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NU 700 Assignment: Unit 7 - KTA Part 3 Evaluation Measures Instructions: Utilize the template to provide responses to each prompt. Please do not include a cover/title page for the assignment.

NAME OF

STUDENT:

Part 1: Questions Part 2: APA Reference List Please provide a minimum of 3 APA references that correspond with citations within the table. Use APA format.

References

Implementing Cognitive Behavioral Therapy to Address Adult Obesity in Outpatient Mental Health Practice. Michelle Murray Herzing University

NU-700

Dr. Jessica Clark 12/5/25 Implementing Cognitive Behavioral Therapy to Address Adult Obesity in Outpatient Mental Health Practice

Introduction

The professional nurses should be at the center in formulating, executing, and assessing the improvement projects that will boost the quality of patient care. Under clinical practice, nurses are placed in a position to detect trends in patient outcomes, investigate contributing factors to practice issues and apply evidence to inform interventions that will facilitate meaningful change. The issue of obesity in adults is a major and multifaceted clinical challenge, which needs behavioral and psychological interventions. Nurses in mental health settings have a role to play especially in dealing with emotional, cognitive, and environmental constructs that promote obesity-related behaviors. Review of the Practice Problem Using the Unit 4 Article According to Roberts and Polfuss (2022), the weight stigma is one of the most high-reaching elements that impact the progression and maintenance of obesity since childhood into adulthood. According to their study, children who experience teasing, negative perceptions about themselves and social judgment are known to have long- term psychological effects such as anxiety, depression, and low self-esteem which make them susceptible to maladaptive coping behaviors. Such behaviors are emotional eating, failure to engage in physical exercises and withdrawal in supportive healthcare settings all of which increase the risk of obesity in the long run. The article is very convincing to the idea that obesity is not merely a physical ailment but it is a psychological experience that is informed by stigma. This applies especially to outpatient mental health, where a large portion of adult patients arrive with emotional distress, past experiences of trauma, and avoidance behavioral patterns that mirror the processes outlined by Roberts and Polfuss (2022). Evidence-Based Intervention and Rationale for Selection In the Unit 5 assignment, CBT was selected as the primary intervention due to its strong evidence base for modifying unhealthy eating behaviors, addressing emotional triggers, and improving self-regulation. CBT is especially appropriate for mental health practice because patients commonly present with distorted thought patterns, negative self-talk, and coping behaviors rooted in anxiety, depression, or trauma, factors closely linked to weight gain and emotional eating. My clinical practice setting is an outpatient mental health clinic serving adults with co-occurring disorders, such as depression, binge eating behaviors, trauma, and anxiety. Within this environment, CBT is advantageous for several reasons. First, it is a structured, time-limited therapy that fits well within standard treatment sessions (45–60 minutes). Second, it integrates easily with existing therapeutic modalities. Third, the intervention directly targets the specific psychological mechanisms, such as shame, avoidance, and emotional dysregulation, identified in Roberts and Polfuss (2022) as contributors to lifelong obesity risk. SWOT Analysis for CBT Implementation Strengths Weaknesses Opportunities Threats

• Staff familiarity • Limited time for • Potential for • High no-show rates

Strengths Weaknesses Opportunities Threats with CBT methods extended behavioral counseling group-based CBT programs in outpatient mental health

• Integration with

existing mental health treatment plans

• Variability in

staff CBT competency

• Improved

interdisciplinary collaboration

• Patient stigma and

resistance to weight- focused discussions

• Strong evidence

base for CBT effectiveness

• Lack of

structured obesity- specific CBT protocols

• Ability to reduce

long-term comorbidities

• Insurance

limitations for behavioral weight interventions Narrative Discussion of SWOT Analysis Strengths CBT is already applied to the outpatient mental health clinic in the case of anxiety and depression, so the staff is familiar with the key concepts of the strategy. This facilitates implementation since it minimizes the requirement of a large scale retraining. Moreover, CBT is complementary to the current plans of treatment which focus on coping skills, restructuring of thoughts, and emotional regulation. Its great evidence base also adds more administrative and clinical support to its use (Smith et al., 2022). Weaknesses Although the staff are familiar with CBT, they might lack time to implement obesity-specific behavioral counseling during normal outpatient sessions. Moreover, clinicians might be familiar with the general concept of CBT, but not all of them are highly skilled in terms of using CBT in order to change weight-related behaviors, making the quality of interventions uneven. There is also a weakness of the lack of standardized protocols to suit obesity in this setting of practice. These weaknesses are obstacles in the adaptation and implementation steps as per the KTA framework which needs specific training and organized tools to achieve uniformity. Opportunities The implementation of CBT in the case of obesity opens up possibilities of coming up with group-based programs that enhance accessibility, efficacy, and peer support. It is also possible that the intervention will strengthen the interdisciplinary collaboration- uniting nurses, therapists, dietitians, and primary care providers. Moreover, the successful implementation can help to reduce not only long-term comorbidities, including diabetes, hypertension, and depression, but also the latter. Threats High no-show rates are common in outpatient mental health settings and this can interfere with the orderly flow of the CBT. Stigma and reluctance to talk about weight may also become barriers to therapeutic interactions with the patient- another issue that Roberts and Polfuss (2022) mention. The behavioral weight interventions could be threatened financially by insurance restrictions that could restrict cover to the long-term adoption.

Conclusion

The SWOT analysis before the implementation of an evidence-based intervention is a strong tool that enhances the decision-making process and allows nurses to predict potential obstacles that can negatively affect the success of a project. CBT is also an intervention that is highly relevant and supported in adult obesity in outpatient mental health practice. As the SWOT analysis shows, although the practice setting has well-settled underpinnings of CBT implementation, it is essential to focus on the weaknesses and threats, including the competency of the providers and systemic barriers. Finally, the SWOT finding incorporated into the planning increases the chances of sustainable and successful change of practice.

References

Hayes, S. C., & Forman, E. M. (2021). Cognitive-behavioral approaches to modifying health behaviors in adults. Katterman, S. N., et al. (2020). Cognitive-behavioral interventions for weight cycling and emotional eating. Roberts, S. R., & Polfuss, M. (2022). Weight stigma in children and adolescents: Implications for lifelong obesity risk. Nursing, 52(2), 34–41. https://journals.lww.com/nursing/fulltext/2022/06000/Weight_stigma_in_chil dren_and_adolescents_.7.aspx Smith, K. E., Mason, T. B., & Crosby, R. D. (2022). Cognitive behavioral therapy for emotional eating and weight management: A randomized controlled trial.

• Implementing Cognitive Behavioral Therapy to Address Adult Obesity in Outpatient Mental Health Practice.
• Michelle Murray
• NU-700
• Dr. Jessica Clark
• 12/5/25
• Implementing Cognitive Behavioral Therapy to Address Adult Obesity in Outpatient Mental Health Practice
• Introduction
• Review of the Practice Problem Using the Unit 4 Article
• Evidence-Based Intervention and Rationale for Selection
• SWOT Analysis for CBT Implementation
• Narrative Discussion of SWOT Analysis
• Strengths
• Weaknesses
• Opportunities
• Threats
• Conclusion
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