Date of Award

Spring 5-23-2015

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice



First Advisor

Kathy James, DNSc, APRN, FAAN, Faculty Chairperson, Seminar Faculty


Background and Purpose: In the United States, 79 million people are pre-diabetic: most have no symptoms. If left untreated, 37% will develop diabetes within 4 years. Fourteen percent of United States health care expenditures are related to diabetic complications. This Evidenced Based Project (EBP) involved a behavioral lifestyle change with the purpose of 7% weight loss and a minimum of 150 minutes of physical activity a week. It was also designed to reduce risk factors and glycated hemoglobin A1c (HgA1c) levels.

Methods: The interventional approach was modeled after the Diabetes Prevention Program (DPP) and Group Lifestyle Balance Program. Participants were identified based on high risk factors and HgA1c levels. Bi-monthly meetings were conducted over 12 weeks. Participant education and monitoring of weight loss and activity level were provided.

Conclusion: Changing a person’s behavior is complex and multi-factorial. Although participants had a significant increase in healthy behavior modifications, knowledge, awareness, and activity, they were unsuccessful in reducing HgA1c levels in this particular study.

Implications for practice: Reducing high risk and pre-diabetic populations may lower health costs, provide a healthier patient population, and decreased cardiovascular incidents related to diabetes. Findings could be used in conjunction with decreasing the rates of metabolic syndrome.