Degree Name

Nursing Practice, DNP

Publication Date

2017

Upload Date

2024

First Advisor

Debbie Shelton

Abstract

Purpose: To examine the efficacy of Intensive Behavioral Therapy (IBT) in adult, obese patients at a 3-month interval conceptually consistent with the Centers for Medicare and Medicaid (CMS) measures of 6.6 pounds in six months as determinant of weight loss success. Method: A convenience sample of 42 patients in the NEA Baptist Weight Management Program with a BMI of 30 kg/m2 or greater and active participation in the program for a minimum of 12 weeks. Patients pregnant, currently treated for cancer, or other body surface restricting conditions were excluded. Active participation entailed face-to-face visits with APRN, nurse weigh-ins, weekly group educational meetings, email communication, and free gym membership. Results: The mean age was 48.6 years and 83.3% of participants were female. Ninety percent of the participants were Caucasian, ten percent African American. The average weight lost at 12 weeks was 18.8 pounds with a standard deviation (SD) of 14. A significant positive correlation was found between face-to-face visits, nurse weigh-ins, and group sessions with weight lost (< .05, < .05, < .001). Conclusion: The mean weight lost at 12 weeks exceeded the minimum weight loss requirement established by CMS as a condition of continual treatment. Therefore, it is feasible to evaluate the impact of the intervention at the 3-month mark and compare results to preexisting approaches to obesity management.

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Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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