA and summary statistics. Results: n=427 (79% female), 48% nurses, 35% doctors, 9% dietitians with 59% post registrants / 33% pre registrants. A widespread anti-fat bias was identified. Vignettes portraying patient ambivalence and lack of motivation were associated with statistically significant clinician disengagement via reduced motivation, decreased likelihood of discussing weight and decreased time spent with the patient.Conclusion: By improving understanding of clinician engagement with obese patients this study will inform the development of more targeted educational interventions aimed at improving obesity management.

Item Type:Conference contribution (Lecture)
Keywords:Obesity, attitudes, disengagement, clinical education
Faculties and Schools:Faculty of Life and Health Sciences > School of Nursing
Faculty of Life and Health Sciences
Research Institutes and Groups:Institute of Nursing and Health Research
Institute of Nursing and Health Research > Managing Chronic Illness Research Centre
ID Code:34207
Deposited By: Mrs Toni McAloon
Deposited On:11 Apr 2016 11:21
Last Modified:11 Apr 2016 11:21

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