TY - JOUR
T1 - Implementation of a lifestyle program in primary care by nurse practitioners
AU - Whittemore, Robin
AU - Melkus, Gail D.Eramo
AU - Alexander, Nanette
AU - Zibel, Stacie
AU - Visone, Elizabeth
AU - Muench, Ulrike
AU - Magenheimer, Elizabeth
AU - Wilborne, Stephanie
PY - 2010/12
Y1 - 2010/12
N2 - Purpose: The purpose of this study is to describe the implementation process and participant satisfaction with a lifestyle program provided by nurse practitioners (NPs) in primary care to adults at risk for type 2 diabetes (T2D) compared to enhanced standard care. Data sources: A mixed-method clinical trial design was used (n= 58). NPs were interviewed prior to beginning the program, at 3 months, and at completion of the program. NPs also completed a questionnaire on lifestyle counseling at baseline. Process data were collected on attendance, attrition, and intervention fidelity. Participants completed a satisfaction survey at completion of the program and a sub-sample were interviewed at the end of the program. Conclusions: NPs reported that they felt well-prepared and moderately effective in providing lifestyle change counseling. Participant attendance was high and in-person sessions were implemented with good success. Participants in the lifestyle program were more satisfied with the program, reporting that the program was a good experience. Implications for practice: Implementation of a lifestyle program to prevent T2D in primary care is feasible and acceptable to NPs and participants. Developing a structured program may improve health outcomes.
AB - Purpose: The purpose of this study is to describe the implementation process and participant satisfaction with a lifestyle program provided by nurse practitioners (NPs) in primary care to adults at risk for type 2 diabetes (T2D) compared to enhanced standard care. Data sources: A mixed-method clinical trial design was used (n= 58). NPs were interviewed prior to beginning the program, at 3 months, and at completion of the program. NPs also completed a questionnaire on lifestyle counseling at baseline. Process data were collected on attendance, attrition, and intervention fidelity. Participants completed a satisfaction survey at completion of the program and a sub-sample were interviewed at the end of the program. Conclusions: NPs reported that they felt well-prepared and moderately effective in providing lifestyle change counseling. Participant attendance was high and in-person sessions were implemented with good success. Participants in the lifestyle program were more satisfied with the program, reporting that the program was a good experience. Implications for practice: Implementation of a lifestyle program to prevent T2D in primary care is feasible and acceptable to NPs and participants. Developing a structured program may improve health outcomes.
KW - Behavioral health
KW - Chronic illness
KW - Coaching
KW - Diabetes
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U2 - 10.1111/j.1745-7599.2010.00562.x
DO - 10.1111/j.1745-7599.2010.00562.x
M3 - Article
C2 - 21129077
AN - SCOPUS:78650116816
SN - 1041-2972
VL - 22
SP - 684
EP - 693
JO - Journal of the American Academy of Nurse Practitioners
JF - Journal of the American Academy of Nurse Practitioners
IS - 12
ER -