NR 706 Week 6 Assignment; Obesity Care in a Clinic Environment with The Use of CBT Presentation

Obesity Care in A Clinic Environment with The Use of Cognitive Behavioral Therapy IRENE A. GINCZEK, CRNP-FAMILY AND A DNP STUDENT NR706 Week 6 Practice Problem Analysis and Presentation Assignment DOCTOR HOOVEN, KATIE Revised 4/20/2021 Practice Problem: Idea Identification THE PICOT QUESTION In obese adults 18 years and older in the United States of America (Patient/Population), does the use of Cognitive Behavioral Therapy (CBT) combined with lifestyle modification, that is physical exercise and a healthy diet (Intervention) in the management of obesity improve outcomes as compared to obese individuals with only Lifestyle modification and no CBT association, (Comparison) impact weight loss within a one year? (Time). PICOT Components Population: Adult Americans with obesity, ages 18 and older. Intervention: Employing Cognitive Behavioral Therapy (CBT) in association with Lifestyle modifications, i.e., a healthy diet and physical exercise for weight loss. Comparison: Compared to the standard weight loss approach of Lifestyle modifications, i.e., a healthy diet and physical exercise for weight loss alone. Outcome: Reduction in weight, BMI, waistline, and prevalence of obesity. Timeframe: Within one year. 914396670894• • Background and Significance Research Evidence Ma et al (2019) conducted a quantitative randomized clinical trial study on the Effect of Integrated Behavioral Weight Loss treatment and problem-solving therapy on the body mass index and depressive symptoms among patients with obesity and depression. Sample: There were 204 randomly selected participants in the intervention group and 205 randomly selected participants in the control group of all ages and races (adults 18 years and older), in Northern California in Sutter Health’s medical care area. Findings: Associating CBT with Lifestyle modifications like exercise & a healthy diet, significant treatment interventions for obesity were employed in this study, and the outcome showed improvement in both weight, BMI, and depression scores, compared to the control group. Patient knowledge and education increased with patient participation in the study. CBT should be individualized and communicated with participants. Result: Study found that participants who were given ample time and interaction with healthcare staff retained information and practiced prevention measures, which resulted in Background Significance (cont’d) Research Evidence: Compan-Gabucio et al (2023) used a quantitative systematic scoping review protocol assessment with meta-analysis to evaluate cognitive behavioral therapy on weight loss in adults. Sample Size: Only five databases were used for data review Findings: Emerging weight loss and management interventions increasingly consider emotional and psychological factors as important parts of the treatment process. Conclusion: Only five databases were used for data review, which leaves room for missed additional information or studies. The experimental studies used had small sample sizes. The review helped the researchers confirm evidence of the positive impact of the use of CBT in weight loss care and increased providers’ awareness of the benefits of CBT in weight loss management. Although lifestyle changes such as physical activities and healthy diets have been shown to drive down obesity, more studies are still needed to support this evidence-based intervention (Florez et al., 2020). A more sustainable, evidence-based intervention (EBI) that has been increasingly studied and