How do people living with obesity who use obesity services perceive healthcare professionals’ representation of the disease on social media? An interpretative phenomenological analysis
Objectives The objective of this study was to explore how people living with obesity who use obesity services perceive healthcare professionals’ (HCPs) online representation of the disease on social media. By exploring their perspective, we aimed to develop a framework to inform good practice around...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2024-04-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/4/e081066.full |
| _version_ | 1797205811812892672 |
|---|---|
| author | Sean Maher Michael Crotty Francis Finucane Joseph McHugh Susie Birney Jean O’Connell Muirne Spooner |
| author_facet | Sean Maher Michael Crotty Francis Finucane Joseph McHugh Susie Birney Jean O’Connell Muirne Spooner |
| author_sort | Sean Maher |
| collection | DOAJ |
| description | Objectives The objective of this study was to explore how people living with obesity who use obesity services perceive healthcare professionals’ (HCPs) online representation of the disease on social media. By exploring their perspective, we aimed to develop a framework to inform good practice around social media use for HCPs.Design This was a qualitative study using a phenomenological framework. Following in-depth semi-structured interviews, analysis was undertaken to identify superordinate themes relating to how HCPs portray living with obesity online.Setting Patient advocacy organisation (The Irish Coalition for People Living with Obesity) and three clinical sites offering obesity treatment in Ireland.Participants 15 adult participants comprising of 12 women and 3 men who use social media and are living with obesity and who use obesity services.Results Three key themes of how people living with obesity who use obesity services perceive HCP’s online representation of the disease. (1) Negative experiences of HCPs—participants describe encountering weight stigma and bias on social media from HCPs that they characterised as simplistic and outdated conceptualisations. These engender shame, fear and anger. (2) Positive experience of HCPs—participants report social media allows HCPs to educate and inform public perception of obesity. Positive online experiences lead to feelings of inclusion, understanding and encouragement. (3) Expectations of HCPs—qualifications, professional titles and academic association affected the perceived trustworthiness of information and its impact on readers. Participants feel there is a duty of care for HCPs in obesity medicine to advocate and be active online to provide accurate medical information.Conclusion HCP’s use of social media has a powerful impact on people with obesity who use healthcare and obesity services. Social media is a key tool in obesity awareness and education. We propose the ‘3E’ framework—Empower, Evidence-Based and Educate and be educated to guide HCPs’ social media use. |
| first_indexed | 2024-04-24T08:57:04Z |
| format | Article |
| id | doaj.art-f3952f721cd8432692ae9165b9f333ce |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-24T08:57:04Z |
| publishDate | 2024-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-f3952f721cd8432692ae9165b9f333ce2024-04-16T07:20:07ZengBMJ Publishing GroupBMJ Open2044-60552024-04-0114410.1136/bmjopen-2023-081066How do people living with obesity who use obesity services perceive healthcare professionals’ representation of the disease on social media? An interpretative phenomenological analysisSean Maher0Michael Crotty1Francis Finucane2Joseph McHugh3Susie Birney4Jean O’Connell5Muirne Spooner6Department of Rehabilitation and Aged Care, Sir Charles Gairdner Hospital, Nedlands, Western Australia, AustraliaMy Best Weight, Dublin, Blackrock, IrelandDepartment of Endocrinology, Institute of Metabolic Science, Box 289, Addenbrooke’s Hospital, Cambridge, CB2 0QQ, UKRoyal College of Surgeons in Ireland, Dublin, IrelandIrish Coalition for People Living with Obesity, Dublin, IrelandSt Columcille`s Hospital, Loughlinstown, Dublin, IrelandRoyal College of Surgeons in Ireland, Dublin, IrelandObjectives The objective of this study was to explore how people living with obesity who use obesity services perceive healthcare professionals’ (HCPs) online representation of the disease on social media. By exploring their perspective, we aimed to develop a framework to inform good practice around social media use for HCPs.Design This was a qualitative study using a phenomenological framework. Following in-depth semi-structured interviews, analysis was undertaken to identify superordinate themes relating to how HCPs portray living with obesity online.Setting Patient advocacy organisation (The Irish Coalition for People Living with Obesity) and three clinical sites offering obesity treatment in Ireland.Participants 15 adult participants comprising of 12 women and 3 men who use social media and are living with obesity and who use obesity services.Results Three key themes of how people living with obesity who use obesity services perceive HCP’s online representation of the disease. (1) Negative experiences of HCPs—participants describe encountering weight stigma and bias on social media from HCPs that they characterised as simplistic and outdated conceptualisations. These engender shame, fear and anger. (2) Positive experience of HCPs—participants report social media allows HCPs to educate and inform public perception of obesity. Positive online experiences lead to feelings of inclusion, understanding and encouragement. (3) Expectations of HCPs—qualifications, professional titles and academic association affected the perceived trustworthiness of information and its impact on readers. Participants feel there is a duty of care for HCPs in obesity medicine to advocate and be active online to provide accurate medical information.Conclusion HCP’s use of social media has a powerful impact on people with obesity who use healthcare and obesity services. Social media is a key tool in obesity awareness and education. We propose the ‘3E’ framework—Empower, Evidence-Based and Educate and be educated to guide HCPs’ social media use.https://bmjopen.bmj.com/content/14/4/e081066.full |
| spellingShingle | Sean Maher Michael Crotty Francis Finucane Joseph McHugh Susie Birney Jean O’Connell Muirne Spooner How do people living with obesity who use obesity services perceive healthcare professionals’ representation of the disease on social media? An interpretative phenomenological analysis BMJ Open |
| title | How do people living with obesity who use obesity services perceive healthcare professionals’ representation of the disease on social media? An interpretative phenomenological analysis |
| title_full | How do people living with obesity who use obesity services perceive healthcare professionals’ representation of the disease on social media? An interpretative phenomenological analysis |
| title_fullStr | How do people living with obesity who use obesity services perceive healthcare professionals’ representation of the disease on social media? An interpretative phenomenological analysis |
| title_full_unstemmed | How do people living with obesity who use obesity services perceive healthcare professionals’ representation of the disease on social media? An interpretative phenomenological analysis |
| title_short | How do people living with obesity who use obesity services perceive healthcare professionals’ representation of the disease on social media? An interpretative phenomenological analysis |
| title_sort | how do people living with obesity who use obesity services perceive healthcare professionals representation of the disease on social media an interpretative phenomenological analysis |
| url | https://bmjopen.bmj.com/content/14/4/e081066.full |
| work_keys_str_mv | AT seanmaher howdopeoplelivingwithobesitywhouseobesityservicesperceivehealthcareprofessionalsrepresentationofthediseaseonsocialmediaaninterpretativephenomenologicalanalysis AT michaelcrotty howdopeoplelivingwithobesitywhouseobesityservicesperceivehealthcareprofessionalsrepresentationofthediseaseonsocialmediaaninterpretativephenomenologicalanalysis AT francisfinucane howdopeoplelivingwithobesitywhouseobesityservicesperceivehealthcareprofessionalsrepresentationofthediseaseonsocialmediaaninterpretativephenomenologicalanalysis AT josephmchugh howdopeoplelivingwithobesitywhouseobesityservicesperceivehealthcareprofessionalsrepresentationofthediseaseonsocialmediaaninterpretativephenomenologicalanalysis AT susiebirney howdopeoplelivingwithobesitywhouseobesityservicesperceivehealthcareprofessionalsrepresentationofthediseaseonsocialmediaaninterpretativephenomenologicalanalysis AT jeanoconnell howdopeoplelivingwithobesitywhouseobesityservicesperceivehealthcareprofessionalsrepresentationofthediseaseonsocialmediaaninterpretativephenomenologicalanalysis AT muirnespooner howdopeoplelivingwithobesitywhouseobesityservicesperceivehealthcareprofessionalsrepresentationofthediseaseonsocialmediaaninterpretativephenomenologicalanalysis |