Introduction of important lifestyle modifications to prediabetes patients at an urban family primary care setting
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Apostol, Aljenica Marie.
Introduction of important lifestyle modifications to prediabetes patients at an urban family primary care setting. Retrieved from
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TitleIntroduction of important lifestyle modifications to prediabetes patients at an urban family primary care setting
Date Created2021
Other Date2021-10 (degree)
Extent1 online resource (85 pages) : illustrations
DescriptionPurpose of Project: The purpose of this DNP quasi-experimental project is to introduce important lifestyle modifications to prediabetes patients at an urban family primary care setting. With the introduction of a food and exercise log, weight monitoring pre and post-study and 2 remote 15-minute group counseling sessions in a 4-week study period, the end goals include weight loss, increase in physical activity and improved food choices in prediabetic patients. Methodology:The Rutgers University Library, Pubmed and reputable organizations such as the CDC and the American Diabetes Association (ADA) websites were utilized and searched using key terms. In light of the Covid-19 pandemic, the methodology of this project was adjusted to adhere to Rutgers University’s social distancing guidelines. To avoid direct study participant contact, the co-principal investigator (PI) facilitated subject recruitment, requesting for consent and group counseling Zoom follow ups remotely at the project site for HIPAA compliance. Results:A total of seven subjects consented to the study. However, three were lost to mid-study leaving a total of four. The mean serum Hgb A1C value was 6.01 with the minimum being 5.60 and the maximum 6.40 (SD = .36). Pre-intervention weights of the subjects varied significantly from 185 to 275 lbs. with the mean being 213.25 (SD = 41.76). Post-intervention weights were similar ranging from 180 to 281 lbs. with a mean weight of 212.75 (SD = 46.05). Total weight loss among the four subjects was two lbs. and a mean of .50 lbs. (SD = 6.46). Two subjects lost weight. One lost seven lbs. (A01) and the other lost five (C03). The other two subjects on the other hand, gained weight with one gaining six (B02) and the other four lbs. (E05). The subject who lost the most weight (A01) had the highest mean exercise duration of 52.5 minutes and the participant who gained the most (B02) also had the lowest mean exercise duration of 30 minutes. Overall, the mean duration of physical activity was 43.13 minutes (SD = 9.44) ranging from 30.0 to 52.5 minutes.
A Spearman's rank-order correlation was run to assess the relationship between Hgb A1c levels, subjects’ pre- and post-intervention weights, total weight loss, and time spent exercising. There were no statistically significant correlations found between these variables, p > .05. Subjects, on average, weighed more pre-intervention (M = 213.25 lbs., SD = 41.76) than post-intervention (M = 212.75 lbs., 46.05). However, the difference between the two groups was not statistically significant, 95% CI [-10.771, 9.771], t(3) = -.155, p = .887. Implications for Practice:Referral for Hgb A1c testing, continuing evaluation and education can help mitigate the progression of prediabetes to diabetes. Introducing lifestyle modifications that include weight reduction, physical activity and incorporating a healthy, well-balanced diet can prevent prediabetes and/or delay diabetes progression.
NoteD.N.P.
NoteIncludes bibliographical references
Genretheses
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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