Randomized Trials of Nurse-Delivered Interventions in Weight Management Research: A Systematic Review.
The purpose of this systematic review was to determine whether nurse-delivered weight management interventions improve weight outcomes across the life span. We conducted a comprehensive search of the PubMed, CINAHL, and PsycINFO electronic databases. We graded the trials using an adapted Jadad approach for methodological quality. The search identified a total of 1,159 citations; 23 articles from 20 studies were eligible for this review. Sixty-five percent of the studies reported significant findings related to body mass index (BMI) or weight reduction. Studies that were particularly successful at helping participants reduce weight and/or BMI involved nurses engaged in health promotion activities, operating within multidisciplinary teams and/or providing consultations, physical activity education, and coaching over the phone. Of the studies that involved long-term follow-up assessments, three out of nine studies showed a significant loss in weight or BMI between the intervention and control groups at follow-up times ranging from 12 months to 2 years.
1 Johns Hopkins University, Baltimore, MD, USA.
Lucine
L
Petit Francis
1 Johns Hopkins University, Baltimore, MD, USA.
Erin
E
Spaulding
1 Johns Hopkins University, Baltimore, MD, USA.
Ruth-Alma
RA
Turkson-Ocran
1 Johns Hopkins University, Baltimore, MD, USA.
Jerilyn
J
Allen
D015400:Clinical Nursing Research; D015444:Exercise / Q000502:physiology; D006801:Humans; D024802:Nurse's Role / Q000523:psychology*; D016032:Randomized Controlled Trials as Topic; D015431:Weight Loss; D061217:Weight Reduction Programs / Q000379:methods*
nurse-delivered; randomized controlled trials; weight loss; weight management; weight-loss maintenance