Doctor of Nursing Practice (DNP) Projects
Title
A Small-Change Approach to Weight Loss In Obese Adult Patients: A Research Translation Project
Access Control
Open Access
Embargo Period
3-4-2016
Degree Program
Doctor of Nursing Practice
Degree Track
Family Nurse Practioner
Year Degree Awarded
2015
Month Degree Awarded
May
Keywords
Obesity, Weight loss, BMI, healthy living, small changes
Advisor
Genevieve Chandler
DNP Project Chair
Genevieve Chandler
DNP Project Member Name
Edith Dundon
DNP Project Outside Member Name
Michele Parker
Abstract
Abstract
Obesity is a major health threat in the United States. Excess weight can have devastating effects on an individual’s overall health and well-being. This research translation project utilized the 12-week small-change approach to weight loss as an intervention, which is shown to be feasible and beneficial for weight loss. This intervention has been successful in the ASPIRE-VA pilot study with 14 sedentary, obese middle-aged male and female veterans (Damschroder, Lutes, Goodrich, Gillon, & Lowry, 2009). For this project the intervention was implemented in a family practice office in Gardner, Massachusetts. Ten female, predominantly Caucasian, participants volunteered to participate in this project in response to mailings and office flyers that were used to recruit eligible participants. The results included a significant weight loss in pounds, decrease in BMI, decreased waist circumference (in inches), and a decrease in systolic blood pressure readings. There was also a significant decrease in consumption of fast food at 12 weeks compared to baseline. Satisfaction with life scores increased post-intervention compared to pre-intervention. There was no significant change in fruit and vegetable consumption from baseline to 12 weeks. Although there was not a significant change observed in consumption of sugary sweetened beverages, most participants did not drink these beverages at baseline. There was no significant change in SF-12 health survey results pre-and post-intervention. There was no significant change in number of days per week an individual ate breakfast or exercised. Further studies are needed on weight loss interventions that are feasible in primary care patient settings.
Keywords: Obesity, Weight loss, BMI, healthy living, small changes
Creative Commons License
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