Adult Obesity Management with Behavioral Therapies

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Table of Contents

Introduction
Theoretical Framework
Synthesis and Analysis of Evidence
Conclusion
References

Introduction

Obesity is a major health problem that can affect people of all ages. The condition can cause a number of health problems, like heart disease, diabetes, and even cancer. There have been many ideas for how to deal with and stop obesity. This paper examines the most recent research on behavioral interventions for managing obesity and shows how these interventions help people lose weight and improve their health. This academic project intends to ascertain if teaching patients about using behavioral therapies may enhance their body maintenance and understanding to decrease obesity. Obesity is a major contributor to avoidable mortality and cost to individuals and society. By improving the treatment of obesity, this quality improvement effort seeks to lessen this burden.

The research aims to fill the information gap regarding the use of behavioral therapies in the obese population. Patients trained on interactive change policies can make changes that are likely effective in long-term body weight management. Nursing practice should be more active in preventing obesity and incorporating various social interventions to control and prevent it, according to the project’s significance.

Theoretical Framework

Dorothy Johnson’s Behavior System Model is a theoretical framework that explains how the individual and the environment affect health behavior. This model emphasizes the importance of the individual’s decision-making process and the environment’s impact on that process. The individual’s behavior is motivated by the need for stability, protection, and survival, which are influenced by the environment. The Behavior System Model’s approach has to use to guide behavior change interventions related to obesity. Using educational and behavioral interventions to improve health outcomes in the obese population is a complicated issue that needs a complete theoretical framework to guide the research (Aşkar & Ovay, 2022). Dorothy Johnson’s behavior system model is an example of a theory that can be used to guide this project. The model shows that four main factors affect how a person acts: the stimulus, the organism, the response, and the reinforcement.

The stimulus component comprises food availability, social cues, and environmental cues that affect a person’s behavior. The organism component comprises things inside a person that affect how they act, like their genes, personality, and past experiences. The response part is what a person does in response to the stimulus, and the reinforcement part is what happens as a result of those actions. In the context of this project, the behavior system model can be used to figure out what causes people to become overweight and how educational and behavioral interventions can get people to act healthier and improve their health (Aşkar & Ovay, 2022). In particular, the model can be used to find the stimuli and organisms that lead to obesity, the actions people take to deal with their obesity, and the reinforcements that encourage or discourage those actions. For example, the stimulus part of the behavior system model can be used to figure out things like the availability of unhealthy foods and a lack of physical activity that contribute to obesity. The organism part can be used to find the internal causes of obesity, such as a genetic predisposition to being overweight or having learned unhealthy eating habits.

The accomplishment system is called the urge to fulfill one’s wants and reach one’s objectives. The aggressive system relates to a person’s reaction to stress and threat, whereas the attachment system deals with a person’s need for social interactions and bonds. According to Johnson’s approach, an individual’s conduct is impacted by how they perceive their environment and their capacity to adapt to it. As a result, people continuously decide what to do and how to behave based on information they gather from their surroundings. Johnson’s behavior system model can offer useful insights into the variables that impact a person’s behavior in connection to their health when it comes to applying educational and behavioral interventions to enhance health outcomes in the obese population (Aşkar & Ovay, 2022). The achievement system, for instance, can be used to comprehend a person’s drive to enhance their health outcomes.

Educational interventions may be made to assist people develop realistic objectives and provide them the resources and tools they need to do so. This can help them turn on their accomplishment system and boost their drive to modify their health-related habits. Also, the attachment system may be employed to enhance the health of the obese population. The development of social networks and support systems is a key aspect of behavior change, and treatments that emphasize these can successfully enhance health outcomes (Aşkar & Ovay, 2022). The aggressive system can provide light on the emotional and stressful variables that affect a person’s conduct in connection to their health. Individuals can better manage stress and emotional triggers that may result in harmful behaviors using educational treatments that teach coping skills and stress management.

Synthesis and Analysis of Evidence

Obesity has become a significant public health concern worldwide, with its prevalence increasing at an alarming rate. It is associated with several health complications such as diabetes, cardiovascular disease, cancer, and others, leading to increased morbidity and mortality. Management of adult obesity is therefore crucial in reducing the risk of developing these complications and improving overall health outcomes. Several approaches to obesity management have been proposed, including lifestyle interventions, pharmacological treatments, and bariatric surgery. This section will examine the effectiveness of lifestyle interventions, pharmacological treatments, and bariatric surgery, as well as identify strengths, weaknesses, limitations, and gaps in current research. The findings of this review can inform healthcare professionals in making evidence-based decisions in the management of adult obesity, and also guide future research directions in this field.

Analysis done on the effects of high intensity interval training concluded that it is an effective exercise intervention for weight loss. High-intensity interval training is beneficial for reducing waist circumference and body mass index (Andreato et al., 2019). HIIT should be considered as a safe and efficient strategy to improve body composition in overweight or obese individuals. Andreato et al. (2019) suggest that healthcare professionals should consider implementing HIIT as a safe and efficient strategy to improve body composition in overweight or obese individuals. However, further research is needed to determine the long-term effects of HIIT on weight loss and maintenance. Interventions that combine dietary modifications and physical activity are the most effective at reducing weight and improving health outcomes (Gómez Puente & Martnez-Marcos, 2018). Additionally, behavioral interventions, including counseling, motivational interviewing, and self-monitoring, were important components of successful weight loss programs. According to Neupane (2021), there is a need for personalized interventions that take into account individual differences in motivation, culture, and socioeconomic status. It has been found out that the intervention effectively reduced weight and improved metabolic outcomes.

Recent researches on Management of Adult Obesity have discovered that individual regulation mediators like goal setting, self-monitoring, and feedback are crucial for effective weight loss. Interventions that promote self-determined motivation and a combination of strategies to enhance one’s regulatory processes were more successful in behavior change (Wilfley et al.,2018). It is necessary to have individualized interventions that take into consideration the various ways in which people self-regulate and find motivation in order to maximize the efficacy of obesity therapies in adults (Teixeira et al., 2015). However, the lack of a meta-analysis in the study makes it difficult to compare the efficacy of various therapies. The use of behavioral therapies in the treatment of obesity in both children and adults has been shown to be successful and should be the initial approach taken. These therapies for obesity should be adapted to meet the specific requirements, preferences, and conditions of each individual patient (Wilfley et al., 2018). The body of evidence supporting behavioral therapies in the treatment of obesity is strong, with findings that are consistent across a variety of age groups, contexts, and means of delivery.

Using technology, seeking support from peers, and enlisting the help of family members are examples of innovative behavioral therapies for the treatment of obesity. Collaboration between researchers, practitioners, policymakers, and community members is necessary for the successful translation of evidence-based initiatives into practice. In order to effectively combat the obesity pandemic, it may be necessary to implement treatments on several levels, including individual behavioral modification in addition to addressing environmental, social, and cultural variables. The delivery of behavioral treatments, which are the foundation of weight reduction programs, can take place in a range of contexts, including face-to-face as well as virtually. Self-monitoring of one’s food intake and physical activity level, goal-setting, creative problem-solving, and having a supportive social network are all effective behavioral therapies for weight reduction (Olateju et al., 2021). It is more probable that programs that are tailored to the individual and take into consideration their preferences, motivations, and challenges would be effective in attaining and maintaining a healthy weight loss (Jin, 2018). Integrating cognitive-behavioral methods into weight reduction programs, such as recognizing and disputing negative beliefs, has been shown to enhance adherence to the treatments.

In 2018, the US Preventive Services Task Force (USPSTF) released a statement about behavioral weight loss interventions to prevent morbidity and death in adults due to obesity (The US Preventive Services Task Force, 2018). The USPSTF said that clinicians should offer intensive, multi-component behavioral interventions to adults with a body mass index (BMI) of 30 or higher or refer them to them. These interventions should include behavioral counseling, dietary changes, and increased physical activity. The USPSTF noted that the effectiveness of these interventions might be limited by adherence and suggested that interventions that provide ongoing support and follow-up may be more effective. The most efficient approaches for attaining long-term weight loss are multi-component therapies that comprised dietary adjustments, increased physical activity, and behavior modification strategies (Cheng et al., 2021). The most efficient approaches for attaining long-term weight loss were multi-component therapies that comprised dietary adjustments, increased physical activity, and behavior modification strategies.

The majority of persons living in the United States are affected by overweight and obesity, which is connected to various negative health consequences through a causal chain. Dietitians collaborate with each client and other health care professionals to meet client-centered goals, which are informed by the best available evidence and translated through the lens of clinical expertise as well as client circumstances and preferences Morgan-Bathke et al., 2022). Registered dietitian nutritionists or international equivalents (dietitians) are referred to as “dietitians.” Since the most recent version of the guideline on adult weight management was published in 2014 by the Academy of Nutrition and Dietetics, a substantial amount of research has been carried out, and the situations that dietitians must deal with have progressed. As a result, counsel that is up to date is required. Lv et al. (2017) also noted that adherence to the intervention could restrict the efficacy of behavioral lifestyle therapies for moderate and severe obesity.

Exercise-based interventions can help people who are overweight or obese lose a lot of weight and improve their general health. Workout programs that incorporate both resistance and aerobic training are more efficient than those that only use one of the two types of training for weight loss and health results (Shaw et al., 2006). Compared to low-intensity therapies, high-intensity exercise programs may result in higher weight reduction, but they may also be harder to stick with because of the increased perceived effort. Exercise programs that have a food component can be more successful at achieving weight loss (Lee et al., 2020). To evaluate the long-term durability of weight reduction obtained with exercise programs, more study is required.

Porca et al. (2021) conducted a study to evaluate the effectiveness of a group educational intervention program, the IGOBE program, in promoting weight loss maintenance and healthy lifestyle habits in adults with obesity. The study included 62 adults with obesity who completed a 16-week weight loss program and were randomized to receive the IGOBE program or standard care. The IGOBE program included ten weekly group sessions focused on nutrition, physical activity, and behavioral strategies to support weight loss maintenance (Teixeira & Marques, 2017)). The standard care group received a single session of advice on healthy lifestyle habits.

One of the review’s strengths is its use of a theoretical framework, Dorothy Johnson’s Behavior System Model, to guide the analysis of the studies. This framework provides a clear and organized way of examining the factors that contribute to obesity and how interventions can be used to promote behavior change (Aşkar & Ovay, 2022). Another strength of the review is its focus on educational and behavioral interventions. These types of interventions have the potential to be sustainable and effective in the long term, as they focus on changing the underlying behaviors and habits that contribute to obesity.

However, there are also several weaknesses and limitations of the research. First, the studies included in the review were conducted in different countries and settings, limiting the findings’ generalizability. Second, many studies included in the review were relatively short-term, with follow-up periods ranging from a few weeks to a few months. This makes it difficult to assess the long-term effectiveness of the interventions, as sustained behavior change may take years to achieve. There are gaps in the research, particularly in the most effective ways to implement and scale up behavioral interventions for managing obesity in the real world. There is also a need for more research on the specific factors that contribute to obesity, particularly in underserved and marginalized populations.

Conclusion

Adult obesity can be effectively managed with behavioral therapies. Some of these approaches include high-intensity interval training, self-regulation mediators, behavioral lifestyle treatments, and online behavioral interventions. Adults with moderate to severe obesity can benefit from comprehensive behavioral therapies focusing on nutrition, exercise, and behavioral techniques for weight loss and improved health outcomes. Adherence might be a serious problem for these therapies. Behavioral weight loss therapies that incorporate food, exercise, and behavioral techniques are advised to stop adult obesity-related morbidity and death. The efficacy of these therapies over the long run will require more investigation.

References

Andreato, L. V., Esteves, J. V., Coimbra, D. R., Moraes, A. J. P., & de Carvalho, T. (2019) The influence of high-intensity interval training on anthropometric variables of adults with overweight or obesity: a systematic review and network meta-analysis. Obesity Reviews, 20, 142– 155. Web.

Aşkar, S. E., & Ovayolu, Ö. (2022). Nursing care based on Dorothy Johnson’s behavioral system model in coronary artery disease: A case report. Medical Science and Discovery, 9(2), 138-142. Web.

Cheng, F. W., Garay, J. L., & Handu, D. (2021). Weight management interventions for adults with overweight or obesity: An evidence analysis center scoping review. Journal of the Academy of Nutrition and Dietetics, 121(9), 1855–1865. Web.

Gómez Puente, J. M., & Martínez-Marcos, M. (2018). Overweight and obesity: Effectiveness of interventions in adults. Enfermeria Clinica (English Edition), 28(1), 65–74. Web.

Jin, J. (2018). Behavioral interventions for weight loss. JAMA, 320(11), 1210. Web.

Lee, S., Prilleltensky, I., McMahon, A., Myers, N. D., Dietz, S., Prilleltensky, O., Pfeiffer, K. A., Bateman, A. G., & Brincks, A. M. (2020). Effectiveness of the Fun For Wellness online behavioral intervention to promote subjective well-being in adults with obesity: A randomized controlled trial. Journal of Happiness Studies, 22(4), 1905–1923. Web.

Lv, N., Azar, K. M. J., Rosas, L. G., Wulfovich, S., Xiao, L., & Ma, J. (2017). Behavioral lifestyle interventions for moderate and severe obesity: A systematic review. Preventive Medicine, 100, 180-193. Web.

Morgan-Bathke, M., Raynor, H. A., Baxter, S. D., Halliday, T. M., Lynch, A., Malik, N., Garay, J. L., & Rozga, M. (2022). Medical nutrition therapy interventions provided by dietitians for adult overweight and obesity management: An academy of nutrition and dietetics evidence-based practice guideline. Journal of the Academy of Nutrition and Dietetics. Web.

Neupane, R. (2021). Reducing obesity rates among adults in a primary care setting: An evidence-based practice project. Doctor of Nursing Practice Final Manuscripts,152. Web.

Olateju, I. V., Ogwu, D., Owolabi, M. O., Azode, U., Osula, F., Okeke, R., & Akabalu, I. (2021). Role of behavioral interventions in the management of obesity. Cureus, 13(9), 1-6. Web.

Porca, C., Rodriguez-Carnero, G., Tejera, C., Andujar, P., Casanueva, F. F., Crujeiras, A. B., & Bellido, D. (2021). Effectiveness to promote weight loss maintenance and healthy lifestyle habits of a group educational intervention program in adults with obesity: IGOBE program. Obesity Research & Clinical Practice, 15(6), 570–578. Web.

Shaw, K. A., Gennat, H. C., O’Rourke, P., & Del Mar, C. (2006). Exercise for overweight or obesity. Cochrane Database of Systematic Reviews, 10. Web.

Teixeira, P.J., Carraça, E.V., Marques, M.M., Rutter, H., Oppert, J., De Bourdeaudhuij, I., Lakerveld, J. & Brug, J. (2015). Successful behavior changes in obesity interventions in adults: A systematic review of self-regulation mediators. BMC Med 13, 84. Web.

Teixeira P. J., & Marques, M. M. (2017). Health behavior change for obesity management. Obesity Facts, 10, 666-673. Web.

US Preventive Services Task Force. (2018). Behavioral weight loss interventions to prevent obesity-related morbidity and mortality in adults: US Preventive Services Task Force recommendation statement. JAMA, 320(11), 1163–1171. Web.

Wilfley, D. E., Hayes, J. F., Balantekin, K. N., Van Buren, D. J., & Epstein, L. H. (2018). Behavioral interventions for obesity in children and adults: Evidence base, novel approaches, and translation into practice. The American psychologist, 73(8), 981–993. Web.

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