Value of cognitive interviewing in the development of the weight stigma in healthcare inventory.
Kathleen M Robinson, Aaron M Scherer, Taryn E Nishimura and 1 others
PMID 37104937WHAT IT FOUND
Many proposed survey questions about weight stigma in healthcare were confusing or misinterpreted when tested with 48 patients with obesity.
Participants often could not answer questions about providers' motives, and some saw unsolicited weight advice as caring. The inventory needs further validation.
Key findings
01Participants did not understand many inventory questions as originally written.
02Participants often could not answer questions asking them to speculate about healthcare providers' beliefs or how other patients were treated.
03Respondents found double-barreled questions, such as asking whether physical examinations were appropriate and respectful, difficult to answer.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The cognitive interviews used a convenience sample of 48 patients from a Midwest academic general internal medicine clinic. The sample was predominantly non-Hispanic White, mostly female, and well-educated, so results may not apply to other groups. Only a subset of questions was tested in each interview to reduce time burden. The inventory was revised but not yet validated in a more diverse sample. Cognitive interviews identify problems with survey questions; they do not show that any communication change reduces weight stigma.
Declared interests
The supplied text does not include a conflict-of-interest declaration. The publication types list NIH extramural research support.
The easy way to misread this
Do not use the revised inventory as a validated measure of weight stigma. It was tested only with cognitive interviews in 48 patients, and further validation is planned.