First Advisor

Patricia Cullen

Second Advisor

Lynn Wimett


Rueckert-Hartman College for Health Professions

Degree Name

Doctor of Nursing Practice


Loretto Heights

Document Type

Thesis - Open Access

Number of Pages

85 pages


Executive Summary

Problem. Obesity and chronic pain negatively impact patients’ lives causing long-term physical, psychological, and economic consequences. Current management strategies focus on symptom management.

Purpose. In adults age 18-65 with a BMI­ 30, will a group program which included resistance training, counseling, and educational support on the key components of a Mediterranean like diet that is individualized for the patient increase motivation and self-efficacy to make these lifestyle changes designed to decrease BMI and chronic musculoskeletal pain?

Objective. Increase motivation and self-efficacy to continue individualized weight loss and physical activity programs following the study.

Plan. A pre- and post-intervention tests to compare changes in motivation and self-efficacy after a six-week program that included provider guided resistance training and individualized diet counseling changed.

Results. The results showed a statistically significant increase in dietary motivation (t= -2.714, pt= -4.360, p=.000), and exercise self-efficacy (t= -9.942, p=.000). Exercise motivation was not statistically changed (t= .248, p=.805).

Limitations. Limitations of the study included a small sample size (N=10) and limited control of extraneous variables such as age, gender, previous experience in diet and exercise.

Date of Award

Spring 2020

Location (Creation)

Colorado (state); Denver (county); Denver (inhabited place)

Rights Statement

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