Healthcare Providers

Weight bias is present in healthcare, which is harmful to patients and creates barriers to effective patient care. Some healthcare professionals express weight-biased attitudes and stereotypes that people with higher weight are lazy, lacking in willpower, unmotivated to improve their health, and noncompliant with treatment. Many patients with higher weight report being stigmatized by healthcare professionals, including physicians, nurses, psychologists, dietitians, and other medical providers.  When patients feel judged or stigmatized about their weight, this can lead to lower trust of their healthcare providers, poorer quality of care, and avoidance of healthcare. 

To equip healthcare professionals with knowledge and tools to provide more respectful, supportive, and compassionate care to patients of all body sizes, the Rudd Center has developed a free educational resource titled Supportive Obesity Care. 

The Supportive Obesity Care website, which was created in collaboration with Eli Lilly and Company, aims to raise awareness of how weight stigma manifests in the healthcare setting, educate clinicians about the damaging effects of weight stigma on patients, and offer practical strategies that are applicable in everyday clinical practice to improve supportive patient care. We invite you to use and share the educational videos, podcasts, and handouts throughout this website. 

Screenshot of Supportive Obesity Care training tool focused on weight stigma in the healthcare setting

Resources

For Healthcare Professionals

The Supportive Obesity Care website, which the Rudd Center created in collaboration with Eli Lilly and Company, is a free educational resource for clinicians. Throughout our collection of evidence-based educational videos, podcasts, handouts, and resources, we offer strategies to improve healthcare delivery to patients of all body sizes and reduce weight bias in clinical care: 

Screenshot of Supportive Obesity Care resources focused on weight bias

Additional resources that provide education and training on weight stigma include the following: 

Obesity Canada created a free course that dives into the complexities of weight bias and stigma. This comprehensive program explores the effects of societal attitudes toward body weight, highlighting the emotional, physical, and psychological toll it takes on individuals, societies, healthcare professionals, and communities. 

    Created by the Strategies to Overcome and Prevent (STOP) Obesity Alliance, this resource equips physicians with tools and strategies for building a safe, trusting environment with patients and facilitating productive conversations about weight. 

      For Pediatric Clinicians

      Weight-Related Conversations Knowledge Transition Casebook: This practical guide is designed to help healthcare professionals have positive weight-related conversations with children and their families. Additional resources include do’s and don’ts when starting weight-related conversations, and considerations to keep in mind during these discussions. Balanced View: Addressing Weight Bias and Stigma in Healthcare: This free evidence-informed online learning resource aims to reduce weight bias and stigma among medical professionals.    Weight Stigma and Bias: A Guide for Pediatric Clinicians: American Academy of Pediatrics Policy Statement Addressing Weight Stigma:

      Informational Handouts

      For clinicians:
      Cover of "Creating a Comfortable and Welcoming Office Environment for Patients with High Body Weight" Cover of "Measures to Assess Weight Bias" PDF Cover of "Motivational Interviewing: Example Scripts"
      Cover of "Motivational Interviewing for Promoting Healthy Behaviors" Cover of "Pediatricians: How to Talk to Parents" Cover of "Reducing Stigma When Talking to Patients About Weight"
      Cover of "Shifting the Conversation: Moving Towards a Weight-Inclusive Model of Healthcare"
      For patients:
      Cover of "Patients: How to be Informed & Assertive" Cover of "Have You Ever Been a Target of Weight Bias from a Healthcare Provider?"
      Cover of "Talking to Your Doctor about Weight" Cover of "Web Resources" handout on weight stigma in healthcare
       

      Educational Presentations

      Columbia University: Dr. Rebecca Puhl presents on the impact of weight discrimination and weight stigma in healthcare for Columbia's Bioethics Program and the Center for Clinical Medical Ethics of the Department of Medicine. Maine Health: Dr. Rebecca Puhl joins Maine Health's 10th Annual Let’s Go! National Obesity Conference to discuss weight bias and stigma and what healthcare providers can do to improve care. University of Oxford, Institute of Social and Cultural Anthropology: This lecture by Rebecca Puhl, from the Unit for Biocultural Variation and Obesity at the Institute of Social and Cultural Anthropology, University of Oxford, explains the damaging impact of weight stigma. The diaTribe Foundation d20 Lightning Talks brought together five leaders in the field to explore the impact of diabetes stigma and what can be done to end it. Dr. Puhl's talk examined the impacts of disease stigma and what can be done to address it. UK Association for the Study of Obesity: This international talk, given for the UK Association for the Study of Obesity, provides a summary of the evidence on health consequences of weight stigma. Business Group on Health Podcast: Weight bias is a pervasive problem in our society, showing up in our homes, physician offices and even the workplace. But weight bias isn’t just a social injustice, it’s also a public health issue due to its far-ranging effects on those who experience and internalize it. In this episode of the Business Group on Health podcast, Dr. Rebecca Puhl joins to talk about the consequences of weight-based blame and shame on patients, employees and children, as well as how we can recognize and reduce weight bias. The Leading Voices in Food Podcast: Dr. Rebecca Puhl joined Dr. Kelly Brownell, Director of the World Food Policy Center at Duke University, for two episodes discussing weight stigma. The first explains the consequences of weight stigma and the different types of stigma that exist. The second dives further into the issue to explain what might be done to prevent weight stigma and how to reduce its impact.

        Video: Weight Bias in Healthcare

        In this video, Professor Rebecca Puhl provides a summary of weight stigma in healthcare and how this creates barriers for effective patient care. This resource can be found on the Supportive Obesity Care website - a collection of educational videos, podcasts, and handouts designed for use by healthcare professionals.

        Watch the video

        Video: Understanding Weight Stigma and Strategies to Improve Patient Care

        This video combines content from several videos on the Supportive Obesity Care website, providing a comprehensive overview of weight stigma, its impact on health, and strategies to reduce weight bias in patient care. This longer video (55:12) is appropriate for educational purposes in courses, seminars, staff training, and Grand Rounds presentations.

        Watch the video