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Title: A 130-Gram Moderate-Carbohydrate Diet with Self-Monitoring Approach for Obesity
Author(s): Keenya Staten
Primary Language: English
Publication Number: 27741704
Submission Date: 2020-02-28
Submission ID: 11459
Institutional Repository (IR) Publishing Options
Include in institutional repository: Yes
PDF and Supplementary Files
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Degree Date: 2020
Degree Awarded: Doctor of Nursing Practice
Year Manuscript Completed: 2020
Department: College of Nursing and Health Care Professions
Advisor/Supervisor/Committee Chair: Joanna Cartwright
Committee Members: Nana Arkhurst-Arthur
Nursing  - primary
Obesity is a complex disorder that disproportionately affects rural communities and the African American population. The purpose of this quantitative one-group pretest-posttest project was to evaluate the effects of dietary adherence to a 130 to 225 g per day moderate-carbohydrate diet with self-monitoring intervention on body weight reduction, in one group of obese African American adults, that attended a rural health center in North Carolina. The social cognitive theory and self-regulation theory addressed the participants’ biopsychosocial factors and self-awareness. A quantitative one-group pretest-posttest design by manual extraction was used to collect data and answer the clinical question. A convenience sample of 19 (n = 19) participants included African Americans, males, and females, ages 18 to 60 years, with a BMI of 30 kg/m2 or higher. The paired-samples t-test was used to analyze the data. Results showed a significant difference in the pretest-posttest mean body weight (M = 1.42 kg, SD = 2.82); t (18) = 2.19, (p = 0.042) and carbohydrate intake (M = 43.76 g, SD = 85.68); t (18) = 2.23, (p = 0.039). The results were statistically significant and suggest that a moderate-carbohydrate diet and self-monitoring intervention may be an effective approach to reduce body weight in obese African American adults. Findings from this project enabled the health center to evaluate their treatment approach to obesity management. Future recommendations should focus on training and utilizing alternative support staff (i.e., medical assistant, community care coordinator, diabetes educators) to provide the educational session to patients.