Medical student bias and care recommendations for an obese versus non-obese virtual patient

International Journal of Obesity

Volumn 35, Issue 5, 2011, Pages 728-735

  Persky, S ^a   Eccleston, C P ^b  

^a NATIONAL HUMAN GENOME RESEARCH INSTITUTE   (United States)

^b SYRACUSE UNIVERSITY   (United States)

Author keywords

Patient provider interaction; provider attitudes; stigma; virtual reality

Indexed keywords

ADULT; ARTICLE; ATTITUDE TO HEALTH; BODY SIZE; FEMALE; HEALTH BEHAVIOR; HUMAN; HUMAN EXPERIMENT; HUMAN RELATION; MALE; MEDICAL STUDENT; OBESITY; PATIENT CARE; PRIORITY JOURNAL; QUESTIONNAIRE; RESPONSIBILITY; SELF REPORT; STANDARDIZATION; STEREOTYPY; STIGMA; STUDENT ATTITUDE; VIRTUAL REALITY;

ANALYSIS OF VARIANCE; ATTITUDE OF HEALTH PERSONNEL; COMPUTER SIMULATION; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; INTERPERSONAL RELATIONS; MALE; OBESITY; QUESTIONNAIRES; STEREOTYPING; STUDENTS, MEDICAL;

EID: 79955803227     PISSN: 03070565     EISSN: 14765497     Source Type: Journal    
DOI: 10.1038/ijo.2010.173     Document Type: Article

References (46)

1. James PT, Leach R, Kalamara E, Shayeghi M. The worldwide obesity epidemic. Obes 2001; 9: 228S-233S.
2. Foster GD, Wadden TA, Makris AP, Davidson D, Sanderson RS, Allison DB et al. Primary care physicians' attitudes about obesity and its treatment. Obes 2003; 11: 1168-1177. (Pubitemid 41127369)
3. Blumberg P, Mellis LP. Medical students' attitudes toward the obese and the morbidly obese. Int J Eat Disord 1985; 4: 169-175. (Pubitemid 15244272)
4. Wiese HJC, Wilson JF, Jones RA, Neises M. Obesity stigma reduction in medical students. Int J Obes 1992; 16: 859-868.
5. Puhl RM, Heuer CA. The stigma of obesity: a review and update. Obes 2009; 17: 941-964.
6. Budd GM, Mariotti M, Graff D, Falkenstein K. Health care professionals' attitudes about obesity: an integrative review. Appl Nurs Res 2010. (e-pub ahead of print 18 September 2009).
7. Friedman KE, Ashmore JA, Applegate KL. Recent experiences of weight-based stigmatization in a weight loss surgery population: psychological and behavioral correlates. Obes 2008; 16: S69-S74.
8. Thomas SL, Hyde J, Karunaratne A, Herbert D, Komesaroff PA. Being 'fat' in today's world: a qualitative study of the lived experiences of people with obesity in Australia. Health Expect 2008; 11: 321-330.
9. Carr D, Friedman MA. Is obesity stigmatizing? Body weight, perceived discrimination, and psychological well-being in the United States. J Health Soc Behav 2005; 46: 244-259. (Pubitemid 41503877)
10. Puhl RM, Moss-Racusin CA, Schwartz MB, Brownell KD. Weight stigmatization and bias reduction: perspectives of overweight and obese adults. Health Educ Res 2007; 23: 347-358.
11. Merrill E, Grassley J. Women's stories of their experiences as overweight patients. J Adv Nurs 2008; 64: 139-146.
12. Brown I, Thompson J, Tod A, Jones G. Primary care support for tackling obesity: a qualitative study of the perceptions of obese patients. B J Gen Pract 2006; 56: 666-672. (Pubitemid 44390239)
13. Anderson DA, Wadden TA. Bariatric surgery patients' views of their physicians' weight-related attitudes and practices. Obes 2004; 12: 1587-1595. (Pubitemid 41132467)
14. Ferrante JM, Chen P-H, Crabtree BF, Wartenberg D. Cancer screening in women: body mass index and adherence to physician recommendations. Am J Prev Med 2007; 32: 525-531. (Pubitemid 46805196)
15. Drury CA, Louis M. Exploring the association between body weight, stigma of obesity, and health care avoidance. J Am Acad Nurse Pract 2002; 14: 554-561.
16. Amy NK, Aalborg A, Lyons P, Keranen L. Barriers to routine gynecological cancer screening for White and African-American obese women. Int J Obes 2006; 30: 147-155. (Pubitemid 41790791)
17. Harvey EL, Hill AJ. Health professionals' views of overweight people and smoking. Int J Obes 2001; 25: 1253-1261. (Pubitemid 32721550)
18. Ogden J, Bandara I, Cohen H, Farmer D, Hardie J, Minas H et al. General practicioners' and patients' models of obesity: whose problem is it? Patient Educ Couns 2001; 44: 227-233. (Pubitemid 32842863)
19. Price JH, Desmond SM, Krol RA, Snyder FF, O'Connell JK. Family practice physicians' beliefs, attitudes, and practices regarding obesity. Am J Prev Med 1987; 3: 339-345. (Pubitemid 18018424)
20. Campbell K, Engel H, Timperio A, Cooper C, Crawford D. Obesity management: australian general practitioners' attitudes and practices. Obes 2000; 8: 459-466.
21. Street Jr RL, Gordon H, Haidet P. Physicians' communication and perceptions of patients: is it how they look, how they talk, or is it just the doctor? Soc Sci Med 2007; 65: 586-598. (Pubitemid 47017524)
22. Beach MC, Roter DL, Wang NY, Duggan PS, Cooper LA. Are physicians' attitudes of respect accurately perceived by patients and associated with more positive communication behaviors? Patient Educ Couns 2006; 62: 347-354. (Pubitemid 44189151)
23. Dovidio J, Kawakami K, Gaertner S. Implicit and explicit prejudice and interracial interaction. J Pers Soc Psychol 2002; 82: 62-68.
24. Richeson J, Shelton J. Thin slices of racial bias. J Nonverbal Behav 2005; 29: 75-86.
25. Roter DL, Frankel RM, Hall JA, Sluyter D. The expression of emotion through nonverbal behavior in medical visits. J Gen Intern Med 2006; 21: S28-S34.
26. Must A, Spadano J, Coakley EH, Field AE, Colditz G, Dietz WH. The disease burden associated with overweight and obesity. JAMA 1999; 282: 1523-1529. (Pubitemid 29504045)
27. Miller CT, Rothblum ED, Barbour L, Brand PA, Felicio D. Social interactions of obese and nonobese women. J Pers 1990; 58: 365-380.
28. Shapiro JR, King EB, Quiñones MA. Expectations of obese trainees: how stigmatized trainee characteristics influence training effectiveness. J Appl Psychol 2007; 92: 239-249.
29. Talaska CA, Fiske ST, Chaiken S. Legitimating racial discrimination: emotions, not beliefs, best predict discrimination in a meta-analysis. Soc Just Res 2008; 21: 263-296.
30. Wigton RS, McGaghie WC. The effect of obesity on medical students' approach to patients with abdominal pain. J Gen Intern Med 2001; 16: 262-265. (Pubitemid 32397674)
31. Hebl MR, Xu J. Weighing the care: physicians' reactions to the size of a patient. Int J Obes 2001; 25: 1246-1252. (Pubitemid 32721549)
32. Persky S, McBride CM. Immersive virtual environment technology: a promising tool for future social and behavioral genomics research and practice. Health Commun 2009; 24: 677-682.
33. Blascovich J, Loomis J, Beall A, Swinth K, Hoyt C, Bailenson J. Immersive virtual environment technology as a research tool for social psychology. Psychol Inquiry 2002; 13: 103-125.
34. McCall C, Blascovich J, Young A, Persky S. Proxemic behaviors as predictors of aggression towards black (but not white) males in an immersive virtual environment. Soc Influence 2009; 4: 138-154.
35. Puhl RM, Schwartz MB, Brownell KD. Impact of perceived consensus on stereotypes about obese people: a new approach for reducing bias. Health Psychol 2005; 24: 517-525. (Pubitemid 41279067)
36. Schwartz MB, Chambliss HO, Brownell KD, Blair SN, Billington C. Weight bias among health professionals specializing in obesity. Obes 2003; 11: 1033-1039. (Pubitemid 41151579)
37. Bailenson JN, Blascovich J, Beall AC, Loomis JM. Interpersonal distance in immersive virtual environments. Pers Soc Psychol Bull 2003; 29: 819-833. (Pubitemid 36776872)
38. Deladisma AM, Cohen M, Stevens AP, Wagner P, Lok BC, Bernard T et al. Do medical students respond empathetically to a virtual patient? Am J Surg 2007; 193: 756-760. (Pubitemid 46733893)
39. Raij AB, Johnsen K, Dickerson RF, Lok BC, Cohen MS, Duersin M et al. Comparing interpersonal interactions with a virtual human to those with a real human. IEEE Trans Vis Comput Graph 2007; 13: 1-15.
40. Johnsen K, Raij A, Stevens A, Lind DS, Lok B. The validity of a virtual human experience for interpersonal skills education. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems; 28 April-3 May 2007; San Diego, CA. ACM: New York, 2007.
41. Epstein RM, Street Jr RL. Patient-Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering. National Cancer Institute NIH Publication No. 07-622, Bethesda, MD, 2007.
42. Street Jr RL, Makoul G, Arora NK, Epstein RM. How does communication heal? Pathways linking clinician-patient communication to health outcomes. Patient Educ Couns 2009; 74: 295-301.
43. Zhang W, Moskowitz RW, Nuki G, Abramson S, Altman RD, Arden N et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis and Cartilage 2008; 16: 137-162. (Pubitemid 351222155)
44. Karnani NG, Reisfield GM, Wilson GR. Evaluation of chronic dyspnea. Am Fam Physician 2005; 71: 1529-1537. (Pubitemid 40563082)
45. Fazio RH. Multiple processes by which attitudes guide behavior: the MODE model as an integrative framework. In: Zanna MP (ed.) Advances in Experimental Psychology. Academic Press: San Diego, CA, 1990, p. 75-109.
46. McKinlay JB, Potter DA, Feldman HA. Non-medical influences on medical decision-making. Soc Sci Med 1996; 42: 769-776. (Pubitemid 26067883)