Incorporation of Sleep Promotion Measures into a Medically Supervised Weight Management Program

Author Biographical Info

Enitan Pecku is a Doctor of Nursing Practice (DNP) candidate at the Cizik School of Nursing, specializing in the Family Nurse Practitioner track. With 15 years of comprehensive nursing experience, she brings a wealth of clinical expertise and dedication to her practice. Enitan’s commitment to enhancing community health is central to her work, driving her passion for empowering individuals to improve their lifestyles and overall wellness. Her professional journey reflects a profound dedication to evidence-based practice, patient-centered care, and health promotion, positioning her as a transformative leader in nursing and community health advancement.

Date of Doctor of Nursing Practice Project Completion

Summer 8-9-2024

Faculty Advisor

Dr. Susan Ruppert

Abstract

PURPOSE The quality improvement project aimed to promote weight loss by incorporating sleep assessment and monitoring in adults aged 18 to 65 with a body mass index (BMI) of 25 and above in a weight management clinic.

BACKGROUND Obesity, a major public health issue in the United States affects 33% of adults with annual healthcare costs of $147 billion. Poor sleep quality is associated with higher caloric intake and obesity.

RESULTS The project resulted in improved sleep quality and decreased BMI. The mean PSQI scores had a standard deviation (SD) reduction of 0.5 indicating improved sleep quality, and an SD decrease of 0.4 in BMI, signifying weight loss. 87.5% of participants achieved the project’s goal of a 2% reduction in BMI. These improvements were sustained, implying potential for replication in the clinic.

IMPLICATIONS This project highlighted the significance of improving sleep quality in weight management programs. The PSQI questionnaire and the Insomnia Coach app can be adopted in the clinic to improve patient health. Despite limitations, the outcomes suggest broader application potential. Further research on sleep and weight loss is needed to refine these strategies.

METHODOLOGY The project was conducted in an outpatient clinic over three months using the Pittsburgh Sleep Quality Index (PSQI) and the Insomnia Coach mobile application (app) to evaluate and track sleep quality. A pre-and post-test design assessed the intervention’s effects. Data analysis used descriptive statistics and the Plan-Do-Study-Act cycle. The sample size included 8 participants with limitations of small size and adherence issues.

Keywords

weight loss, sleep, weight management, BMI, obesity, PSQI questionnaire, Insomnia Coach, sleep and weight loss

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