Doctor of Nursing Practice (DNP) Projects

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Open Access

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

Embargo Period

4-27-2017

Degree Program

Doctor of Nursing Practice

Degree Track

Adult Gerontological Primary Care Nurse Practitioner (AGPCNP)

Year Degree Awarded

2017

Month Degree Awarded

May

Keywords

Obesity, low income, food insecurity and Motivational interview

Advisor

Donna Sabella

DNP Project Chair

Donna Sabella

DNP Project Member Name

Pamela Aselton

DNP Project Outside Member Name

Jennifer Femmino

Abstract

Purpose: The project’s aim was to investigate whether motivational interviewing made a difference for the participants in terms of healthy behaviors, as measured by their weight, BMI, HgA1C and total health eating habits score.

Method: A motivational interviewing intervention was used on thirteen diabetic patients in three monthly group meetings and weekly phone calls surrounding healthy eating. The health behaviors such as improving dietary choices, decreasing sedentary behaviors, and increasing habitual physical activity and exercises were assessed at both pre and post intervention as well as weight, body mass index (BMI), Hemoglobin A1c, and healthy eating habits total score.

Results: Four independent samples t-tests were employed to determine if the motivational interview intervention had any effect on the weight, BMI, HgA1c and healthy eating habits total score for the thirteen participants enrolled in the study. No statistically significant difference was found in terms of fast food eating, location of food shopping and daily meals between pre and post intervention. However there was a statistically significant difference with regards to fruits and vegetable eating, Z = -2.233, p = 0.026. There was a statistically significant difference in the mean rank weight post intervention versus the mean rank pre intervention, and in the mean rank BMI post intervention versus the mean rank pre intervention, Z = -2.132, p = 0.033.

Conclusion: Motivational interviewing is an important intervention as illustrated by this project to affect behavioral changes. This intervention had an effect on the weight and BMI scores, but not on the HgA1C and health eating habits total score. The effects of motivational interviewing may have lasting effects on the participants and the results may be more evident in the long run.

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