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Obes Med. 2018 Mar;9:38-44. doi: 10.1016/j.obmed.2018.02.001. Epub 2018 Feb 12.

OASIS: The Obesity Awareness and Insight Scale.

Obesity medicine

Philip Gerretsen, Julia Kim, Parita Shah, Lena Quilty, Thushanthi Balakumar, Fernando Caravaggio, Eric Plitman, Jun Ku Chung, Yusuke Iwata, Bruce G Pollock, Satya Dash, Sanjeev Sockalingam, Ariel Graff-Guerrero

Affiliations

  1. Multimodal Imaging Group, Research Imaging Centre, Centre for Addiction and Mental Health, University of Toronto, Toronto, Ontario, Canada.
  2. Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada.
  3. Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
  4. Geriatric Mental Health Division, Centre for Addiction and Mental Health, University of Toronto, Toronto, Ontario, Canada.
  5. Campbell Family Mental Research Institute, Centre for Addiction and Mental Health, University of Toronto, Toronto, Ontario, Canada.
  6. Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.

PMID: 30505975 PMCID: PMC6260590 DOI: 10.1016/j.obmed.2018.02.001

Abstract

AIMS: Impaired illness awareness or not accepting that one has obesity is an understudied phenomenon that may negatively influence treatment adherence and clinical outcomes. The purpose of this study was to perform a systematic review of available measures of obesity awareness, and subsequently develop and validate a novel scale that measures the core domains of obesity awareness.

METHODS: A systematic review of the literature revealed no illness specific measure of subjective obesity awareness. As such, we designed the Obesity Awareness and Insight Scale (OASIS) to assess the following core domains of illness awareness:

RESULTS: The OASIS demonstrated strong internal consistency (Cronbach's alpha=0.89), convergent (

CONCLUSIONS: OASIS is an obesity-specific instrument that comprehensively measures subjective obesity awareness. OASIS can be used in epidemiological studies, intervention trials and clinical practice to assess the impact of obesity awareness on treatment adherence and outcomes.

Keywords: Illness awareness; illness denial; insight into illness; obese; obesity

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