ORCID ID
Graduation Date
Spring 5-4-2024
Document Type
Dissertation
Degree Name
Doctor of Philosophy (PhD)
Programs
Nursing
First Advisor
Susan Barnason
Second Advisor
Sheri Rowland
Third Advisor
Leeza Struwe
Fourth Advisor
Athena K. Ramos
MeSH Headings
cardiovascular diseases, primary health care, Transtheoretical Model, rural population, healthy lifestyle, coaching
Abstract
Cardiovascular disease is a prevalent noncommunicable disease. Modifying lifestyle behavior can decrease cardiovascular disease morbidity and mortality outcomes. This dissertation's purpose was to explore behavioral change interventions with dietary strategies to reduce cardiovascular disease rates. The integrative review explored aspects of dietary strategies in the primary care setting. Despite the importance of diverse studies, comparing all the components results in limited generalizability. In the following chapter, a cross-sectional study elicited healthcare professionals’ perceptions of the usefulness of a readiness for lifestyle change tool in clinical practice. Currently, a common, widespread adoption of a readiness for lifestyle change tool is not used. Use of a readiness for lifestyle change tool can aid in tailoring support for change and monitor progression. Lastly, a single group study was conducted in a rural primary care setting with adults to explore, acceptability, and preliminary effects of nurse-led dietary health coaching sessions in the primary setting. The results indicate that health coaching is feasible if trained interventionists are present and acceptable with participants reporting a positive experience. Strategies for modifying lifestyle behaviors within the primary care setting need to be innovative for cardiovascular disease rates to decline. Implications from this dissertation may lead to modifications within nursing curriculum, research, and healthcare settings.
Recommended Citation
Johnson Beller, Rebecca, "Using Readiness to Change for Dietary Modification in a Rural Primary Care Setting" (2024). Theses & Dissertations. 844.
https://digitalcommons.unmc.edu/etd/844
Comments
2024 Copyright, the authors