Weight Inclusive Thinking for Fitness Spaces (WIT FITS): A Pilot Study on the Effects of an Online Intervention on Exercise Professionals’ Anti-Fat Attitudes

References

• Alberga, A. S., Pickering, B. J., Alix Hayden, K., Ball, G. D. C., Edwards, A., Jelinski, S., Nutter, S., Oddie, S., Sharma, A. M., & Russell-Mayhew, S. (2016). Weight bias reduction in health professionals: A systematic review. Clinical Obesity, 6(3), 175–188. https://doi.org/10.1111/cob.12147
   PubMed Web of Science ®Google Scholar
• Argüelles, D. O., Pérez-Samaniego, V., & López-Cañada, E. (2022). “Do you find it normal to be so fat?” Weight stigma in obese gym users. International Review for the Sociology of Sport, 57(7), 1095–1116. https://doi.org/10.1177/10126902211056867
   Web of Science ®Google Scholar
• Association for Size Diversity and Health. (n.d.). The health at every size® (HAES®) approach. https://asdah.org/health-at-every-size-haes-approach/
   Google Scholar
• Bombak, A. E. (2015). Obese persons’ physical activity experiences and motivations across weight changes: A qualitative exploratory study. BMC Public Health, 15(1), 1–9. https://doi.org/10.1186/s12889-015-2456-0
   PubMed Web of Science ®Google Scholar
• Carmona-Márquez, J., Sierra-Robles, A., Sánchez-García, M., García-Rodríguez, P., Munoz-Silva, A., Arbinaga, F., & Tornero-Quinones, I. (2021). Anti-fat bias in secondary school teachers: Are physical education teachers more biased than mathematics teachers? European Physical Education Review, 27(1), 168–184. https://doi.org/10.1177/1356336X20932187
   Web of Science ®Google Scholar
• Centers for Disease Control and Prevention. (2019). Recommended training effectiveness questions for postcourse evaluations user guide. https://www.cdc.gov/training/development/pdfs/evaluate/effectiveness-questions-508.pdf
   Google Scholar
• Chambliss, H. O., Finley, C. E., & Blair, S. N. (2004). Attitudes toward obese individuals among exercise science students. Medicine & Science in Sports & Exercise, 36(3), 468–474. https://doi.org/10.1249/01.MSS.0000117115.94062.E4
   PubMed Web of Science ®Google Scholar
• Cook, J. E., Purdie-Vaughns, V., Meyer, I. H., & Busch, J. T. A. (2014). Intervening within and across levels: A multilevel approach to stigma and public health. Social Science & Medicine, 103, 101–109. https://doi.org/10.1016/j.socscimed.2013.09.023
   PubMed Web of Science ®Google Scholar
• Donaghue, N., & Allen, M. (2016). “People don’t care as much about their health as they do about their looks”: Personal trainers as intermediaries between aesthetic and health-based discourses of exercise participation and weight management. International Journal of Sport and Exercise Psychology, 14(1), 42–56. https://doi.org/10.1080/1612197X.2015.1016086
   Web of Science ®Google Scholar
• Ebbeck, V., & Austin, S. (2018). Burning off the fat oppression: Self-compassion exercises for personal trainers. Fat Studies, 7(1), 81–92. https://doi.org/10.108/21604851.017.136060
   Google Scholar
• Faith, M. S., Leone, M. A., Ayers, T. S., Heo, M., & Pietrobelli, A. (2002). Weight criticism during physical activity, coping skills, and reported physical activity in children. Pediatrics, 110(2), e23–e23. https://doi.org/10.1542/peds.110.2.e23
   PubMed Web of Science ®Google Scholar
• Fontana, F., Furtado Jr, O., Mazzardo Jr, O., Hong, D., & de Campos, W. (2017). Anti-fat bias by professors teaching physical education majors. European Physical Education Review, 23(1), 127–138. https://doi.org/10.1177/1356336X16643304
   Web of Science ®Google Scholar
• Fontana, F. E., Furtado, O., Marston, R., Mazzardo, O., & Gallagher, J. (2013). Anti-fat bias among physical education teachers and majors. Physical Educator, 70(1), 15.
   Google Scholar
• Friedman, K. E., Ashmore, J. A., & Applegate, K. L. (2008). Recent experiences of weight-based stigmatization in a weight loss surgery population: Psychological and behavioral correlates. Obesity, 16(S2), S69–S74. https://doi.org/10.1038/oby.2008.457
   PubMedGoogle Scholar
• Gerend, M. A., Sutin, A. R., Terracciano, A., & Maner, J. K. (2020). The role of psychological attribution in responses to weight stigma. Obesity Science & Practice, 6(5), 473–483. https://doi.org/10.1002/osp4.437
   PubMed Web of Science ®Google Scholar
• Greenleaf, C., Klos, L., Hauff, C., Hennum, A., Pozoliniski, B., & Serafin, G. (2019). “Unless you puke, faint, or die, keep going!” Exploring weight stigma in the gym on The Biggest Loser. Fat Studies, 8(2), 110–126. https://doi.org/10.1080/21604851.2019.1547572
   Google Scholar
• Harjunen, H. (2019). Exercising exclusions: Space, visibility, and monitoring of the exercising fat female body. Fat Studies, 8(2), 173–186. https://doi.org/10.1080/21604851.2019.1561101
   Google Scholar
• Hayward, L. E., Vartanian, L. R., & Pinkus, R. T. (2018). Weight stigma predicts poorer psychological well-being through internalized weight bias and maladaptive coping responses. Obesity, 26(4), 755–761. https://doi.org/10.1002/oby.22126
   PubMed Web of Science ®Google Scholar
• Hunger, J. M., Smith, J. P., & Tomiyama, A. J. (2020). An evidence-based rationale for adopting weight-inclusive health policy. Social Issues and Policy Review, 14(1), 73–107. https://doi.org/10.1111/sipr.12062
   Web of Science ®Google Scholar
• Jackson, S. E., & Steptoe, A. (2017). Association between perceived weight discrimination and physical activity: A population-based study among English middle-aged and older adults. BMJ Open, 7(3), 1–5. https://doi.org/10.1136/bmjopen-2016-014592
   Web of Science ®Google Scholar
• Lee, S., Zuest, L., Leedeman, J., Li, S., & Clifford, D. (2023). Health and weight attitudes of university recreation center leaders. Journal of American College Health, 71(1), 100–210. https://doi.org/10.1080/07448481.2021.1885416
   Web of Science ®Google Scholar
• Lewis, R. J., Cash, T. F., & Bubb-Lewis, C. (1997). Prejudice toward fat people: The development and validation of the antifat attitudes test. Obesity Research, 5(4), 297–307. https://doi.org/10.1002/j.1550-8528.1997.tb00555.x
   PubMedGoogle Scholar
• Lewis, S. T., & Van Puymbroeck, M. (2008). Obesity-stigma as a multifaceted constraint to leisure. Journal of Leisure Research, 40(4), 574–588. https://doi.org/10.1080/00222216.2008.11950153
   Web of Science ®Google Scholar
• Lynagh, M., Cliff, K., & Morgan, P. J. (2015). Attitudes and beliefs of nonspecialist and specialist trainee health and physical education teachers toward obese children: Evidence for “anti-fat” bias. Journal of School Health, 85(9), 595–603. https://doi.org/10.1111/josh.12287
   PubMed Web of Science ®Google Scholar
• Panza, G. A., Armstrong, L. E., Taylor, B. A., Puhl, R. M., Livingston, J., & Pescatello, L. S. (2018). Weight bias among exercise and nutrition professionals: A systematic review. Obesity Reviews, 19(11), 1492–1503. https://doi.org/10.1111/obr.12743
   PubMed Web of Science ®Google Scholar
• Papadopoulos, S., & Brennan, L. (2015). Correlates of weight stigma in adults with overweight and obesity: A systematic literature review. Obesity, 23(9), 1743–1760. https://doi.org/10.1002/oby.21187
   PubMed Web of Science ®Google Scholar
• Pickett, A. C., & Cunningham, G. B. (2018a). Body weight stigma in physical activity settings. American Journal of Health Studies, 33(1), 21–29. https://doi.org/10.47779/ajhs.2018.53
   Google Scholar
• Puhl, R., & Suh, Y. (2015). Health consequences of weight stigma: Implications for obesity prevention and treatment. Current Obesity Reports, 4(2), 182–190. https://doi.org/10.1007/s13679-015-0153-z
   PubMed Web of Science ®Google Scholar
• Puhl, R. M., & Brownell, K. D. (2003). Psychosocial origins of obesity stigma: Toward changing a powerful and pervasive bias. Obesity Reviews, 4(4), 213–227. https://doi.org/10.1046/j.1467-789X.2003.00122.x
   PubMedGoogle Scholar
• Puhl, R. M., & Brownell, K. D. (2006). Confronting and coping with weight stigma: An investigation of overweight and obese adults. Obesity, 14(10), 1802–1815. https://doi.org/10.1038/oby.2006.208
   PubMed Web of Science ®Google Scholar
• Reichardt, C. S. (2019). Quasi-experimentation: A guide to design and analysis. The Guilford Press.
   Google Scholar
• Rich, E., & Mansfield, L. (2019). Fat and physical activity: Understanding and challenging weight stigma - Special issue of fat studies: An interdisciplinary journal of body weight and society. Fat Studies, 8(2), 99–109. https://doi.org/10.1080/21604851.2019.1552823
   Google Scholar
• Robertson, N., & Vohora, R. (2008). Fitness vs. fatness: Implicit bias towards obesity among fitness professionals and regular exercisers. Psychology of Sport and Exercise, 9(4), 547–557. https://doi.org/10.1016/j.psychsport.2007.06.002
   Web of Science ®Google Scholar
• Rote, A. E., Love, S. P., Lakatos, C. M., & Hewitt, L. (2018). Development and assessment of a course to reduce weight bias in undergraduate health promotion students. Pedagogy in Health Promotion, 4(3), 200–210. https://doi.org/10.1177/2373379917742925
   Google Scholar
• Rukavina, P. B., Li, W., & Rowell, M. B. (2008). A service learning based intervention to change attitudes toward obese individuals in kinesiology pre-professionals. Social Psychology of Education, 11(1), 95–112. https://doi.org/10.1007/s11218-007-9039-6
   Google Scholar
• Rukavina, P. B., Li, W., Shen, B., & Sun, H. (2010). A service learning based project to change implicit and explicit bias toward obese individuals in kinesiology pre-professionals. Obesity Facts, 3(2), 117–126. https://doi.org/10.1159/000302794
   PubMed Web of Science ®Google Scholar
• Saldaña, J. (2012). The coding manual for qualitative researchers. SAGE.
   Google Scholar
• Souza, B. J., & Ebbeck, V. (2018). Perspectives on increasing positive attitudes toward larger members in fitness centers. Journal of Applied Sport Psychology, 30(1), 96–118. https://doi.org/10.1080/10413200.2017.133782
   Web of Science ®Google Scholar
• Tashkori, A., & Teddlie, C. (2008). The evolution of mixed methods research. In V. L. P. Clark & J. W. Cresswell (Eds.), Mixed methods reader (pp. 5–26). SAGE.
   Google Scholar
• Thedinga, H. K., Zehl, R., & Thiel, A. (2021). Weight stigma experiences and self-exclusion from sport and exercise settings among people with obesity. BMC Public Health, 21(1), 1–18. https://doi.org/10.1186/s12889-020-10013-y
   PubMed Web of Science ®Google Scholar
• Tomiyama, A. J. (2014). Weight stigma is stressful. A review of evidence for the cyclic obesity/weight-based stigma model. Appetite, 82, 8–15. https://doi.org/10.1016/j.appet.2014.06.108
   PubMed Web of Science ®Google Scholar
• Tomiyama, A. J., Carr, D., Granberg, E. M., Major, B., Robinson, E., Sutin, A. R., & Brewis, A. (2018). How and why weight stigma drives the obesity ‘epidemic’and harms health. BMC Medicine, 16(1), 1–6. https://doi.org/10.1186/s12916-018-1116-5
   Web of Science ®Google Scholar
• Tylka, T. L., Annunziato, R. A., Burgard, D., Daníelsdóttir, S., Shuman, E., Davis, C., & Calogero, R. M. (2014). The weight-inclusive versus weight-normative approach to health: Evaluating the evidence for prioritizing well-being over weight loss. Journal of Obesity, 2014, 1–18. https://doi.org/10.1155/2014/983495
   Google Scholar
• Vartanian, L. R., & Novak, S. A. (2011). Internalized societal attitudes moderate the impact of weight stigma on avoidance of exercise. Obesity, 19(4), 757–762. https://doi.org/10.1038/oby.2010.234
   PubMed Web of Science ®Google Scholar
• Wijayatunga, N. N., Kim, Y., Butsch, W. S., & Dhurandhar, E. J. (2019). The effects of a teaching intervention on weight bias among kinesiology undergraduate students. International Journal of Obesity, 43(11), 2273–2281. https://doi.org/10.1038/s41366-019-0325-0
   Web of Science ®Google Scholar
• World Health Organization. (2017). Weight bias and obesity stigma: Considerations for the WHO European region. https://www.euro.who.int/__data/assets/pdf_file/0017/351026/WeightBias.pdf
   Google Scholar
• Zaroubi, L., Samaan, T., & Alberga, A. S. (2021). Predictors of weight bias in exercise science students and fitness professionals: A scoping review. Journal of Obesity, 2021, 1–17. https://doi.org/10.1155/2021/5597452
   Web of Science ®Google Scholar
• Zuest, L., Lee, S., Leedeman, J., & Clifford, D. (2022). Creating weight-inclusive climates in fitness spaces. Kinesiology Review, 11(3), 251–260. https://doi.org/10.1123/kr.2021-0045
   Google Scholar
• Zuest, L., Lee, S., Leedeman, J., Li, S., & Clifford, D. (2021). Promoting body size diversity in university recreation centers. Quest, 73(4), 357–374. https://doi.org/10.1080/00336297.2021.1970594
   Web of Science ®Google Scholar