Patient Perceived Weight Stigma and Language Preferences for Weight Management

What is it about?

This study explores how patients perceive weight stigma and their preferences for language used by healthcare providers when discussing weight management. Conducted at a large academic medical center, the research involved a survey of over 3,200 patients who had previously received care. The survey included both quantitative and qualitative questions to gather comprehensive data on patient experiences and preferences. The findings revealed that patients, especially those with higher body mass index (BMI), often experience weight stigma in healthcare settings. Female patients with higher BMIs reported higher rates of delayed or canceled care due to previous negative experiences. Patients expressed a preference for more empathetic, clear, and direct communication from their providers. Though female patients with higher BMIs preferred a more indirect approach. Terms like "healthy eating plan" were favored over "obesity," which was often seen as stigmatizing. The study highlights the importance of using patient-centered language to reduce weight stigma and improve patient-provider communication. By understanding and addressing these preferences, healthcare providers can create a more supportive environment for patients managing their weight.

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Photo by Kenny Eliason on Unsplash

Photo by Kenny Eliason on Unsplash

Why is it important?

This study underscores the critical need for healthcare providers to use patient-centered language to reduce weight stigma and improve communication when working with patients on weight management. These findings are essential for developing more effective, compassionate, and equitable weight management care.

Perspectives

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As the lead author, I believe future research should build on this work focus on longitudinal health system improvement initiatives to improve patient-centered language use and assess the long-term impact of these initiatives on weight management outcomes. Additionally, exploring different interventions that train healthcare providers in empathetic communication and understanding patient perspectives could further enhance the quality of care for patients with obesity by reducing weight stigma in the health care setting. It was a pleasure to work with this dedicated team at OHSU and NRC Health to understand patients' perspectives and inform future improvement in patient-centered health care delivery.

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