Mental health 5
Track 11
Friday, October 27, 2023 |
10:35 AM - 12:30 PM |
Meeting Room C4.3 |
Speaker
Dr Fiona Willer
Senior Research Assistant
UQ Centre for Community Health and Wellbeing
Weight Inclusive General Practice: Recovering from Diet Culture, Reconnecting with the Patient, and Reviving Patient-Centred Care
10:35 AM - 11:30 AMSummary
Fat-phobia and weight-based discrimination are commonly reported experiences of larger-bodied people accessing medical care, often leading to delays in seeking medical assessment and treatment, and contributing to poor health outcomes. Behavioural weight loss interventions have ultimately been proven ineffective for most. Weight loss advice, frequently accompanied by offerings of pharmaceuticals and surgery, is not appropriate, feasible nor desired by many patients with higher weight. Accordingly, recent position statements from the Royal Australian College of General Practitioners (RACGP) and the Royal Australasian College of Physicians (RACP) recommend offering 'health gain' rather than 'weight loss' approaches for people with a BMI greater than 30kg/m2. Such approaches are referred to as ‘weight inclusive’. However, due to the historical perception of weight as a marker of health, and emphasis on weight loss recommendations, weight inclusive approaches are poorly understood by clinicians trained in a weight-centric paradigm.
Weight inclusive primary care focuses on providing non-judgmental, respectful, and holistic care that is centred around individual health needs and goals, regardless of their body size or weight. This approach recognises that weight is not a reliable indicator of health in individuals, and instead focuses on promoting behaviours and habits that are evidence-based and can improve overall health, such as physical activity, balanced nutrition, and stress management. Additionally, weight inclusive care providers reject weight stigma and do not restrict access to medical treatment based on weight or BMI.
This workshop will strengthen your understanding of weight inclusive practice, including conceptual and philosophical frameworks (eg Health at Every Size/HAES, Intuitive Eating), weight science, weight stigma and weight inclusive practice. Using a participatory model informed by lived experience, attendees will identify areas of concern in their own practice setting and develop strategies to move towards weight inclusive practice and a 'body safe' environment for patients, staff and colleagues.
Weight inclusive primary care focuses on providing non-judgmental, respectful, and holistic care that is centred around individual health needs and goals, regardless of their body size or weight. This approach recognises that weight is not a reliable indicator of health in individuals, and instead focuses on promoting behaviours and habits that are evidence-based and can improve overall health, such as physical activity, balanced nutrition, and stress management. Additionally, weight inclusive care providers reject weight stigma and do not restrict access to medical treatment based on weight or BMI.
This workshop will strengthen your understanding of weight inclusive practice, including conceptual and philosophical frameworks (eg Health at Every Size/HAES, Intuitive Eating), weight science, weight stigma and weight inclusive practice. Using a participatory model informed by lived experience, attendees will identify areas of concern in their own practice setting and develop strategies to move towards weight inclusive practice and a 'body safe' environment for patients, staff and colleagues.
Takeaways
At the end of the workshop, attendees will take away
* Enhanced skills in evaluating and interpreting weight related research for bias, confounders and competing interests
* An understanding of the established characteristics of stigma-informed, weight inclusive approaches for general practice
* Strategies for supporting the health of larger-bodied patients when weight loss is not the goal
* Enhanced skills in evaluating and interpreting weight related research for bias, confounders and competing interests
* An understanding of the established characteristics of stigma-informed, weight inclusive approaches for general practice
* Strategies for supporting the health of larger-bodied patients when weight loss is not the goal
Biography
Dr Fiona Willer (AdvAPD, PhD, FHEA, GAICD) is an Australian dietitian, academic, educator, non-executive board director and health advocate with a long career straddling higher education and the nonprofit and private sectors. She has been a lecturer in Nutrition and Dietetics at the QUT School of Exercise and Nutrition Science since 2008. Fiona's research involves health consciousness, dietary quality and the integration of size inclusive lifestyle approaches (including Health at Every Size®) into healthcare practice and she is the creator of the innovative Unpacking Weight Science professional development podcast. Recently affiliated with the new UQ Centre for Community Health and Wellbeing, her research interests have now expanded to optimising primary care. Fiona is also currently a Board Director at Dietitians Australia, the peak body for dietitians in Australia, and has previously served on the boards of HAES Australia and the Association for Size Diversity and Health (ASDAH) in the USA.
