Impact of the I2AO2 interdisciplinary program led by nursing on psychological comorbidity and quality of life: Randomized controlled clinical trial

Arch Psychiatr Nurs. 2018 Apr;32(2):268-277. doi: 10.1016/j.apnu.2017.11.014. Epub 2017 Nov 6.

Abstract

Objective: Obesity is an entity of highly prevalent multifactorial origin with associated metabolic and psychological comorbidity, causing a negative impact on the quality of life of those who suffer from it. The objective is to evaluate the impact of an interdisciplinary program for nurse-led obesity on quality of life related to health and anxiety.

Methods: Randomized controlled clinical trial with a sample of 74 subjects diagnosed with obesity (EG: n=37; CG: n=37). The intervention consisted of a 12-month interdisciplinary program (with pre-test, 12month and 24month follow-up) coordinated by nurses.

Results: The anxiety analysis shows that there is no effect of the intervention on S-STAI (F2; 144=0.246; p=0.782), which has increased in both groups. However, there is an effect on T-STAI (F2; 144=8872; p<0.001), which only increases in the control group. The interdisciplinary program has significantly improved health-related quality of life (SF-36), both in physical health parameters as well as in mental health.

Conclusion: The interdisciplinary program led by nursing professionals has improved the quality of life related to health and has prevented the increase of anxiety-trait in participants, maintaining the long-term effects.

Keywords: Anxiety; Health-related quality of life; Multi-professional practice; Nursing; Obesity.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Anxiety / prevention & control*
  • Comorbidity*
  • Depression / psychology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Models, Statistical
  • Obesity / therapy*
  • Psychiatric Nursing*
  • Psychiatric Status Rating Scales
  • Quality of Life / psychology*
  • Surveys and Questionnaires
  • Time Factors