A Provider’s Guide to Weight Loss through Motivational Interviewing
Abstract Obesity is an epidemic in the United States affecting millions of adults with many considered overweight or obese. An evidence-based quality improvement project was conducted in a primary care office with 33 adult participants that were considered obese, with a body mass index (BMI) of ≥ 30. Participants were recruited through clinic flyers and were given a cover letter that outlined the project; if interested, verbal consent was obtained. Two Nurse Practitioners used motivational interviewing (MI) techniques to assess what stage of contemplation about weight (WT) loss the individual was currently in. Waist circumference (WC), WT, and BMI were recorded during an initial visit. Participants were provided with informational pamphlets as resources to take home regarding approaches for healthier eating and physical activities, along with proper goal setting for WT management. Telephone callbacks to discuss progress toward care goals and to record home WT with participants were made at weeks two and four in-between office visits. On the final 6-week follow up visit, scripted MI techniques were used to assess if the patient’s state of contemplation had changed along with rechecking individual’s WC, WT, and BMI. As a group, the total WT loss was 170.9 pounds, average WC reduction was 1.4 inches with a decrease of 0.89 in BMI. Providers are an important source of interpersonal influence and can use MI techniques to engage in health promoting behaviors, such as WT loss, when a known state of change is identified. Key Words: Body Mass Index (BMI); Evidence-based practice (EBP); Obesity; Motivational Interviewing (MI); Weight (WT); Waist circumference (WC); Telephone callbacks
The epidemic of obesity affects over 2/3 of the population of the United States (National Institute of Health [NIH], 2012). Over the last few years, many initiatives have been developed to address the issue of childhood obesity, while adult obesity is continuing to increase. Initiating change and weight loss with the use of motivational interviewing can be an effective intervention in assisting participants to lose weight, waist circumference and body mass index. These changes enable participants to lead a healthier life. Advanced Practice Registered Nurses can build a stronger rapport with clients through the use of motivational interviewing and help clients lose weight, thereby decreasing the negative effects of obesity.
Boone, Angela. (October 2017). A Provider’s Guide to Weight Loss through Motivational Interviewing (DNP Scholarly Project, East Carolina University). Retrieved from the Scholarship. (http://hdl.handle.net/10342/6425.)
Boone, Angela. A Provider’s Guide to Weight Loss through Motivational Interviewing. DNP Scholarly Project. East Carolina University, October 2017. The Scholarship. http://hdl.handle.net/10342/6425. February 16, 2019.
Boone, Angela, “A Provider’s Guide to Weight Loss through Motivational Interviewing” (DNP Scholarly Project., East Carolina University, October 2017).
Boone, Angela. A Provider’s Guide to Weight Loss through Motivational Interviewing [DNP Scholarly Project]. Greenville, NC: East Carolina University; October 2017.