New review highlights effective strategies for reducing weight bias among healthcare professionals
A new integrative review explores how healthcare professionals can be supported to reduce weight bias in clinical practice – a key step in delivering compassionate, personalised care for people living with obesity.
The review examined the design and effectiveness of interventions aimed at reducing weight stigma among healthcare providers. Sixteen studies met the review’s inclusion criteria, revealing that while interventions vary, progress is possible and change is achievable.
The research, conducted using Whittemore and Knafl’s integrative review framework, involved a comprehensive search of five major databases in July 2024. Studies were selected if they were published in peer-reviewed journals, written in English and evaluated the outcomes of weight bias reduction strategies among practising clinicians. Study quality was assessed using the Joanna Briggs Institute's critical appraisal tools.
Four key themes emerged:
Interventions that involved active engagement, such as in-person workshops, interactive digital tools, written modules, or simulations using empathy suits, were more successful in reducing bias than those relying solely on didactic methods.
Programmes that used a mix of educational formats and techniques showed better outcomes, especially when underpinned by behavioural theory.
Despite the persistence of weight stigma in healthcare settings, providers showed a willingness to reflect on and change their attitudes and behaviours when supported by the right tools and training.
The review found that conscious beliefs and behaviours were more amenable to change than unconscious, automatic biases —highlighting the importance of sustained and reflective approaches.
The most effective interventions used repeated, theory-based sessions that encouraged active participation and empathy development.
This review underscores the potential for real change in healthcare. By implementing well-designed interventions, weight bias can be reduced — leading to better healthcare experiences and outcomes for people living with obesity.