Name
Capella university
NURS-FPX 9100: Obesity Topic Approval
Prof. Name
October, 2024
Obesity Topic Approval
Obesity has emerged as one of the emerging public health problems, which increasingly cuts across various age groups and demographics with increasing prevalence rates (Ewens et al., 2022). Therefore, management of obesity in the primary care setting is significant because it is implicated according to numerous chronic conditions such as diabetes, cardiovascular diseases, and hypertension. Thus, this project will explore how a better approach to obesity management can be adopted in primary care by way of evidence-based interventions that improve patient outcomes while reducing health disparities. This project aims to help in the approach towards more empowered, efficient, and patient-centered obesity care through promoting healthy lifestyle changes, optimizing patient education, and easily available resources.
Working Project Title:
Obesity Management in Primary Care Settings (OMPCS)
Primary Investigator
Laura Rodriguez, MSN, FNP-BC
Project Site:
Valley Family Health Center – Downtown Clinic, Mesa, Arizona
Sponsor:
Preceptor Sarah Thompson, MSN, RN – Clinical Director at Valley Family Health Center. John Michaels, MD – Chief Medical Officer at Valley Family Health Center.
Project Description
Obesity has become a vital health challenge in primary care both as a contributing factor to other chronic diseases and as a challenge to the good management of health (Jeffers et al., 2024). The chosen title for this project will be “Obesity Management in Primary Care Settings (OMPCS)” and will be dedicated to the identification and implementation of evidence-based strategies for the improvement of obesity management in primary care clinics. The program will focus on designing patient-specific care plans, educating patients on weight management, and multispecialty efforts at promoting healthier lifestyles. Project location: Valley Family Health Center Project objectives and expected outcomes: The project will assess the role of the primary care provider in actively supporting the reduction of health-related risks attributable to obesity while improving overall well-being and preventing complications.
PICOT Question:
P: In an obese patient, population of adults
I: which constitutes a structured weight loss program (Intervention)
A: Comparing with Standard of Care (Comparison)
Hence, the following hypothesis is formed: O: leads to clinically significant variations in BMI and health outcomes (Outcome)
T: 12 months (Time)?
Among adult patients with obesity, does a structured weight management programme implemented in the general practice setting, as compared to standard care, have clinically important differences in BMI and health outcomes at 12 months?
This proposed project will observe the effectiveness of large-scale interventions like nutrition counseling, exercise programs, and behavioral change techniques in providing meaningful sustainable weight loss and health improvement. It will help in determining the value of structure obesity management programming based on primary care outcomes through the PICOT framework.
Brief Summary
The “Obesity Management in Primary Care Settings (OMPCS)” project is designed to upgrade the best practice of obesity management in primary care through the application of well-structured, evidence-based interventions. Adult patients with obesity would constitute the scope of the study, and it would compare the effectiveness of a comprehensive weight management program that includes nutritional counselling, exercise plans, and behavioral support versus standard care alone (Jacobson et al., 2024). The overall aim would be reducing the BMI and overall health outcome, which would occur within less than 12 months. The project aims to provide education to the patient and tailor care plans to individualize each patient’s care and enhance involvement with lean and healthy weight practices.
Primary Objective
The purpose of the “Obesity Management in Primary Care Settings (OMPCS)” is to establish whether structured, multidisciplinary weight management programs can actually reduce the body mass index and other health outcomes of adult patients with obesity in a primary care setting (Arnold, 2020). Therefore, the project will compare a structured program with standard care to determine whether all-inclusive interventions such as nutrition guidance, exercise plans, and other behavioral support really enhance patients’ health concerns and obesity management up to a considerable extent and sustainably.
Secondary Objectives
Subsidiary objectives of the “Obesity Management in Primary Care Settings (OMPCS)” project involve various factors that jointly lead to the general success of the staged weight loss intervention. To begin with, the study shall investigate what role patient education and active participation plays in the uptake of the intervention since educated patients are likely to embrace lifestyle changes (Oakman et al., 2020). In addition, it will determine the behavioral support that helps in sustaining lifestyle changes and weight loss. It will talk about why encouragement is much more significant besides accountability. The project shall also research the connection between patient-specific plans of exercise and nutrition and health improvements-both physical and psychological health-a tailored approach may build patient outcomes better. In addition, the study will establish the impact that participation in the structured weight management program has on the other conditions of diseases attributed to obesity, such as diabetes, hypertension, and heart disease, as a means of giving evidence to further health benefits apart from those possibly resulting from the weight loss. Lastly, patient satisfaction will be analyzed in terms of whether the overall population feels that quality of life has improved because of the program; thereby highlighting the holistic effect of effective obesity management approaches.
Proposed Evidence-based Intervention(s)
Proposed evidence-based interventions of the “Obesity Management in Primary Care Settings (OMPCS)” project thus hinge on an organized weight management program with support for patients to achieve healthy weight loss and sustain it. This comprehensive program includes personalized nutrition counseling, tailored exercise plans, and long-term behavioral support so that the patient can make steady lifestyle adjustments. Patient education workshops will be conducted to increase awareness and involvement, where health risks associated with obesity, benefits of losing weight, and examples of plans of action to reach and maintain a healthy weight will be discussed (Miller & Reihlen, 2023). The tracking and monitoring system will also be established, that includes frequent appointment visits with the patient to track them overtime, and need-based, the care plan can be altered and constant help can be sought throughout the course of the weight management. These combined interventions have the potential to create a supportive environment that promotes effective weight management and hence leads to improved health outcomes among patients.
Project Design and Methods
Project Design
Obesity Management in Primary Care Settings: A Quasi-Experimental Project.This will be quasi-experimental research where the effectiveness of a structured weight management program in a primary care clinic will be evaluated. Adult patients diagnosed with obesity will be randomly assigned into either an intervention group, where they will go through comprehensive weight management or a control group receiving standard care. This is a 12-month intervention where participants will receive nutrition counseling, provide exercise plans, and have individualized behavioral support sessions. Data collection will be held at baseline, 6 months, and 12 months to monitor changes in BMI, overall health outcomes, patient engagement, and satisfaction levels. Statistical analyses will be conducted to compare the results between both groups to help illustrate the evidence-based intervention to manage obesity in a primary care setting.
Model For Improvement: PDSA
The PDSA model will be applied in the “Obesity Management in Primary Care Settings (OMPCS)” project in terms of the management program. In the plan stage, the specific objectives of the project, elaborative strategies, and measurable outcomes for obesity management will be defined by the project team. The Do phase will give the structured weight management program among the intervention group to ensure that all the components of nutritional counseling and exercise plans are properly delivered. Data will be collected and analyzed in the Study phase to evaluate the impact of the interventions related to patient outcomes about BMI alterations and overall health status. In the Act phase, the group would have reflected on its findings and, based on the output, adjusted the program to better manage change by drawing up for further cycles of improvement as the effectiveness of the intervention is enhanced overtime.
Estimated Project Length (Weeks)
The duration of the project “Obesity Management in Primary Care Settings (OMPCS)” is estimated as 52 weeks, consisting of preparatory and recruitment for 4 weeks, followed by a structured weight management program for 12 months, concluding with followup evaluation and data analysis for the last 4 weeks. Overall, the duration of the project will involve all the preparation, execution, and assessment phases.
Primary Outcome Measures
1. Body Mass Index (BMI):
This will be the primary outcome measure assessing the change in BMI of the participants in the program for structured weight management in comparison to those who would only receive standard treatment, from baseline, at the end of 6 months and at the end of 12 months of the treatment phase.
2. Improvement in Health-Related Quality of Life:
Improvements in health-related quality of life among the subjects would be measured through the project by the aid of valid questionnaires. Validated questionnaires will be used to assess improvements in the program in terms of physical as well as mental well-being during the period of intervention.
Secondary Outcome Measures:
- Adherence to Lifestyle Change Interventions:
This is the extent to which the participants respond to dietary and physical activity recommendations; this can be measured in self-report surveys and, occasionally, through follow-ups in the intervention.
- Diseases Reduced by Obesity:
The changes the project will track include various health indicator changes, such as blood pressure levels and cholesterol levels, to see how effectively the program controls risk factors related to obesity.
Data Analysis and Results Reporting:
| MEASURE | TYPE | TYPE OF DATA COLLECTED | COLLECTED | ANALYSIS METHOD |
| Decrease in Body Mass Index (BMI) | Outcome | Intervals | Baseline, at 6 months, at 12 months | Descriptive Statistics |
| Follow-up on Adherence to Exercise and Diet Plans | Outcome | Ordinal | Self-reported questionnaires | Descriptive Statistics |
| An increased Health Related Quality of Life. | Outcome | Interval | Baseline, 6 months, 12 months. | Inferential Statistics. |
| Lowering of Blood Pressure/Cholesterol Level | Outcome | Interval | Baseline at 6 months at 12 months | Descriptive Statistics |
Results Reporting Data Type
There will be effective communication of the results through presentation in numerical formats such as percentages and averages as well as visual formats like graphs and charts.
NURS FPX 9100 Assessment 1 Conclusion
Hence, the Obesity Management in Primary Care Settings project is an evidence-based structured approach toward working on this critical issue of obesity in primary care (Lukewich et al., 2022). It looks to weight management interventions that include personal nutritional counseling, tailored exercise plans, and ongoing behavioral support across a population of adult patients, thereby showing significant improvement in BMI and general health outcomes. Use of such an evaluation framework-quantitative and qualitative measures-is likely to provide rich insights into the effectiveness of the interventions undertaken. Ultimately, it would lead to best practices in the management of obesity in primary care, a healthier population-and, by doing so, reduction in the burden posed by health conditions that have resulted from obesity.
NURS FPX 9100 Assessment 1 References
Arnold, R. (2020). A multicomponent tailored intervention program protocol for weight loss in an underserved adult patient population with obesity. Evidence-Based Practice Project Reports.https://scholar.valpo.edu/ebpr/144/
Ewens, B., Kemp, V., Towell-Barnard, A., & Whitehead, L. (2022). The nursing care of people with class III obesity in an acute care setting: a scoping review. BMC Nursing, 21(1). https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-021-00760-7
Jeffers, L., Manner, J., Jepson, R., & McAteer, J. (2024). Healthcare professionals’ perceptions and experiences of obesity and overweight and its management in primary care settings: a qualitative systematic review. Primary Health Care Research & Development, 25. https://www.cambridge.org/core/journals/primary-health-care-research-and-development/article/healthcare-professionals-perceptions-and-experiences-of-obesity-and-overweight-and-its-management-in-primary-care-settings-a-qualitative-systematic-review/BA13526339FDC6D59325A0AC9CAF875E
Jacobson, R. M., Pignolo, R. J., & Lazaridis, K. N. (2024). Clinical trials for special populations: children, older adults, and rare diseases. Mayo Clinic Proceedings, 99(2), 318–335. https://www.mayoclinicproceedings.org/article/S0025-6196(23)00116-7/fulltext
Lukewich, J., Martin, R., Norful, A. A., Poitras, M. E., Bryant, D., Asghari, S., Marshall, E. G., Mathews, M., Swab, M., Ryan, D., & Tranmer, J. (2022). Effectiveness of registered nurses on patient outcomes in primary care: A systematic review. BMC Health Services Research, 22(1).https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-022-07866-x
Miller, T., & Reihlen, M. (2023). Assessing the impact of patient-involvement healthcare strategies on patients, providers, and the healthcare system: a systematic review. Patient Education and Counseling, 107652.https://www.sciencedirect.com/science/article/abs/pii/S0738399123000320?via%3Dihub
Oakman, J., Cahill, L. S., Clune, S., Neilson, C., Shields, N., Tse, T., O’Keefe, S., Frederico, M., Graco, M., Holland, A. E., Jolliffe, L., Carey, L., Lewis, V., Brown, G., Cox, N. S., Morris, M. E., & Lannin, N. A. (2020). Effectiveness of health consumer representative involvement in implementation of interventions to change health professional behaviour. International Journal for Quality in Health Care, 33(1).https://academic.oup.com/intqhc/article/33/1/mzaa164/6039076
