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| Name | Class |
|---|---|
| Tel Hai College | OTHER |
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A quasi-experimental design (i.e., "One-Group Pretest-Posttest Design") will be applied among 34 convenient samples of undergraduate students in their first year of nutrition sciences program at Ariel University and Tel-Hai College. The intervention will take place at the simulation centers of the institutions. All participants will be asked to wear an obesity simulation suit (Unisex obesity Simulation suit, Erler-Zimmer, Germany) and to participate in a standardized scenario that simulates meetings between a person with obesity and a 'registered dietitian'. The 'registered dietitian' will be presented by a professional role-player and the scenario will encompass different levels of weight bias. At baseline, 1- and 3-week post-intervention both groups will be asked to fill in a survey using "Qualtrics" software. The survey will include the Anti-Fat Attitudes questionnaire (AFA), the Short-Form of Fat-Phobia scale (F-scale), the Weight-Implicit Association-Test (weight-IAT), and the Jefferson Scale of Empathy. Data on demographics, weight history, and perception, measurement of actual weight and height, and the beliefs about the causes of obesity questionnaire will be collected at baseline.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| A role-playing exercise by utilizing an obesity suit in a simulation scenario | Behavioral | All participants will be asked to wear an obesity simulation suit (Unisex obesity Simulation suit, Erler-Zimmer, Germany) and to participate in a standardized scenario that simulates meetings between a person with obesity and a 'registered dietitian'. The 'registered dietitian' will be presented by a professional role-player and the scenario will encompass different levels of weight bias through dialogue and the use of inappropriate equipment. |
| Measure | Description | Time Frame |
|---|---|---|
| Anti-Fat Attitudes questionnaire ('AFA') | The 'AFA' indicates explicit anti-fat attitudes toward people with obesity and is composed of 13-items rated on a 10-point Likert scale and divided into three subscales ('dislike', 'fear about fat' and 'willpower'), with higher total scores indicating stronger anti-fat attitudes. | Change from baseline at three- weeks post-intervention |
| The short-form of fat-phobia scale (' F-scale') | The 'F-scale' indicates fat-phobic attitudes toward people with obesity and is composed of 14-pairs of adjectives that are used to describe people with obesity (e.g., 'no willpower' vs. 'has willpower') and ranked on a 1-5 scale according to the point closest to the adjective name that describes their feelings and beliefs. Higher scores indicate stronger fat-phobic attitudes. | Change from baseline at three- weeks post-intervention |
| Weight Implicit Association Test ('IAT') | IAT tool is an indirect measure of implicit bias toward weight which uses the constructs of "fat people" versus "thin people" and the polarized attitudes of "good" and "bad" to detect implicit weight bias. | Change from baseline at three- weeks post-intervention |
| The Jefferson Scale of Empathy (S-version) | A 20-item scale that is designed to measure empathy in medical students. | Change from baseline at three- weeks post-intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Demographics | Questions regarding age, gender, occupation, marital status, and religious affiliation. | At baseline |
| Weight perception | Questions regarding self-definition of weight status, the importance of weight to self-confidence, and much control a person has over the weight. |
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Inclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ariel University | Ariel | 40700 | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40466592 | Derived | Tayar-Wachsberger I, Green G, Pinus M, Tepper S, Sherf-Dagan S. Examining the effect of an obesity suit role-playing exercise on empathy and weight bias in nutrition students. Nutrition. 2025 Oct;138:112813. doi: 10.1016/j.nut.2025.112813. Epub 2025 Apr 19. |
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|
| At baseline |
| Weight history | Questions regarding obesity during childhood, obesity during last decade, family members who struggle with obesity, currently in any process of losing weight. | At baseline |
| Objective weight measurement | Measurement of actual weight in kilograms. | At baseline |
| Objective height measurement | Measurement of actual height in meters. | At baseline |
| The beliefs about the causes of obesity questionnaire | Rating the importance of 20 factors contributing to obesity by using a 5-point Likert-scale response format. | At baseline |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D000079322 | Weight Prejudice |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011287 | Prejudice |
| D012919 | Social Behavior |
| D001519 | Behavior |
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