Date of Award

Spring 5-25-2019

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Dr. Joseph Burkard, DNSc, CRNA

Abstract

The Roles of an Evidence-Based Weight Management Protocol in Hypertension Control

Abstract

Purpose: The purpose of this project is to evaluate the impact of a healthcare provider-led protocol for patients with hypertension (HTN) and weight loss needs to improve weight control, cardiovascular risk and quality of life.

Background: Evidence shows that a 1.2-kg weight loss can reduce systolic blood pressure (SBP) by 3.8mmHg. Thus, a 10kg (22lbs) weight loss is likely to yield a SBP decrease of as much as 32mmHg. Such results would positively impact quality of life and costs. The simple approach of instructing patients to eat less and increase physical activity to lose weight often fails over time, especially when they lack sustained encouragement leading to decreased willpower, fewer efforts, and failure of their weight loss program.

Process: This evidence-based project was built on the Iowa Model in an outpatient setting. Participants were enrolled in a weight loss program and retained by using a multimodal strategy, which included motivational interviewing, community involvement, and frequent follow-ups. The Glasgow's 5A's of behavior change engages participants by shifting the attention from the traditional weight loss needs to health outcomes. We ASKed for permission to discuss weight management. We ASSESSed participants’ risk factors. We ADVISEed on benefits of weight loss and options. We AGREEed on SMART goals. We ASSISTed by promoting trust, collaboration, and empowerment.

Outcomes: Weight loss, obesity parameters, blood pressure, and quality of life outcomes are pending.

Conclusion: This project is meant to empower participants to successfully adhere to a weight loss program to better control their HTN. It ultimately aims at improving wellbeing leading to healthier communities. Successful results may lead to improved blood pressure management and increased quality of life.

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