Weight stigma is overlooked in commercial-grade mobile applications for weight loss and weight-related behaviors.
Weight stigma is overlooked in commercial-grade mobile applications for weight loss and weight-related behaviors.
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DOI：
10.1002/osp4.457
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发表时间：
2021-04
影响因子：
2.2
通讯作者：
Panza E
中科院分区：
文献类型：
--
作者：
Olson KL;Goldstein SP;Lillis J;Panza E
减肥和体重相关行为的行为治疗越来越多地利用市售的以健康为中心的移动的应用程序（即“应用程序”）来帮助参与者改变体重相关行为（例如，监测热量摄入、体重和体力活动）。1，2这包括减肥治疗，其中内容和行为改变工具完全通过单个移动的应用程序（例如，Noom或WW）以及移动的应用程序提供，这些应用程序可以作为现有程序的替代品，帮助参与者改变特定的体重相关行为（即，监测卡路里摄入量，体重和体力活动）。使用商业移动的应用程序来增强肥胖治疗的好处是显而易见的：这些应用程序广泛可用，易于访问，并且便携。3因此，应用程序有可能改善对体重相关行为的坚持并提高参与度。1、2、4随着应用程序的使用和种类的扩大，5研究人员已经开始调查并表达了对缺乏基于证据的策略的担忧，特别是在商业应用程序中。1，2，4然而，这项工作没有研究一个可能对应用程序的实用性有重要影响的主题：与体重相关的污名化。与体重相关的污名化是指通过负面的刻板印象（例如懒惰，不聪明和缺乏自我控制）基于体重对个体的社会贬低。6它以多种方式延续下去，包括但不限于媒体对体重较高者的描绘、公开歧视、语言和环境障碍。6与体重有关的污名普遍存在，因为它仍然是社会可接受的偏见形式。6，7因此，存在这样的可能性，即污名可能会通过语言，图像和功能无意中嵌入到以健康为重点的应用程序中。尽管有些人认为这些经历会激励个人变得更健康，但越来越多的证据表明，与体重相关的耻辱感会通过生理压力升高、动机降低、肥胖饮食行为、避免运动和减少获得医疗保健等机制来干扰实现或维持健康体重。六、七
Behavioral treatments for weight loss and weight‐related behaviors increasingly leverage commercially available health‐focused mobile applications (ie,“apps”) to assist participants in changing weight‐related behaviors (eg, monitoring caloric intake, body weight, and physical activity). 1, 2 This includes weight loss treatments in which the content and behavior change tools are delivered entirely through a single mobile application (eg, Noom or WW) as well as mobile applications that can act as adjuncts to existing programs to assist participants with making changes to specific weight‐related behaviors (ie, monitoring caloric intake, body weight, and physical activity). The benefits of using commercial mobile apps to augment obesity treatments are evident: these apps are widely available, easily accessed, and portable. 3 As such, apps have potential to improve adherence to weight‐related behaviors and enhance engagement. 1, 2, 4 As app usage and variety expands, 5 researchers have begun investigating and expressing concern about the lack of evidence‐based strategies incorporated into commercially available apps in particular. 1, 2, 4 However, this work has not examined one topic that may have crucial implications for the utility of apps: weight‐related stigmatization. Weight‐related stigmatization refers to social devaluation of an individual based on body weight through negative stereotyping (eg, being lazy, unintelligent, and lacking self‐control). 6 It is perpetuated in a number of ways including, but not limited to, media portrayals of individuals of higher body weight, overt discrimination, language, and environmental barriers. 6 Weight‐related stigma is pervasive as it remains a socially acceptable form of bias. 6, 7 As such, the possibility exists that stigma may be unintentionally embedded into health‐focused apps via language, images, and functionality. Despite beliefs by some that these experiences will motivate individuals to be healthier, growing evidence indicates that weight‐related stigma can interfere with achieving or maintaining a healthy weight through mechanisms such as elevated physiological stress, reduced motivation, obesogenic eating behaviors, exercise avoidance, and reduced access to healthcare. 6, 7
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影响因子：
3.3
作者：
Ogden, Jane;Clementi, Cecelia
通讯作者：
Clementi, Cecelia
影响因子：
3.1
作者：
Sogg, Stephanie;Grupski, Allison;Dixon, John B.
通讯作者：
Dixon, John B.
影响因子：
6.9
作者：
Puhl, Rebecca M.;Himmelstein, Mary S.;Quinn, Diane M.
通讯作者：
Quinn, Diane M.
影响因子：
3
作者：
Wellman JD;Araiza AM;Newell EE;McCoy SK
通讯作者：
McCoy SK
DOI：
10.1080/21604851.2019.1547572
发表时间：
2019-05-04
影响因子：
1
作者：
Greenleaf, Christy;Klos, Lori;Serafin, Gabriel
通讯作者：
Serafin, Gabriel