Graduation Semester and Year
Summer 2024
Language
English
Document Type
Dissertation
Degree Name
Doctor of Nursing Practice
Department
Nursing
First Advisor
Michelle Hampton
Abstract
Obesity can cause multiple chronic conditions, including cancer and death. Los Angeles jail primary care clinics do not address obesity management despite health hazards, rising costs, and high obesity rates in correctional facilities. The Centers for Medicare and Medical Services (CMS) obesity-management guidelines are over ten years old and outdated. The aim of this Doctor of Nursing Practice (DNP) project was to update the CMS obesity-management guideline with the newest intense behavioral therapy (IBT) evidence to assist the correctional multidisciplinary healthcare team. This project took place in a Los Angeles correctional facility's primary care clinic. A detailed literature review gathered current and relevant literature, which was subsequently appraised and graded using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Evidence Level and Quality Guide. Ten recommendations were identified and graded based on the evidence-based literature. Question Pro software was used to rate the recommendations by the stakeholders compromising, primary care clinicians, nurse educators, and mental health providers treating obese jailed male adults. A Friedman’s two-way ANOVA by rank, followed by the Chi-Square test, was used to calculate differences between the stakeholders’ recommendation ratings. The finalized obesity-management guideline for the correctional setting included the ten recommendations, each of which received a score of three or above, indicating its strength and reliability.
Keywords
Obesity management, Primary care, Correctional setting, Guideline, Intensive behavioral therapy
Disciplines
Dietetics and Clinical Nutrition | Endocrinology, Diabetes, and Metabolism | Family Medicine | Family Practice Nursing | Health Law and Policy | Medical Education | Medicine and Health Sciences | Nursing | Primary Care | Public Health Education and Promotion
License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Recommended Citation
Sato, Rumi Y., "Obesity Management Guideline for the Correctional Setting" (2024). Doctor of Nursing Practice (DNP) Scholarly Projects. 79.
https://mavmatrix.uta.edu/nursing_dnpprojects/79
Included in
Dietetics and Clinical Nutrition Commons, Endocrinology, Diabetes, and Metabolism Commons, Family Medicine Commons, Family Practice Nursing Commons, Health Law and Policy Commons, Medical Education Commons, Primary Care Commons, Public Health Education and Promotion Commons
Comments
Acknowledgements:
Faculty Project Adviser: Michelle Hampton, PhD, RN, NEA-NC
Statistician: Yungfei Kao, PhD