Addressing obesity related self-stigma using inquiry-based stress reduction in the GP setting

Abstract

Aims
Stigma and self-stigma are known to be important in relation to obesity. The aim of this study is to examine the feasibility/acceptability of utilising Inquiry Based Stress Reduction (IBSR) in the GP setting.

Methods
Observational study on a convenience sample of 10 individuals with severe spectrum obesity, invited to participate from a 4 GP Practice, delivering a moderately intensive intervention over 12 weeks, process including informed consent, with IBSR curriculum and delivery by three accredited IBSR facilitators, project co-ordination and initial / final evaluations conducted by a Clinical Psychologist (GW), including measurement of weight, Becks Depression Scale (BDI), Health Related Quality of Life (HRQoL), Weight Bias Internalisation Scale (WBIS), Weight Self Stigma Questionnaire (WSSQ), and qualitative commentary from participants and study team.

Results
Of 22 initially invited, 14 commenced, 10 completed the intervention. Mean BMI was 42.8, mean age 49 years, F;M = 7:3,. Many believed obesity was their own fault, related very difficult interactions with the healthcare system, and valued opportunity to engage with the study. Despite their alarming levels of co-morbidity, participants were far more concerned regarding stigma and self-stigma. A statistically significant difference was observed in the WSSQ, where participants’ post-intervention scores were significantly reduced (Z= 2.293, p= 0.022) (Table 2).

Discussion
Results and experience in practice indicate this approach is feasible and acceptable, and also will serve to inform a larger study in multiple general practices. Results also reflect the novel use of IBSR by people with severe spectrum obesity in relation to stigma and self-stigma.