Open AccessImplementation of a lifestyle program in primary care by nurse practitioners
Author(s) -
Whittemore Robin,
Melkus Gail D’Eramo,
Alexander Nanette,
Zibel Stacie,
Visone Elizabeth,
Muench Ulrike,
Magenheimer Elizabeth,
Wilborne Stephanie
Publication year - 2010
Publication title -
journal of the american academy of nurse practitioners
Language(s) - English
Resource type - Journals
eISSN - 1745-7599
pISSN - 1041-2972
DOI - 10.1111/j.1745-7599.2010.00562.x
Subject(s) - attrition , attendance , medicine , program evaluation , fidelity , nursing , family medicine , intervention (counseling) , patient satisfaction , political science , economics , economic growth , dentistry , public administration , engineering , electrical engineering
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.