| Impact | Representative quote* |
|---|---|
| Increased self-awareness | "I think it gives me a different perspective … because sometimes we're so used to doing what we do, we do it every day that we don't self evaluate, we don't self reflect so this, it allows me to do that. It kind of forces me to do that." (dietitian 4) "I think it's definitely given me a more rounded perspective in particular towards, like, weight, weight bias, that sort of thing … but is it something that am I going to remember everything that we talked about? Not a hundred percent right but I think it's definitely useful information." (dietitian 1) "[Provider X] mentioned she was very surprised about her score (on an weight-bias test) - was surprised she has so much bias. She has the training so was wondering if it wasn't something more personal coming from someplace else." [All nod] (field notes, session 1) |
| Reframing obesity as chronic disease | "You know doing the sessions here, I have come to realize that no I have not … I'm beginning to realize or at least see it more of a chronic disease." (dietitian 4) "I'll start off by telling them obesity is a chronic disease so setting some expectations right away versus saying 'Well, how much weight would you like to lose?'" (nurse 3) "Well I think there's definitely pieces that stand out. … I'm talking to people it triggers, like, 'Oh I heard this,' you know maybe I should do that. So definitely that asking part of it, and that it's a chronic disease, and that stopping the weight gain, that's a big one." (dietitian 2) |
| Change to vocabulary | "I've learned enough to ask 'Is that something that we can discuss, is that something you want to look at?' and stuff like that which, which was something that I wouldn't have done before the asking. You know … I would definitely lead in softly type of thing, but that, that's not the vocabulary that I would have used, so certainly more awareness there." (mental health worker 5) |
| Increased confidence | "I think, I feel more confident with some of the learning that I've done, even with just the presentations of actually taking on these clients and referring them on to [an external program], whereas I can do probably better follow-up since I've done this." (nurse 27) "I'm getting comfortable in, in asking and going over them [the 5As]." (nurse 3) "I'm not afraid to discuss weight and I think that, you know, that I've learned enough to ask is, you know, is that something that we can discuss … which was something that I wouldn't have done before." (mental health worker 5) |
| Buy-in to 5As Team concepts | "I really, I love the concept of the 5As. I think it's packaged well. I think that the Canadian Obesity Network has done a, a brilliant job in creating a template which we can use." (dietitian 3) "You know, education is always empowerment right and it always gives us the opportunity to improve our practice so I think in that way it will. Absolutely, you know when you learn something new and you have that kind of ah-ha moment, then it changes, you know it changes things forever so in that way I think it's helpful." (mental health worker 5) "I do. I, you know, I bring it back [to] what I've learned and I say … this is an approach we can try." (nurse 28) |
*Quotes were edited to improve readability.