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Date of Award
Restricted Evidence-Based Project Report
Doctor of Nursing Practice (DNP)
Carole A. Pepa
Type 2 diabetes (T2D) afflicts millions of people worldwide, and the number of
individuals diagnosed increases every day. There are many factors which have led to the significant prevalence of this disease and its primary co-morbidity, obesity. Research has identified many benefits to weight loss, including its positive effects on T2D. This project evaluated the use of a lifestyle modification program for adults, ages 30-64 years, with T2D and a body mass index BMI of greater than 25 kg/m2. The program used motivational interviewing within the office setting and during follow up telephone calls for the duration of four months. The Transtheoretical Model and stages of change was used to guide the intervention. Participants(N = 16) were encouraged to decrease total fat intake to less than 30% of daily calories and to participate in 30 minutes of moderate to vigorous physical activity at least five days a week. Primary outcomes were percentage body weight lost and reported physical activity level. Stages of change were assessed and documented, as well. The data were analyzed through descriptive statistics and paired t-tests. Those participants, who met the physical activity goal, also met the weight loss goal. Overall, the majority of individuals both lost some weight and increased their weekly physical activity levels, even if they did not meet the outcome criteria of at least five percent body weight loss and a reported physical activity level of at least 30 minutes per day at least five days per week. This office-based intervention was simple to implement during routine provider visits and was successful for most of the patients. Through the use of motivational interviewing, providers are able to assist individuals to set small goals and overcome perceived barriers.
Evans, Jennifer L., "Achieving Better Control of Type 2 Diabetes in the Primary Care Setting: Focus on Lifestyle Modifications for Weight Loss" (2013). Evidence-Based Practice Project Reports. 33.