Weight-inclusive intuitive eating course associated with reductions in disordered eating in adults: a mixed methods study.

Introduction: Many employee health promotion programs encourage lifestyle changes such as eating more fruits and vegetables or getting more physical activity. Most of these programs operate from a weight-normative lens, meaning they encourage such changes with the primary goal of weight change (typically weight loss). However, research indicates that weight-inclusive programs - programs that focus on health behaviors alone, regardless of weight change - may be just as effective at promoting better health and also feel less stigmatizing for participants. The purpose of this study was to test the effects of a weight-inclusive employee wellness program (Intuitive Eating, or IE) and a weight-normative program (Intensive Lifestyle Program, or ILP) on disordered eating, intuitive eating, weight bias internalization, weight bias, weight/shape concerns, and body appreciation of adults working in a university setting. Methods: This study utilized a quasi-experimental, mixed-methods approach and employed 8- (IE) and 12-week (ILP) interventions with validated pre and post questionnaires and semi-structured interviews. Quantitative data was analyzed using two-way repeated measures ANOVAs and qualitative data was analyzed using interpretive phenomenological analysis (IPA). Results: Participants ( Discussion: Qualitative analysis provided richer detail from in-depth individual perspectives of participants' attitudes in both groups about eating attitudes/behaviors, body image, and weight bias. Employee wellness programs grounded in weight-inclusive approaches such as intuitive eating may be associated with reductions in disordered eating and provide a non-stigmatizing approach to health promotion in a homogenous employee wellness setting.