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Implementation of a virtual patient-centered weight loss maintenance behavior competency assessment in adults with obesity.

Abstract：

BACKGROUND:Evidence shows that 95%-98% of individuals who undergo a diet for weight loss purposes will gain back their weight within 5 years. LOCAL PROBLEM:No standardized method exists to assess weight loss maintenance (WLM) behavior competencies in patients who lose weight within a telehealth nutritional counseling private practice. Incorporating this assessment can be used to increase patient self-efficacy and predict a patient's likelihood of long-term weight success. METHODS:A quality improvement project, implementing four rapid plan-do-study-act cycles, was conducted. Each cycle included tests of change related to team and patient engagement, implementation of a WLM assessment, and an audit adherence. Data were analyzed using run charts to evaluate the impact of interventions on outcomes. INTERVENTIONS:The clinical team submitted a weekly WLM competency survey. A patient intake form was completed to identify behavior risks, followed by implementation of a WLM assessment in weekly follow-ups. A team adherence audit was completed and submitted every week. RESULTS:Team WLM competency levels increased 32%, averaging 82% at study conclusion. Completion of the patient intake form reached and held at 100% for the entire duration. Team usage of the WLM assessment peaked at 97%, correlating to increased patient behavior competence by 27.5% as the patient advanced. Team adherence gradually increased, peaking at 100%. CONCLUSIONS:Patient screening forms and audit logs created a standardized process to collect, deliver, and better coordinate care. The findings suggest that patients who embodied higher behavioral competence will have a greater likelihood of sustaining their weight results and become the successful 2%-5% of weight maintainers.

journal_name

J Am Assoc Nurse Pract

journal_title

Journal of the American Association of Nurse Practitioners

authors

Brunacini K

doi

10.1097/JXX.0000000000000192

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

752-759

issue

eissn

2327-6886

issn

2327-6924

journal_volume

pub_type

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Implementation of a virtual patient-centered weight loss maintenance behavior competency assessment in adults with obesity.