title: Fit living in progress--fighting lifelong obesity patterns (FLIP-FLOP): A nurse practitioner delivered intervention.
abstract: OBJECTIVE
  To evaluate the feasibility and outcomes of a nurse practitioner (NP) delivered program, which targets obesity, in a real-world primary care setting.
  
  
  METHODS
  A small, descriptive study was conducted in a clinic for low-income patients. Sixteen adult participants, who are obese, attended 5 individual primary care office visits, occurring every 2 weeks over 12-weeks. The NP healthcare provider delivered pre-planned behavioral interventions at each visit. Data comprised the Health Promoting Lifestyle Profile II (HPLP II), additional surveys and physical measures.
  
  
  RESULTS
  Participants reported improvement in health responsibility, physical activity, nutrition, spiritual growth, stress management and motivation for healthy living (p<0.05). Diastolic blood pressure declined (p<0.05). Systolic blood pressure and body mass index declined non-significantly.
  
  
  CONCLUSIONS
  Additional research is necessary to determine success of the program over time with larger numbers of diverse participants, healthcare providers and primary care practice sites.
authors.affiliation: University of Central Florida, 12201 Research Pkwy, Orlando, FL 32826, USA. Electronic address: angela.ritten@ucf.edu.
authors.forename: Angela
authors.initials: A
authors.lastname: Ritten
authors.affiliation: University of North Carolina, School of Nursing, CB#7460, Chapel Hill, NC 27599-7460, USA. Electronic address: jwaldrop@unc.edu.
authors.forename: Julee
authors.initials: J
authors.lastname: Waldrop
authors.affiliation: Shepherd's Hope of Central Florida, 2839 Willow Bay Terrace, Casselberry, FL 32707, USA. Electronic address: jkitson001@cfl.rr.com.
authors.forename: Joanne
authors.initials: J
authors.lastname: Kitson
mesh_terms: D006293:Health Promotion; D006801:Humans; D008019:Life Style; D009722:Nurse Practitioners; D009765:Obesity / Q000451:nursing* / Q000503:physiopathology
keywords: Diet and motivation; Obesity; Physical activity; Primary care