Date of Award
Spring 5-24-2025
Document Type
Doctor of Nursing Practice Final Manuscript
Degree Name
Doctor of Nursing Practice
Department
Nursing
First Advisor
Kevin Maxwell, PhD, DNP, FNP-BC
Abstract
Background: In the United States, 2 in 5 adults are obese. The U.S. spends approximately $147 billion annually on healthcare related to obesity. Intermittent Fasting (IF) has emerged as an evidence-based, safe, and cost-effective approach to weight loss. When instructed correctly, it has been shown to improve patient BMI and total weight over a short-term duration.
Purpose of the Project: The purpose of this study was to determine the effectiveness of a standardized time-restricted eating (TRE) intermittent fasting education protocol for primary care providers (PCP) and its impact on their confidence levels in managing patients. This project aims to enhance provider confidence in educating and managing patients, resulting in increased patient knowledge, improved compliance, and better weight loss outcomes.
Evidence-Based Intervention: This project was implemented using the Iowa Model. Standardized TRE intermittent fasting education was given to four primary care providers, who then educated a total of 20 patients using a standardized format. Pre- and post-intervention provider surveys were administered to assess changes, and body mass index (BMI) and weight were measured over six months to evaluate improvement and compliance among patients.
Results: Provider survey scores improved from pre-intervention to post-intervention levels, with a 28.57% increase in provider confidence levels. Overall, 56% of patients demonstrated minimal to clinically significant weight loss and changes in BMI. A noticeable association was found between patient compliance and total weight loss or BMI change.
Implications for Clinical Practice: Standardized education on intermittent fasting enhances provider confidence and patient compliance, ultimately leading to improved outcomes. Regular patient follow-up is crucial for monitoring progress and providing positive reinforcement.
Digital USD Citation
Moreo, William C., "Life in the Fast Lane: Improving Patient Intermittent Fasting Compliance" (2025). Doctor of Nursing Practice Final Manuscripts. 296.
https://digital.sandiego.edu/dnp/296
Copyright
Copyright held by the author
