For adult patients who are post-operative bariatric surgery, does implementing the 5As framework for the management of obesity, with the USDA MyPlate nutrition plan and CDC recommended exercise plan, compared to current practice, impact weight loss in 10 weeks?

The following PICOT question will serve as the basis for the proposed DNP project: For adult patients who are post-operative bariatric surgery, does implementing the 5As framework for the management of obesity, with the USDA MyPlate nutrition plan and CDC recommended exercise plan, compared to current practice, impact weight loss in 10 weeks?

Please use work sheet attached for this assignement
Some pointers!
Considerations and Challenges for Implementation
Hospital is relocating
staff that has been there for a while dont want change
Poor communication- no one responds to emails
Outcomes
Articles l have been using for intervention

Centers for Disease Control and Prevention, (2021). Healthy Weight.
https://www.cdc.gov/diabetes/managing/healthy-weight.html (Links to an external site.)
Centers for Disease Control and Prevention. (2020). Adult Obesity Causes & Consequences.
https://www.cdc.gov/obesity/adult/causes.html (Links to an external site.)
Cox C. E. (2017). Role of Physical Activity for Weight Loss and Weight Maintenance. Diabetes spectrum: a publication of the American Diabetes Association, 30(3), 157–160 https://doi.org/10.2337/ds17-0013 (Links to an external site.)
Kanerva, N., Larsson, I., Peltonen, M., Lindroos, A., & Carlsson, L. (2017). Changes in total energy intake and macronutrient composition after bariatric surgery predict long-term weight outcomes: findings from the Swedish Obese Subjects (SOS) study. The American Journal Of Clinical Nutrition, 106(1), 136-145. https://doi.org/10.3945/ajcn.116.149112
Lent, M., Campbell, L., Kelly, M., Lawson, J., Murakami, J., & Gorrell, S. et al. (2019). The feasibility of a behavioral group intervention after weight-loss surgery: A randomized pilot trial. PLOS ONE, 14(10), e0223885. https://doi.org/10.1371/journal.pone.0223885
Liebl, L., Barnason, S., & Brage Hudson, D. (2016). Awakening: A qualitative study on maintaining weight loss after bariatric surgery. Journal of Clinical Nursing, 25(7-8), 951- 961. https://doi.org/10.1111/jocn.13129
Schwartz, J. L. & Vernarelli, J. A. (2019). Assessing the public’s comprehension of dietary guidelines: Using MyPyramid or MyPlate is associated with healthier diets among US adults. Journal of the Academy of Nutrition and Dietetics, 119(3), 482- 489. https://doi.org/10.1016/j.jand.2018.09.012 (Links to an external site.)
Stenmark Tullberg, H., Fagevik Olsén, M., Shams, K., & Wiklund, M. (2017). “Stepping with ease towards a new way of living” – experiences of physical activity 5 years after bariatric surgery. European Journal Of Physiotherapy, 19(3), 154-159. doi: https://doi.org/10.1080/21679169.2017.1326527
Torti, J., Luig, T., Borowitz, M., Johnson, J. A., Sharma, A. M., & Campbell-Scherer, D. L. (2017). The 5As team patient study: patient perspectives on the role of primary care in obesity management. BMC family practice, 18(1), 1-10.
https://doi.org/10.1186/s12875-017-0596-2 (Links to an external site.)
Welzel, F. D., Stein, J., Pabst, A., Luppa, M., Kersting, A., Blüher, M., … & Riedel-Heller, S. G. (2018). Five A’s counseling in weight management of obese patients in primary care: a cluster-randomized controlled trial (INTERACT). BMC family practice, 19(1), 1-9 https://doi.org/10.1186/s12875-018-0785-7 (Links to an external site.)
Looking forward to assignement! Please communicate for further instructions

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