Patricia J Catlin
nursing faculty at a rural Tennessee BSN program
Title: Bridging the gap: Facilitating a healthy weight program in a rural primary care office
Biography
Biography: Patricia J Catlin
Abstract
Adult obesity in the United States contributes to several chronic health conditions and two billion dollars in health care expenditures. Health disparities related to obesity is even greater in rural areas. Objective: Implement a patient-centered health promotion program in a rural primary care office to reduce weight-related health conditions. Methods: A convenience sample of 7 participants, age 1860 with a BMI ≥ 28, volunteered and completed the 14-week project. Monthly group sessions and weekly individual sessions provided nutritional education, goal setting, and physical activity measures. Participants received a pedometer, food logs, and a journal. Weight, physical activity level, fat intake, fruit, vegetable, and fiber intake and self-efficacy were measured pre and post intervention. Results: Six had a 25% increase in their fruit, vegetable, & fiber intake and a 50% increase in physical activity level, a mean decrease in fat intake of 22% and weight loss of seven pounds. Conclusions: Interventions combining goal setting and accountability with education on dietary choices and physical activity result in healthier lifestyle choices. Implications: The findings support education on dietary choices and physical activity conducted in a primary care office can lead to lifestyle changes that will reduce some health disparities