Off-campus South Dakota State University users: To download campus access theses, please use the following link to log into our proxy server with your South Dakota State University ID and password.

Non-South Dakota State University users: Please talk to your librarian about requesting this thesis through interlibrary loan.

Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Nicole Gibson


overweight, obese, patient activation, readiness to change, 5 As of Obesity Management


The number of overweight and obese adults is predicted to increase to 65 million by 2030 (Wang, McPherson, Marsh, Gortmaker, & Brown, 2011). It is also predicted the economic and health burdens of obesity in the United States (U.S.) in the next two decades will cost the U.S. an additional $48-66 billion per year due to increased chronic conditions related to obesity (Wang et al., 2011). The purpose of this project was to increase patient activation and readiness to change regarding weight management through the use of an evidence-based educational tool called the 5As of Obesity ManagementTM model of behavior change. The educational tool was taught to Registered Nurse Health Coaches (RNHC) and then utilized in patient encounters. The Wilcoxson signed-rank test, a non-parametric statistical test, was utilized to compare pre and post-intervention patient readiness scores. Project implications may result in primary care providers (PCPs) and other healthcare providers having increased knowledge and confidence in launching a discussion with their patients about weight management along with increased patient activation and motivation to assume a more active role in their own health.

Library of Congress Subject Headings

Body weight -- Regulation
Primary care (Medicine)
Patient education


Includes bibliographical references (pages 69-75)



Number of Pages



South Dakota State University


In Copyright - Educational Use Permitted