Picot Question
In adult patients with obesity, what is the effect of counseling by the health care provider and behavior modification compared to the group without the counseling on weight loss of 10 lbs. or more to be completed over one year?
Quantitative Studies
Title of the Article
TurnerâMcGrievy, G. M., Wilcox, S., BouttĂ©, A., Hutto, B. E., Singletary, C., Muth, E. R., & Hoover, A. W. (2017). The Dietary Intervention to Enhance Tracking with Mobile Devices (DIET Mobile) study: a 6âmonth randomized weight-loss trial. Obesity, 25(8), 1336-1342. Web.
Problem-Related to PICOT
How can healthcare providers use nutritional therapy and mobile tracking devices to promote weight loss and behavior modification among adults?
Purpose
To examine how healthcare providers use nutritional therapy and mobile tracking devices to promote weight loss and behavior modification among adults.
Sample/Population
Adults aged between 18 and 65 years
Data Collection Method
Questionnaires
Major Findings/Conclusions
Using mobile health approaches to offer nutritional therapy is a sure way for primary caregivers to promote dietary self-monitoring approaches to a larger population. The use of mobile apps helps promote behavioral modification and the adoption of healthy lifestyle choices.
Contribution to Review of the Literature
The current study’s findings closed the gap on how primary caregivers can use the recent technological advancement to promote weight loss.
Title of the Article
Ruffault, A., Czernichow, S., Hagger, M. S., Ferrand, M., Erichot, N., Carette, C., Flahault, C. (2017). The effects of mindfulness training on weight-loss and health-related behaviors in adults with overweight and obesity: A systematic review and meta-analysis. Obesity Research & Clinical Practice, 11(5), 90â111. Web.
Problem-Related to PICOT
How effective are the behavioral and cognitive interventions in promoting weight loss and promoting behavioral modification?
Purpose
To explore the effectiveness of behavioral and cognitive interventions in promoting weight loss and promoting behavioral modification.
Sample/Population
Articles published in English journals dealing with participants above 18 years.
Data Collection Method
Review of the related works
Major Findings/Conclusions
The quantitative synthesis found that counseling and advice from primary caregivers reduce unhealthy behaviors like binge and impulsive eating. Besides, the guidance also increased the prevalence of physical exercise among overweight and obese adults, which was the key to weight loss.
Contribution to Review of the Literature
The findings of the current synthesis helped increase the amount of literature available on the importance of nutritional and behavioral counseling in weight loss among obese adults.
Qualitative Studies
Title of the Article
Holdsworth, E., Thorogood, N., Sorhaindo, A., & Nanchahal, K. (2016). A Qualitative Study of Participant Engagement With a Weight Loss Intervention. Health Promotion Practice, 18(2), 245â252. Web.
Problem-related to PICOT
How does the patient engagement in the counseling sessions influence their commitment to behavior modification and weight loss?
Purpose
To ascertain the features of the Camden Weight Loss and their effectiveness in weight loss.
Sample
Eighteen respondents from the intermediation arm of the CAMWEL Randomized Control Trial
Data Collection Method
Semi-structured face-to-face interviews
Key Findings/Themes
The qualitative study found that one-on-one assemblies with the skilled therapist depicted a favorable counseling scenery, which gave the elderly patients core constituents of a healing relationship. Elements such as unconditional positive regard and empathy gave the patient a nonjudgmental and supportive relationship that is valuable in supporting weight loss, unlike the other adults without any form of therapeutic attachment.
Contribution to Review of the Literature
The findings of the current article improved the existing body of knowledge on how primary caregivers can use counseling settings to promote weight loss and behavioral modification.
Title of the Article
Avgerinou, C., Bhanu, C., Walters, K., Croker, H., Liljas, A., Rea, J., & Kharicha, K. (2019). Exploring the views and dietary practices of older people at risk of malnutrition and their carers: a qualitative study. Nutrients, 11(6), 1281. Web.
Problem-Related to PICOT
What are the potential interferences to back healthy nutrition in elderly patients within primary care?
Purpose
To explore potential interferences to back healthy nutrition in elderly patients within primary care.
Sample
Community-dwelling populates above 75 years.
Data Collection Method
Semi-structured interviews and focus groups
Key Findings/Themes
Many older people lacked vital information on the major constituents of a nutritious diet. Hence, training the primary health care professional to deliver tailored advice is a sure way to increase weight loss among older adults. Unlike people who do not receive any form of dietary counseling, advice from primary care providers encourages patients to make healthy lifestyle decisions.
Contribution to Review of the Literature
The current study’s findings show the gaps in the existing literature about the effectiveness of primary care counseling on weight loss and behavior modification.
Mixed-Method Studies
Title of the Article
Leung, A. W., Chan, R. S., Sea, M. M., & Woo, J. (2020). Psychological Factors of Long-Term Dietary and Physical Activity Adherence among Chinese Adults with Overweight and Obesity in a Community-Based Lifestyle Modification Program: A Mixed-Method Study. Nutrients, 12(5), 1379. Web.
Problem Related to PICOT
How does access to healthcare provider counseling affect obese adults’ probability of engaging in physical activities and dietary plans?
Purpose
To analyze how access to healthcare provider counseling affects the obese adults’ probability to engage in physical activities and dietary plans.
Sample
Two hundred sixty-five respondents from the Center of Nutritional studies
Data Collection Method
Questionnaires
Key Findings/Themes/Conclusions
The mixed-method study found that counseling increased the adult’s nutritional knowledge, making essential lifestyle changes and adhering to a healthy meal plan.
Contribution to Review of the Literature
The current study’s findings served as the first study in the literature to investigate the psychosocial affiliation between psychosocial factors and physical activity adherence in lifestyle modification.
Meta-Analysis Studies
Title of the Article
Walsh, K., Grech, C., & Hill, K. (2019). Health advice and education is given to overweight patients by primary care doctors and nurses: A scoping literature review. Preventive medicine reports, 14, 100812. Web.
Problem-related to PICOT
The impact of healthcare advice provided within the primary health encounters by doctors and nurses on overweight adults.
Purpose
An analysis of the kind of nutritional advice the primary care provider offers to obese patients in healthcare settings.
Search Selection Method
The major inclusion criteria included:
- Systemic reviews, primary and published studies.
- Selection of articles written using the English Language.
- Articles not older than ten years.
- Selection of the articles using keywords of the study like overweight, obesity, primary care, and prevention strategies.
Meta-Analysis Model
Random effects model
Consistency/Variation of Studies
The findings of the reviewed articles were very consistent, which made it easier for the researcher to generalize the study findings.
Summary of Findings
The systematic review of the 484 journal articles indicated that many healthcare providers offered necessary counseling regarding nutrition and physical activity to obese adults. Adults who receive health advice about food and the importance of physical activity are more likely to make behavioral modifications towards healthy living, unlike their counterparts without the necessary counseling.
Title of the Article
LeBlanc, E. S., Patnode, C. D., Webber, E. M., Redmond, N., Rushkin, M., & O’Connor, E. A. (2018). Behavioral and pharmacotherapy weight-loss interventions to prevent obesity-related morbidity and mortality in adults: updated evidence report and systematic review for the US Preventive Services Task Force. Jama, 320(11), 1172-1191. Web.
Problem-Related to PICOT
What is the effectiveness of pharmacology and behavioral strategies in mass loss and weight loss preservation inventions among US adults?
Purpose
To analyze the effectiveness of pharmacology and behavioral strategies in healthy living and weight loss maintenance inventions among US adults.
Search Selection Method
The primary inclusion criteria included:
- Studies published between June and August 2017 in Medline, PubMed publisher, PsycINFO, and the Cochrane Central Register of Controlled Trials
- Randomized control trials focus on weight loss.
Meta-Analysis Model
Random effects model
Consistency/Variation of Studies
The selected studies were consistent and focused on a single topic of weight loss among obese adults.
Summary of Findings
Obese and overweight adults who received behavior-based weight loss interventions without/with appropriate medications were more likely to lose weight and control the risk of lifestyle diseases within a short span. The outcomes are diverse for other patients who did not receive any form of behavioral intervention.
Clinical Practice Guidelines
Article Title
Guglielmo, D., Hootman, J. M., Murphy, L. B., Boring, M. A., Theis, K. A., Belay, B., & Helmick, C. G. (2018). Health care provider counseling for weight loss among adults with arthritis and overweight or obesityâthe United States, 2002â2014. Morbidity and Mortality Weekly Report, 67(17), 485.
Problem-Related to PICOT
How does healthcare provision of counseling and behavior alteration strategies influence weight loss and behavior modification for adults with arthritis and obesity?
Stakeholders Represented
- Centers for Disease Control and Prevention.
- US Department of Health and Human Services.
A Systematic Review of Literature
The number of Americans with obesity and other related illnesses had increased from 28.3 million in 2002 to 38.9 million in 2014. Similarly, this period saw increased age-consistent pervasiveness of seeking provider therapy for mass loss and behavior modification to assume healthy living strategies. According to the US Preventive Services Task Force, healthcare workers should refer older adults to rigorous, multi-component, and behavior interferences comprising management approaches. Besides, they should also offer nutritional and physical exercise changes, address change obstacles, self-monitor, and embrace practices to uphold healthy routines.
Strength of Used Recommendations
This clinical guideline recommends using different strategies, including health system interventions, provider training, and electric medical records, to increase the prevalence of provider counseling among obese adults. These recommendations are practical since they enhance the delivery of nourishment and physical exercise counseling for obese adults to modify their behaviors and live healthy lifestyles.
Peer-Reviewed Recommendations
The listed recommendations have been analyzed and keenly reviewed, and supported with the respective citations.
Summary of Findings as Related to PICOT
Based on the findings of the clinical report, adults who received weight-loss counseling were more likely to modify their behaviors and engage in healthy eating. Besides, they had a higher probability of engaging in regular physical activity, unlike their colleagues, who did not adopt any form of behavioral modification or counseling.
Article Title
Kelley, C. P., Sbrocco, G., & Sbrocco, T. (2016). Behavioral modification for the management of obesity. Primary Care: Clinics in Office Practice, 43(1), 159-175. Web.
Problem-Related to PICOT
What behavioral strategies do healthcare providers use to work with obese families and patients within a primary care context?
Stakeholders Represented
Department of Health and Human Services
A systematic Review of Literature
The article reviews various behavioral strategies that healthcare providers use to treat obesity among different patients. The report explores multiple multicomponent programs like physical activities, nutritional, and cognitive-behavioral approaches.
Strength of Used Recommendations
This clinical guideline offers recommendations on obesity management, such as collaborative goal setting with the healthcare providers, accountability, and nutritional counseling. Besides, the article also recommends self-monitoring of food intake, stimulus control, and practical problem-solving to maintain healthy lifestyles. These strategies can be effective in promoting weight loss and preventing weight regain.
Recommendations have been Peer-Reviewed
The article offers a keen analysis and exploration of the recommended strategies for losing weight.
Summary of Findings as Related to PICOT
According to Kelly et al. (2016), the collaboration of primary caregivers and behavioral health specialists motivates the obese adults receiving counseling to have an innate motivation to weight loss. Augmented patient stimulation causes increased observance and improvement of the likelihood of success.
Article Title
Curry, S. J., Krist, A. H., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W.,… & US Preventive Services Task Force. (2018). Behavioral weight-loss interventions to prevent obesity-related morbidity and mortality in adults: US Preventive Services Task Force recommendation statement. Jama, 320(11), 1163-1171.
Problem-Related to PICOT
What is the efficiency of behavioral weight-loss interferences by primary caregivers to manage obesity and promote behavioral modification?
Stakeholders Represented
The US Preventive Services Task Force (USPSTF)
A systematic Review Of Literature
The report offers a detailed review of the literature regarding the benefits of behavioral counseling interventions in weight loss among obese adults. Some of the widely explored benefits of nutritional therapy include enhanced weight loss and behavioral modification.
Strength of Used Recommendations
The recommended behavioral interventions are a sure way to promote behavioral change and healthy living among older adults.
Recommendations have been Peer-Reviewed
The article offers a keen analysis and exploration of the recommended strategies for losing weight.
Summary of Findings as Related to PICOT
Behavioral interventions help promote weight loss and favorable behavior modification among obese adults.
References
Avgerinou, C., Bhanu, C., Walters, K., Croker, H., Liljas, A., Rea, J.,… & Kharicha, K. (2019). Exploring the views and dietary practices of older people at risk of malnutrition and their carers: a qualitative study. Nutrients, 11(6), 1281.
Curry, S. J., Krist, A. H., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W.,… & US Preventive Services Task Force. (2018). Behavioral weight-loss interventions to prevent obesity-related morbidity and mortality in adults: US Preventive Services Task Force recommendation statement. Jama, 320(11), 1163-1171.
Guglielmo, D., Hootman, J. M., Murphy, L. B., Boring, M. A., Theis, K. A., Belay, B., & Helmick, C. G. (2018). Health care provider counseling for weight loss among adults with arthritis and overweight or obesityâthe United States, 2002â2014. Morbidity and Mortality Weekly Report, 67(17), 485.
Holdsworth, E., Thorogood, N., Sorhaindo, A., & Nanchahal, K. (2016). A Qualitative Study of Participant Engagement With a Weight Loss Intervention. Health Promotion Practice, 18(2), 245â252. Web.
Kelley, C. P., Sbrocco, G., & Sbrocco, T. (2016). Behavioral modification for the management of obesity. Primary Care: Clinics in Office Practice, 43(1), 159-175. Web.
LeBlanc, E. S., Patnode, C. D., Webber, E. M., Redmond, N., Rushkin, M., & O’Connor, E. A. (2018). Behavioral and pharmacotherapy weight-loss interventions to prevent obesity-related morbidity and mortality in adults: updated evidence report and systematic review for the US Preventive Services Task Force. Jama, 320(11), 1172-1191.
Leung, A. W., Chan, R. S., Sea, M. M., & Woo, J. (2020). Psychological Factors of Long-Term Dietary and Physical Activity Adherence among Chinese Adults with Overweight and Obesity in a Community-Based Lifestyle Modification Program: A Mixed-Method Study. Nutrients, 12(5), 1379. Web.
Ruffault, A., Czernichow, S., Hagger, M. S., Ferrand, M., Erichot, N., Carette, C., Flahault, C. (2017). The effects of mindfulness training on weight-loss and health-related behaviors in adults with overweight and obesity: A systematic review and meta-analysis. Obesity Research & Clinical Practice, 11(5), 90â111. Web.
TurnerâMcGrievy, G. M., Wilcox, S., BouttĂ©, A., Hutto, B. E., Singletary, C., Muth, E. R., & Hoover, A. W. (2017). The Dietary Intervention to Enhance Tracking with Mobile Devices (DIET Mobile) study: a 6âmonth randomized weight-loss trial. Obesity, 25(8), 1336-1342. Web.
Walsh, K., Grech, C., & Hill, K. (2019). Health advice and education given to overweight patients by primary care doctors and nurses: A scoping literature review. Preventive medicine reports, 14, 100812. Web.