Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleAçık Erişim2026The Effect of a Psychiatric Nurse–Led AI-Based Online Group Guided Self-Help Program on Eating Behaviours and Body Image among Overweight and Obese Women Nurses: A Randomized Controlled Trial
Tuncer, Gülsüm Zekiye; Duman, Zekiye Çetinkaya; Tuncer, Metin
Aim: This study aimed to evaluate the effectiveness of a psychiatric nurse–led, AI-supported online group guided self-help programme on eating behaviours, body image, and body mass index (BMI) among overweight and obese women nurses. Method: A randomised controlled experimental design with pre-test, post-test, and three-month follow-up assessments was employed. Forty-four overweight and obese women nurses were randomly assigned to intervention (n = 22) and control (n = 22) groups. The intervention consisted of an 8-week online group guided self-help programme supported by a large language model (LLM), under the leadership of a psychiatric nurse. Participants did not interact directly with the LLM; all AI-generated feedback was clinically reviewed and delivered by the researcher. Results: The intervention group demonstrated significant reductions in emotional eating and external eating, along with significant improvements in body image scores and adaptive coping strategies. A significant decrease in BMI was also observed from baseline to three-month follow-up. Between-group comparisons at post-test and follow-up indicated statistically significant differences favouring the intervention for eating behaviours and selected body image–related outcomes, whereas between-group differences in BMI were not statistically significant. Conclusion: A multi-component online group guided self-help intervention incorporating structured AI-assisted feedback under psychiatric nurse leadership may represent a promising approach to improving eating behaviours, body image, and weight-related outcomes among overweight and obese women nurses.
- MakaleAçık Erişim2024Investigation of the Relationship Between Nursing Students’ Attitudes Toward and Beliefs About Individuals With Obesity, Their Empathy Level, and Body Image Flexibility
Tuncer, Gülsüm Zekiye; Tuncer, Metin; Duman, Zekiye Çetinkaya
Negative attitudes and beliefs leading to discrimination against individuals with obesity and to their exclusion can cause these individuals to experience various biological, psychological, and social problems. Nursing students constitute the group that will provide care, services, and counseling to individuals with obesity in the future. The present study was aimed at determining the relationship between nursing students’ attitudes toward and beliefs about individuals with obesity and their empathy and body image flexibility levels. This study that has a cross-sectional correlational research design was conducted with 445 students studying at Dokuz Eylül University Faculty of Nursing between February 2023 and July 2023. The Sociodemographic Information Form, Beliefs About Obese Persons (BAOP) scale, Attitudes Toward Obese Persons (ATOP) scale, Body Image Flexibility Scale (BIFS), and Toronto Empathy Scale (TES) were used as data collection tools. In order to ensure explanatoriness in the analysis of the data, the multiple regression/ correlation analysis was performed to determine the relationship between the scores for the overall BAOP and ATOP scales, which were dependent variables, and BMI and the scores for the overall TES and BIFS, which were the independent variables. The mean scores that the students participating in this study obtained from the overall BAOP and ATOP were 23.89 ± 4.49 and 72.48 ± 11.19, respectively. The mean scores they obtained from the overall TES and BIFS were 51.61 ± 8.80 and 52.19 ± 15.28, respectively. The results demonstrated that higher levels of empathy and body image flexibility were significantly associated with lower levels of negative beliefs about individuals with obesity (B = −0.107, p =.026; B = 0.271, p <.001) and positive attitudes toward individuals with obesity (B = −0.143, p =.002; B = 0.343, p <.001). In the study, as the students’ empathy and body image flexibility levels increased so did their positive perceptions toward individuals with obesity. Nurses should acquire empathic skills during their education in order to demonstrate an equitable and inclusive approach to care and to provide positive health experiences to individuals with obesity. In order for young people studying at university to be more responsive to others, they should be encouraged to develop body image flexibility for their own and others’ bodies. It is also recommended that topics on combating stigma and discrimination to prevent negative attitudes toward and beliefs about individuals with obesity should be added to the curriculum of nursing students.