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Basic Details

• 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

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Institutional Repository (IR) Publishing Options

• Include in institutional repository: Yes

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PDF and Supplementary Files

• (3.1 MB) View ETD

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Administrative Documents

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Degree/Department Information

• 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

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Subject Categories

• Nursing [0569] - primary

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Keywords

• African American

• Dietary Guidelines

• low carbohydrate

• obesity

• self-monitoring

• self-regulation

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Abstract

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.