Effect of a patient education program focused on weight stigma on quality of life and self-efficacy in patients living with obesity: study protocol for a randomized controlled trial
Abstract Background After a literature review and interviews with patients living with obesity, key psychosocial determinants such as coping strategies, weight bias internalization, body dissatisfaction and self-efficacy were identified as critical to address obesity-related stigma. The intervention...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-12-01
|
| Series: | BMC Psychology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40359-024-02274-8 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850133996147572736 |
|---|---|
| author | Guillaume Ramsamy Catherine Esnard STEREOBES Consortium Helena Mosbah David Soussi Berjonval Jean Pierre Faure Marion Albouy |
| author_facet | Guillaume Ramsamy Catherine Esnard STEREOBES Consortium Helena Mosbah David Soussi Berjonval Jean Pierre Faure Marion Albouy |
| author_sort | Guillaume Ramsamy |
| collection | DOAJ |
| description | Abstract Background After a literature review and interviews with patients living with obesity, key psychosocial determinants such as coping strategies, weight bias internalization, body dissatisfaction and self-efficacy were identified as critical to address obesity-related stigma. The intervention was tailored using evidence-based techniques and input from health professionals to ensure relevance and avoid redundancy. This randomized controlled trial (RCT) aims to evaluate the effect of an intervention specifically designed to address weight stigma among individuals living with obesity. Methods The study compares two parallel arms following different interventions: Patient Education as Usual (PEU) program and the newly developed Patient Education STEREOBES (PES) program, which integrates additional components to counteract weight stigma. The PES program, crafted using the Intervention Mapping process, addresses key psychosocial determinants such as self-efficacy, body image, and coping strategies. It incorporates workshops focused on psychoeducation, physical activity, and emotional regulation through innovative techniques like mindfulness, assertiveness training, and Acceptance and Commitment Therapy (ACT). The program emphasizes group activities and patient interaction to foster resilience against stigmatizing experiences and promote healthier lifestyle choices. This comprehensive intervention is designed to improve psychological, behavioral, and physical outcomes, particularly by reducing the internalization of weight bias and enhancing coping mechanisms. Discussion Patients in the PES arm should demonstrate significant improvements in quality of life and self-efficacy compared to the PEU arm. Psychosocial factors should mediate the effect of the intervention on the outcomes involving quality of life and behaviors. This study will provide valuable insights into the role of weight stigma in obesity treatment and the effectiveness of targeted interventions. Trial registration This research protocol has been approved by the Individual Protection Committee Northwest IV (National n°2023-A00327-38) and registered on Clinicaltrial.gov (NCT05906238) on June 7, 2023. |
| format | Article |
| id | doaj-art-86d05442df4145bc8d453c16a72fba33 |
| institution | OA Journals |
| issn | 2050-7283 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychology |
| spelling | doaj-art-86d05442df4145bc8d453c16a72fba332025-08-20T02:31:50ZengBMCBMC Psychology2050-72832024-12-0112111110.1186/s40359-024-02274-8Effect of a patient education program focused on weight stigma on quality of life and self-efficacy in patients living with obesity: study protocol for a randomized controlled trialGuillaume Ramsamy0Catherine Esnard1STEREOBES ConsortiumHelena Mosbah2David Soussi Berjonval3Jean Pierre Faure4Marion Albouy5University of Poitiers, CNRS, UMR7295 Research Center On Cognition and Learning (CeRCA)University of Poitiers, CNRS, UMR7295 Research Center On Cognition and Learning (CeRCA)Specialized Obesity Center, University Hospital Center of PoitiersSpecialized Obesity Center, University Hospital Center of PoitiersSpecialized Obesity Center, University Hospital Center of PoitiersUMR7267 Ecology and Biology of Interactions (EBI), University of Poitiers, University Hospital Center of PoitiersAbstract Background After a literature review and interviews with patients living with obesity, key psychosocial determinants such as coping strategies, weight bias internalization, body dissatisfaction and self-efficacy were identified as critical to address obesity-related stigma. The intervention was tailored using evidence-based techniques and input from health professionals to ensure relevance and avoid redundancy. This randomized controlled trial (RCT) aims to evaluate the effect of an intervention specifically designed to address weight stigma among individuals living with obesity. Methods The study compares two parallel arms following different interventions: Patient Education as Usual (PEU) program and the newly developed Patient Education STEREOBES (PES) program, which integrates additional components to counteract weight stigma. The PES program, crafted using the Intervention Mapping process, addresses key psychosocial determinants such as self-efficacy, body image, and coping strategies. It incorporates workshops focused on psychoeducation, physical activity, and emotional regulation through innovative techniques like mindfulness, assertiveness training, and Acceptance and Commitment Therapy (ACT). The program emphasizes group activities and patient interaction to foster resilience against stigmatizing experiences and promote healthier lifestyle choices. This comprehensive intervention is designed to improve psychological, behavioral, and physical outcomes, particularly by reducing the internalization of weight bias and enhancing coping mechanisms. Discussion Patients in the PES arm should demonstrate significant improvements in quality of life and self-efficacy compared to the PEU arm. Psychosocial factors should mediate the effect of the intervention on the outcomes involving quality of life and behaviors. This study will provide valuable insights into the role of weight stigma in obesity treatment and the effectiveness of targeted interventions. Trial registration This research protocol has been approved by the Individual Protection Committee Northwest IV (National n°2023-A00327-38) and registered on Clinicaltrial.gov (NCT05906238) on June 7, 2023.https://doi.org/10.1186/s40359-024-02274-8ObesityWeight stigmaWeight biasPatient educationInterventionMental health |
| spellingShingle | Guillaume Ramsamy Catherine Esnard STEREOBES Consortium Helena Mosbah David Soussi Berjonval Jean Pierre Faure Marion Albouy Effect of a patient education program focused on weight stigma on quality of life and self-efficacy in patients living with obesity: study protocol for a randomized controlled trial BMC Psychology Obesity Weight stigma Weight bias Patient education Intervention Mental health |
| title | Effect of a patient education program focused on weight stigma on quality of life and self-efficacy in patients living with obesity: study protocol for a randomized controlled trial |
| title_full | Effect of a patient education program focused on weight stigma on quality of life and self-efficacy in patients living with obesity: study protocol for a randomized controlled trial |
| title_fullStr | Effect of a patient education program focused on weight stigma on quality of life and self-efficacy in patients living with obesity: study protocol for a randomized controlled trial |
| title_full_unstemmed | Effect of a patient education program focused on weight stigma on quality of life and self-efficacy in patients living with obesity: study protocol for a randomized controlled trial |
| title_short | Effect of a patient education program focused on weight stigma on quality of life and self-efficacy in patients living with obesity: study protocol for a randomized controlled trial |
| title_sort | effect of a patient education program focused on weight stigma on quality of life and self efficacy in patients living with obesity study protocol for a randomized controlled trial |
| topic | Obesity Weight stigma Weight bias Patient education Intervention Mental health |
| url | https://doi.org/10.1186/s40359-024-02274-8 |
| work_keys_str_mv | AT guillaumeramsamy effectofapatienteducationprogramfocusedonweightstigmaonqualityoflifeandselfefficacyinpatientslivingwithobesitystudyprotocolforarandomizedcontrolledtrial AT catherineesnard effectofapatienteducationprogramfocusedonweightstigmaonqualityoflifeandselfefficacyinpatientslivingwithobesitystudyprotocolforarandomizedcontrolledtrial AT stereobesconsortium effectofapatienteducationprogramfocusedonweightstigmaonqualityoflifeandselfefficacyinpatientslivingwithobesitystudyprotocolforarandomizedcontrolledtrial AT helenamosbah effectofapatienteducationprogramfocusedonweightstigmaonqualityoflifeandselfefficacyinpatientslivingwithobesitystudyprotocolforarandomizedcontrolledtrial AT davidsoussiberjonval effectofapatienteducationprogramfocusedonweightstigmaonqualityoflifeandselfefficacyinpatientslivingwithobesitystudyprotocolforarandomizedcontrolledtrial AT jeanpierrefaure effectofapatienteducationprogramfocusedonweightstigmaonqualityoflifeandselfefficacyinpatientslivingwithobesitystudyprotocolforarandomizedcontrolledtrial AT marionalbouy effectofapatienteducationprogramfocusedonweightstigmaonqualityoflifeandselfefficacyinpatientslivingwithobesitystudyprotocolforarandomizedcontrolledtrial |