2.50
Hdl Handle:
http://hdl.handle.net/10755/621661
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Using Motivational Interviewing to Address Obesity: A Global Perspective
Other Titles:
Promoting Health in Obese Patients
Author(s):
Wilson, Juanita L.
Lead Author STTI Affiliation:
Theta Zeta
Author Details:
Juanita L. Wilson, DNP, NP-C, COHN-S, Professional Experience: Over 25 years of experience in occupational and employee health. Certified Occupational Health Nurse Specialist (COHN-S) 1991-present-- Occupational Health Clinician and Consultant Responsible for management and consulting services specializing in on-site occupational health and employee settings. Provide wellness program planning, preventative services, and health coaching. Certified commercial driver medical examiner. Completed a successful EBP change project that addressed obesity with commercial truck drivers. Author or coauthor of several online articles, blogs, and technical reports. Given numerous professional presentations at occupational health conferences. Author Summary: Dr. Juanita Wilson is a nurse practitioner and a certified occupational health nurse specialist with over 25 years of experience. Dr. Wilson’s expertise includes clinician, health center manager, and consultant in occupational health. She has provided health promotion and wellness subject matter expertise to companies such as Campbell Soup, Cerner Corporation, and Clemens Food Group. Dr. Wilson has a doctor of nursing practice degree from Chatham University, Pittsburgh, Pennsylvania.
Abstract:

Obesity is a growing global public health epidemic affecting all ages and socioeconomic groups. Commercial truck drivers (CTDs) have a greater obesity rate and decreased life expectancy compared to the general population. The nature of the commercial truck driving occupation places the truck driver at an increased risk for obesity. CTDs work sedentary jobs with long hours that pose barriers to eating healthy, regular exercise, and regular sleep patterns. The outcomes of a four-week evidenced-based practice (EBP) change project that utilized a motivational interviewing (MI) intervention and included diet and exercise education was found to have a positive impact on outcomes. MI has enabled individuals to evaluate personal ambivalence about healthy lifestyle choices thus, increasing self-efficacy to induce healthy diet and exercise behavior changes to promote weight loss. MI has been found to encourage behavior change by helping people understand the need to change in terms of lifestyle choices. MI has been supported in the literature as an intervention to increase one’s self-efficacy promoting weight loss.

There were two outcomes this evidence-based practice (EBP) change project measured and evaluated. The first outcome was an increase in weight loss measured by a reduction in body mass index (BMI). The second intended outcome was an increase in self-efficacy for healthy behavior change and weight loss as a result of a MI intervention. Data revealed an increase in group aggregate self-efficacy for weight loss by 14.8%, exceeding the benchmark of an 11%. An analysis of aggregate group BMI revealed CTDs lost a mean of 0.65 kg/m2, exceeding the benchmark of 0.5 kg/m2 to two pounds per week. The outcomes of this EBP change project suggests that MI was successful as a group, in helping CTDs increase their confidence for weight loss and for decreasing BMI (group aggregate benchmarks were met for both outcomes). The results suggest a short term MI intervention can be a cost-effective and easy to implement solution to mitigate obesity when implemented as a clinical standard for CTDs, as well as other populations.

Keywords:
Motivational Interviewing; Obesity; Occupational Health
Repository Posting Date:
5-Jul-2017
Date of Publication:
5-Jul-2017
Other Identifiers:
INRC17I01
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleUsing Motivational Interviewing to Address Obesity: A Global Perspectiveen_US
dc.title.alternativePromoting Health in Obese Patientsen
dc.contributor.authorWilson, Juanita L.en
dc.contributor.departmentTheta Zetaen
dc.author.detailsJuanita L. Wilson, DNP, NP-C, COHN-S, Professional Experience: Over 25 years of experience in occupational and employee health. Certified Occupational Health Nurse Specialist (COHN-S) 1991-present-- Occupational Health Clinician and Consultant Responsible for management and consulting services specializing in on-site occupational health and employee settings. Provide wellness program planning, preventative services, and health coaching. Certified commercial driver medical examiner. Completed a successful EBP change project that addressed obesity with commercial truck drivers. Author or coauthor of several online articles, blogs, and technical reports. Given numerous professional presentations at occupational health conferences. Author Summary: Dr. Juanita Wilson is a nurse practitioner and a certified occupational health nurse specialist with over 25 years of experience. Dr. Wilson’s expertise includes clinician, health center manager, and consultant in occupational health. She has provided health promotion and wellness subject matter expertise to companies such as Campbell Soup, Cerner Corporation, and Clemens Food Group. Dr. Wilson has a doctor of nursing practice degree from Chatham University, Pittsburgh, Pennsylvania.en
dc.identifier.urihttp://hdl.handle.net/10755/621661-
dc.description.abstract<p><span>Obesity is a growing global public health epidemic affecting all ages and socioeconomic groups. Commercial truck drivers (CTDs) have a greater obesity rate and decreased life expectancy compared to the general population. The nature of the commercial truck driving occupation places the truck driver at an increased risk for obesity. CTDs work sedentary jobs with long hours that pose barriers to eating healthy, regular exercise, and regular sleep patterns. The outcomes of a four-week evidenced-based practice (EBP) change project that utilized a motivational interviewing (MI) intervention and included diet and exercise education was found to have a positive impact on outcomes. MI has enabled individuals to evaluate personal ambivalence about healthy lifestyle choices thus, increasing self-efficacy to induce healthy diet and exercise behavior changes to promote weight loss. MI has been found to encourage behavior change by helping people understand the need to change in terms of lifestyle choices. MI has been supported in the literature as an intervention to increase one’s self-efficacy promoting weight loss.</span></p> <p>There were two outcomes this evidence-based practice (EBP) change project measured and evaluated. The first outcome was an increase in weight loss measured by a reduction in body mass index (BMI). The second intended outcome was an increase in self-efficacy for healthy behavior change and weight loss as a result of a MI intervention. Data revealed an increase in group aggregate self-efficacy for weight loss by 14.8%, exceeding the benchmark of an 11%. An analysis of aggregate group BMI revealed CTDs lost a mean of 0.65 kg/m2, exceeding the benchmark of 0.5 kg/m2 to two pounds per week. The outcomes of this EBP change project suggests that MI was successful as a group, in helping CTDs increase their confidence for weight loss and for decreasing BMI (group aggregate benchmarks were met for both outcomes). The results suggest a short term MI intervention can be a cost-effective and easy to implement solution to mitigate obesity when implemented as a clinical standard for CTDs, as well as other populations.</p>en
dc.subjectMotivational Interviewingen
dc.subjectObesityen
dc.subjectOccupational Healthen
dc.date.available2017-07-05T19:55:07Z-
dc.date.issued2017-07-05-
dc.date.accessioned2017-07-05T19:55:07Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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