Decreasing Weight Bias to Improve Outcomes and the Patient-Provider Relationship

Abstract

Purpose/Aim: This quality improvement project explored the effect of an educational session on reducing weight bias in primary care providers and strengthening the patient-provider relationship. Rationale/Background: Weight bias is a negative attitude or belief about people with overweight or obesity. Weight bias has physical and psychological effects on patients, which can lead to poor health outcomes and loss of trust in the healthcare system. One major adverse effect is decreased healthcare utilization. Weight bias has also been linked to several other psychological and physical consequences. Many providers exhibit weight bias unintentionally through avoidance of initiating weight loss conversations, which is a disservice to patients. Sensitive communication has been shown to improve patients’ willingness to actively participate in their care plan. Brief Description of Undertaking: Lewin’s Change Model in conjunction with the RE-AIM model was used to guide the project. An implicit and explicit weight bias survey was administered to primary care providers to assess their baseline weight bias and comfortability in initiating weight loss conversations with patients. A synchronous in-person education intervention was delivered to providers working in a primary care clinic. The education included evidence-based information regarding obesity, the damages of weight bias, and how sensitive communication can build positive relationships with patients, thus improving their health outcomes. Outcomes Achieved: Results of the pre- and post- education surveys were analyzed. The data supported an increased willingness to discuss weight in a sensitive manner with patients. The 11 participants had a high baseline knowledge of obesity and weight bias but expressed the appreciation for a refresher regarding personalized communication when discussing patients’ weight journeys. Conclusion: This project aimed to decrease implicit and explicit weight bias behaviors in primary care providers through obesity and sensitive communication education. Following the education intervention, participants were more likely to discuss weight with patients and utilize sensitive and personalized communication, including open body language and active listening.