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. 2019 Feb 4:6:5.
doi: 10.1186/s40608-018-0222-4. eCollection 2019.

Associations between medical students' beliefs about obesity and clinical counseling proficiency

Victoria Fang  1 , Colleen Gillespie  1 , Ruth Crowe  1 , Dennis Popeo  2 , Melanie Jay  3   4
Affiliations

Associations between medical students' beliefs about obesity and clinical counseling proficiency

Victoria Fang et al. BMC Obes. .

Abstract

Background: Despite evidence that biological and genetic factors contribute strongly to obesity, many healthcare providers still attribute obesity more to controllable behavioral issues rather than factors outside a person's control. We evaluated whether medical school students' beliefs about obesity correlate with ability to effectively counsel patients with obesity.

Methods: Clerkship-year medical students at NYU School of Medicine completed an Objective Structured Clinical Experience (OSCE) that tests ability to effectively counsel standardized actor-patients with obesity. We surveyed these students to evaluate their beliefs about the causes of obesity and their attitudes towards people with obesity. We analyzed correlations between student beliefs, negative obesity attitudes, and OSCE performance.

Results: The response rate was 60.7% (n = 71). When asked to rate the importance of individual factors, students rated controllable factors such as unhealthy diet, physical inactivity, and overeating as more important than genetics or biological factors (p < 0.01). Believing obesity is caused by uncontrollable factors was negatively correlated with obesity bias (r = - 0.447; p < 0.0001). Believing that obesity is caused by factors within a person's control was negatively correlated with counseling skills (r = - 0.235; p < 0.05).

Conclusions: Attribution of obesity to external factors correlated with greater ability to counsel patients with obesity, suggesting that educating providers on the biological causes of obesity could help reduce bias and improve provider care.

Keywords: Obesity attitudes; Obesity counseling; Obesity education.

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Conflict of interest statement

Students had provided written consent for their routinely collected educational data to be used for medical education research as part of an NYU IRB-approved medical student research registry.Not applicable.The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

    1. Ogden CL, Carroll MD, Fryar CD, Flegal KM. Prevalence of obesity among adults and youth: United States, 2011-2014. NCHS data brief. 2015;219:1–8. - PubMed
    1. Taylor P, Funk C, Craighill P. Americans see weight problems everywhere but in the mirror. Philadelphia: Pew Foundation Social Trends Report; 2006.
    1. Sorensen TI, Price RA, Stunkard AJ, Schulsinger F. Genetics of obesity in adult adoptees and their biological siblings. BMJ (Clinical research ed) 1989;298(6666):87–90. doi: 10.1136/bmj.298.6666.87. - DOI - PMC - PubMed
    1. Maes HH, Neale MC, Eaves LJ. Genetic and environmental factors in relative body weight and human adiposity. Behav Genet. 1997;27(4):325–351. doi: 10.1023/A:1025635913927. - DOI - PubMed
    1. Stunkard AJ, Sorensen TI, Hanis C, Teasdale TW, Chakraborty R, Schull WJ, Schulsinger F. An adoption study of human obesity. N Engl J Med. 1986;314(4):193–198. doi: 10.1056/NEJM198601233140401. - DOI - PubMed

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