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Table of Contents
Abstract--iii
Acknowledgement -v
Dedication- vi
CHAPTER I- 1
Introduction- 1
Background and Significance- 1
Economic Consequences of Obesity- 1
Phenomenon of Interest - 2
Problem Statement-. 2
Purpose Statement- 3
CHAPTER II4
Review of the Literature - 4
Introduction- 4
United States Preventive Services Task Force Guidelines - 4
Literature Review for the Workbook Weight Loss Interventions -6
The role of mental health in obesity- 10
Depression screening tool.-11
Endocrine disorders as a barrier to weight loss. -12
Dietary interventions-13
Physical activity interventions-14
Behavioral management interventions to facilitate weight loss.-14
Support of the USPSTF Guidelines.... 15
USPSTF Clinical Guidelines: Barriers to Adherence 17
Obesity Reference Books, Textbooks and Handbooks18
Literature Review Summary-20
Needs Assessment- 21
Population Identification- 22
Key Stakeholders- 22
Description and Scope of the Project- 22
Mission- 23
Goals and Objectives - 23
CHAPTER III - 25
Theoretical Framework- 25
Introduction- 25
Nola Pender’s Health Promotion Model- 25
Health Promotion Model for DNP Project- 26
CHAPTER IV - 28
Project Plan - 28
Plan - 28
Setting - 28
Population of Interest- 28
Measures and Activities- 29
Timeline and Project Tasks- 30
Risks and Threats- 31
Resources-32
Institutional Review Board Approval - 32
CHAPTER V - 33
Summary of Implementation and Results- 33
Initiation of the Project - 33
Threats and Barriers to the Project- 33
Monitoring of the Project- 34
Data Collection - 34
Data Analysis- 34
CVI Analysis- 35
Project Outcomes and Dissemination - 35
Discussion of Results- 36
Conclusions and Project Sustainability- 37
Appendix A: Weight Loss Workbook - 40
Workbook Table of Contents- 44
Welcome - 49
USPSTF Guidelines and Building Your Weight-Loss Team - 51
United States Preventive Services Task Force (USPSTF- 51
Introduction- 52
Identifying Your Weight Loss Team - 53
Weight Loss Organizations- 54
Weight Loss Aids- 54
To Do List – The Beginning of the Plan- 54
STEP 2 - 56
Causes of Weight Gain: It’s more than you think! - 56
Why Do People Gain Weight- 56
Hormones and Weight Gain- 57
Hyperthyroidism and Hypothyroidism - 60
Congestive Heart Failure - 62
Constipation - 62
STEP 3 - 63
Are You a Healthy Weight- 63
The BMI formula is - 63
Waist to Hip Measurement - 64
STEP 4 - 66
Setting Goals and Monitoring Weight - 66
When to Weigh - 66
STEP 5 - 68
Roadblocks to Weight Loss- 68
Desire to Lose Weight - 68
Readiness for Change - 70
View of Personal Health - 70
Purpose of COOP Charts- 71
Physical Fitness- 72
Feelings- 73
Daily Activities- 74
Social Activities- 75
Pain - 76
Change in Health- 77
Overall Health- 78
Social Support- 79
Mental Health- 80
The Role of Mental Health in Obesity- 80
National Suicide Prevention Lifeline- 80
Depression- 81
The DSM-5 Diagnostic Criteria for Major Depression - 81
Patient Health Questionnaire (PHQ-9) - 83
Medicines that Prevent Weight-loss - 86
Lack of Sleep - 87
People and Culture- 88
Income Level as a Roadblock- 90
STEP 6 - 93
Improving Physical Activity- 93
Physical Activity Guidelines for Adults - 93
Physical Activity for Heart and Lungs (Aerobic- 93
Physical Activity to Improve Strength- 94
Physical Activity to Improve Flexibility (Stretching) - 95
STEP 7 - 96
Improving Diet and Nutrition - 96
Eating to Lose Weight - 96
Calorie Needs- 96
Diet Options- 97
STEP 8 - 99
Strategies for Successful Weight Loss- 99
Self-Management- 99
Changing Behaviors (Habits- 99
Top Tips from Successful Dieters- 100
Workbook Resources- 102
BMI Chart - 103
Health Care Team - 104
Friend and Family Weight Loss Support Team- 107
My To Do List - 108
My Medicine List- 109
How to Read Food Labels- 110
Daily Journal- 110
Daily Medicine Record- 112
Mood- 113
Calorie Needs for Adults - 115
Weekly Food and Activity Log- 115
Websites and Books- 118
United States Department of Agriculture (USDA) Food and Nutrition Services
Supplemental Nutrition Assistance Program (SNAP- 119
xiii
California (CMSP), CalFresh (formerly known as Food Stamps- 119
Sacramento County farmers markets that accept CalFresh (food stamps) - 119
Placer County Department of Health and Human Services- 120
-Yuba County Health and Human Services Department - 120
El Dorado County Department of Health and Human Services- 121
Illinois––Cook County Department of Health Services - 121
Nevada Department of Health and Human Services Division of Welfare and
Supportive Services (DWSS), Las Vegas- 122
Workbook Bibliography - 124
Appendix B: Project Timeline - 129
Appendix C: Content Validity Index (CVI) Formula and Calculation- 130
Formula for Calculation of CVI- 130
CVI calculation- 130
Appendix D: Summary of Survey Results- 131
Appendix E: Copyright Permissions COOP Functional Assessment Charts- 141
Appendix F: Copyright Permission for Prochaska Readiness for Change - 142
Appendix G: IRB Exempt Status- 144
References- 145
Curriculum Vitae - 153
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