title: Intensive behavioral treatment weight loss program in an adult primary care practice.
abstract: OBJECTIVE
  To evaluate a nurse practitioner (NP) led intensive behavioral treatment program for obesity implemented in an adult primary care practice.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: School of Nursing, Bouve' College of Health Sciences, Northeastern University, Boston, Massachusetts.
authors.forename: Paulette J
authors.initials: PJ
authors.lastname: Thabault
authors.affiliation: School of Nursing, Bouve' College of Health Sciences, Northeastern University, Boston, Massachusetts.
authors.forename: Pamela J
authors.initials: PJ
authors.lastname: Burke
authors.affiliation: University of Vermont Medical Center, College of Medicine, University of Vermont, Burlington, Vermont.
authors.forename: Philip A
authors.initials: PA
authors.lastname: Ades
mesh_terms: D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000379:methods / Q000592:standards*; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D009722:Nurse Practitioners / Q000639:trends; D010865:Pilot Projects; D011320:Primary Health Care / Q000379:methods / Q000592:standards; D014481:United States; D061217:Weight Reduction Programs / Q000379:methods*
keywords: Obesity; intensive behavioral therapy; motivational interviewing; nurse practitioners; weight loss