Obesity Care and Practice Change Intervention

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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?

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Quantitative Studies

Title of the Article

Turner‐McGrievy, G. M., Wilcox, S., Boutté, 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 6‐month randomized weight-loss trial. Obesity, 25(8), 1336-1342. https://doi.org/10.1002/oby.21889

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

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.

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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), 90–111. 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

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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), 245–252. 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

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:

  1. Systemic reviews, primary and published studies
  2. Selection of articles written using the English Language
  3. Articles not older than ten years
  4. 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:

  1. Studies published between June and August 2017 in Medline, PubMed publisher, PsycINFO, and the Cochrane Central Register of Controlled Trials
  2. 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 obesity—the United States, 2002–2014. 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

  1. Centers for Disease Control and Prevention
  2. 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 obesity—the United States, 2002–2014. 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), 245–252. 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), 90–111. Web.

Turner‐McGrievy, G. M., Wilcox, S., Boutté, 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 6‐month 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.

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NursingBird. (2022, November 2). Obesity Care and Practice Change Intervention. Retrieved from https://nursingbird.com/obesity-care-and-practice-change-intervention/

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NursingBird. (2022, November 2). Obesity Care and Practice Change Intervention. https://nursingbird.com/obesity-care-and-practice-change-intervention/

Work Cited

"Obesity Care and Practice Change Intervention." NursingBird, 2 Nov. 2022, nursingbird.com/obesity-care-and-practice-change-intervention/.

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NursingBird. (2022) 'Obesity Care and Practice Change Intervention'. 2 November.

References

NursingBird. 2022. "Obesity Care and Practice Change Intervention." November 2, 2022. https://nursingbird.com/obesity-care-and-practice-change-intervention/.

1. NursingBird. "Obesity Care and Practice Change Intervention." November 2, 2022. https://nursingbird.com/obesity-care-and-practice-change-intervention/.


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NursingBird. "Obesity Care and Practice Change Intervention." November 2, 2022. https://nursingbird.com/obesity-care-and-practice-change-intervention/.