Comprehensive Essay Example on Treating Overweight and Obese Adults
1. Examine how the evidence-based intervention you have identified will resolve the practice problem at your specific practicum site.
The practice gap warranting this change project is the use of inconsistent obesity and weight management interventions to treat obese and overweight adult patients presenting at my practicum site. The proposed evidence-based intervention is the Five A’s (5A’s) framework, which combines stepwise, individualized sessions with motivational interviewing (MI) for health behavior change counseling.(Comprehensive Essay Example on Treating Overweight and Obese Adults)
The evidence-based intervention will address the identified problem in several ways. Firstly, the 5A’s model will improve weight management services in my practice setting by providing a standard approach to counseling obese or overweight patients. The framework requires primary care practitioners delivering weight management counseling to follow five established steps: assess the client’s willingness to change and the potential risk factors for weight gain, advise the client about the need for suitable behavioral changes, agree on treatment goals and methods, assist them in achieving the goals, and arrange follow-up as appropriate. The MI for behavior change component, which is prominent in the ‘Assist’ phase, bolsters weight management counseling by enhancing patients’ commitment to change. It achieves this goal through techniques such as self-reflection prompts, transitional summaries, positive affirmations, and open-ended questions (Wittleder et al., 2019)(Comprehensive Essay Example on Treating Overweight and Obese Adults). Secondly, the 5A’s model will resolve the identified practicum problem by improving treatment satisfaction and outcomes. There is evidence that 5A’s weight management counseling results in greater weight loss and is more acceptable among patients than usual care (Viglione et al., 2019). Thus, the evidence-based intervention will resolve the identified practicum problem by streamlining primary care-based weight management counseling and improving its overall effectiveness and acceptability.(Comprehensive Essay Example on Treating Overweight and Obese Adults)
2. Identify your evidence-based intervention and explain if it is in the public domain or if authorization is required to use the intervention.
As mentioned above, the identified evidence-based intervention for my practicum problem is the 5A’s and MI for behavior change counseling. This intervention is available in the public domain. For example, most clinical guidelines recommend that primary care practitioners provide weight management counseling based on the 5A’s model. The most notable ones are the US Preventive Services Task Force (USPSTF) recommendation statements, which identify the 5A’s model and its MI principles as effective behavioral weight loss strategies that primary care providers can use to address obesity and its comorbidities (Mangione et al., 2022). Besides the intervention’s proliferation across national clinical guidelines and position statements, Medicare considers the 5A’s counseling approach efficacious and reimburses primary care providers who utilize it (Wittleder et al., 2019). These factors indicate that the 5A’s model is an open access intervention in the public domain. Therefore, utilizing the framework will not raise any copyright issues or require prior authorization.(Comprehensive Essay Example on Treating Overweight and Obese Adults)
3. Identify if the evaluation tool you plan to use for your DNP practice change project is in the public domain or if authorization is required to use the evaluation tool.
The outcome of interest in the proposed project is the change in patient weight. One effective tool that I intend to use to evaluate the outcome is the medical weight loss progress note. Its goal will be to assess the changes in participants’ weight in response to the evidence-based intervention. Therefore, the proposed tool will cover pre-and post-implementation weight, height, and body mass index (BMI) data(Comprehensive Essay Example on Treating Overweight and Obese Adults). The progress note will also contain information on the recommended behavioral change goals and an accompanying notes section to indicate the client’s adherence to the recommendations. Currently, there are multiple free variants of the progress note online. Hence, to my knowledge, utilizing this tool will not require prior permission. Moreover, the evaluation tool selected for this project will be a modified version of an existing instrument. These modifications will be necessary to ensure that the tool reflects the project’s objectives and methods. In effect, such alterations will render authorization unnecessary.(Comprehensive Essay Example on Treating Overweight and Obese Adults)
Mangione, C. M., Barry, M. J., Nicholson, W. K., Cabana, M., Coker, T. R., Davidson, K. W., Davis, E. M., Donahue, K. E., Jaén, C. R., Kubik, M., Li, L., Ogedegbe, G., Pbert, L., Ruiz, J. M., Stevermer, J., Wong, J. B., & US Preventive Services Task Force. (2022). Behavioral counseling interventions to promote a healthy diet and physical activity for cardiovascular disease prevention in adults without cardiovascular disease risk factors: US Preventive Services Task Force recommendation statement. JAMA, 328(4), 367-374. https://doi.org/10.1001/jama.2022.10951(Comprehensive Essay Example on Treating Overweight and Obese Adults)
Viglione, C., Bouwman, D., Rahman, N., Fang, Y., Beasley, J. M., Sherman, S., Pi-Sunyer, X., Wylie-Rosett, J., Tenner, C., & Jay, M. (2019). A technology-assisted health coaching intervention vs. enhanced usual care for primary care-based obesity treatment: A randomized controlled trial. BMC Obesity, 6(1), 1-11. https://doi.org/10.1186/s40608-018-0226-0(Comprehensive Essay Example on Treating Overweight and Obese Adults)
Wittleder, S., Ajenikoko, A., Bouwman, D., Fang, Y., McKee, M. D., Meissner, P., Orstad, S. L., Rehm, C. D., Sherman, S. E., Smith, S., Sweat, V., Velastegui, L., Wylie-Rosett, J., & Jay, M. (2019). Protocol for a cluster-randomized controlled trial of a technology-assisted health coaching intervention for weight management in primary care: The GEM (goals for eating and moving) study. Contemporary Clinical Trials, 83, 37-45. https://doi.org/10.1016/j.cct.2019.06.005(Comprehensive Essay Example on Treating Overweight and Obese Adults)
What is the summary for obesity and overweight?
Excess weight and obesity denote medical conditions arising from the disproportionate buildup of body fat, triggering negative health consequences. The origins stem from an inequilibrium between caloric intake and expenditure, influenced by genetic, situational, and behavioral elements. These ailments markedly amplify the susceptibility to diverse health complications like cardiovascular ailments, diabetes, and joint issues, presenting substantial global health challenges. Successful prevention and handling encompass advocating a well-rounded diet, consistent physical engagement, and embracing more healthful life preferences.(Comprehensive Essay Example on Treating Overweight and Obese Adults)
How do you write an obesity research paper?
Crafting a research paper on obesity involves several essential stages. Start with a succinct introduction that underscores the importance of the obesity concern, its occurrence, and the core research query. Undertake a comprehensive review of existing literature to amass prevailing insights and pinpoint research openings. Construct your study with a clearly outlined methodology, encompassing approaches for data acquisition and analysis. Conclude by succinctly summarizing findings, discussing their implications, and proposing potential avenues for future research and obesity mitigation strategies. It’s essential to adhere to established academic writing norms and accurately attribute sources throughout the paper.(Comprehensive Essay Example on Treating Overweight and Obese Adults)
How do you write an obesity paragraph?
Excess weight accumulation, a prominent health issue, arises from diverse factors including genetics, environment, and lifestyle. This condition, known as obesity, connects to heightened risk of chronic ailments like heart disease, diabetes, and certain cancers. Tackling obesity mandates a holistic strategy encompassing nutrition, exercise, behavior modification, and, if necessary, medical measures, all striving to attain and uphold a wholesome weight for enhanced holistic health.(Comprehensive Essay Example on Treating Overweight and Obese Adults)
What is the summarization of obesity?
Excessive weight gain, a multifaceted medical condition stemming from an inequilibrium between caloric consumption and energy use, characterizes obesity. This health issue, with connections to diabetes, cardiovascular ailments, and specific cancers, carries both genetic and environmental triggers, notably inactive routines and genetic susceptibility. Effective management entails adopting a well-rounded diet, consistent physical engagement, and potentially supervised medical measures.(Comprehensive Essay Example on Treating Overweight and Obese Adults)