Date of Award
Doctor of Nursing Practice Final Manuscript
Doctor of Nursing Practice
Martha Fuller, PhD, PPCNP-BC
Tara Kelly, DNP, ANP-BC, ONP-C
Purpose of Project: The ultimate goal of this short-term pilot project is for
overweight or obese osteoarthritis patients to increase their knowledge on the benefits of
weight loss and physical activity. Research shows that for every kilogram of weight lost,
2.2–4.0 kilograms of weight is taken off of the joint and could reduce joint pain up to
thirty to fifty percent and improve quality of life. Following education from the provider,
patients will understand the correlation of osteoarthritis symptom management with
EBP Model/Frameworks: This project utilizes the Iowa Model of Evidence-Based
Practice to Promote Quality Care. This addresses implementing practice change in a
specialty care outpatient setting to improve patient outcomes.
Evidence Based Interventions: This project provided an educational intervention
to overweight or obese osteoarthritis patients seen in an ambulatory orthopedics clinic in
an urban, Southern California city. A follow-up telephone intervention was conducted
after one-month to assess their motivation for physical activity. A “smart phrase” will be
available in EPIC™ (electronic health record) for future implementation.
Evaluation/Results: At one-month, fifty percent of patients showed an
improvement (or maintenance) in their readiness for physical activity.
Implications for Practice: Both obesity and osteoarthritis can be debilitating to
quality of life. This conservative approach to osteoarthritis management can be cost
effective in preventing hospitalization and lost wages.
Conclusion: Nurse practitioner education on the benefits of weight management
and osteoarthritis increases patient education and readiness for physical activity.
Digital USD Citation
Mulvey, Caoilfhionn and Fuller, Martha PhD, "Weight Reduction Motivation in Osteoarthritis Patients Through Nurse Practitioner Driven Education and Follow-Up: A Pilot Project" (2021). Doctor of Nursing Practice Final Manuscripts. 148.
Copyright held by the author
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