Graduation Year

2017

Degree Type

Open Access Capstone

Document Type

Capstone

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

Department Name when Degree Awarded

Baccalaureate and Graduate Nursing

First Advisor

Donna J. Corley

Department Affiliation

Nursing

Second Advisor

Alison Connell

Department Affiliation

Nursing

Abstract

Childhood obesity is an epidemic in the United States placing children at risk for immediate and long-term health problems. Primary care providers are optimally placed to address this high-priority health issue. The purpose of the project was to implement a practice change in the delivery of nutrition and physical activity information during well child visits. The 5-2-1-0 healthy habits message was delivered via motivational interviewing to the parent/guardian of overweight/obese children. A sample of seven parents/guardians participated in the educational program, which included an initial visit, two-week follow-up phone call, and one-month follow up visit. An initial assessment of family nutrition and physical activity was completed pre education. Change readiness was assessed at the end of the initial visit. Paired t-tests were conducted to assess means differences in family nutrition and physical activity behavior scores. Although there was no statistical significance, the magnitude of effect was large (eta squared .417). Mean differences for pre and post readiness rulers scores were -0.29 (p = 0.356). Although not statistically significance, the magnitude of effect was large (eta squared 0.143). Findings of this project suggest there is value in addressing obesigenic behaviors in primary care settings with parents/guardians of overweight and obese children.

IRB Approval Number (if applicable)

000955

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