Intensive behavioral treatment weight loss program in an adult primary care practice.

Abstract

To evaluate a nurse practitioner (NP) led intensive behavioral treatment program for obesity implemented in an adult primary care practice. The outcome variables for this study included weight loss as well as patient and provider ratings about program satisfaction, feasibility, and acceptability. Data sources were the patient medical records, patient satisfaction surveys, provider satisfaction surveys, and a provider focus group. Thirty-six eligible patients completed the program. The program was feasible and effective with statistically significant weight loss (mean weight loss 6.7 lbs after four visits and 10.7 lbs at 12 weeks) and clinically significant with 39% of patients losing 5% or more of body weight at 12 weeks, with a high degree of acceptance. Obesity is a national epidemic with significant health and economic consequences. The Centers for Medicare and Medicaid Services recognizes intensive behavioral therapy for obesity treatment in primary care and the U.S. Preventive Services Task Force established evidenced-based program criteria. However targeted interventions to treat obesity are largely lacking in primary care. NPs with a focus on patient-centered and evidence-based care are well positioned to lead intensive behavioral therapy initiatives for obesity treatment.