PICOT Discussion Assignment

Practice Question

The following practice question will serve as the basis for the proposed DNP capstone project: In obese children aged 12-17 years (P), does parent-involved childhood obesity program (I) compared to the current practice (C) impact children’s physical activity, dietary intake, and weight management skills (O) within 8 weeks (T)? 

Evidence-Based Intervention

The intervention (I) focuses on an evidence-based intervention that will be translated to practice settings to benefit the specified patient population. The proposed project will develop a parent involvement program for childhood obesity through nutrition education and exercise offered twice weekly via telephone. The intervention will be complemented using different resources, including brochures, text messages, and newsletters containing evidence-based advice concerning healthy dietary, physical activity, screen, and sleeping habits for children. Brochures, text messages, and newsletters will be sent to parents twice weekly. These resources will offer parents and their children lifestyle change information (dietary and physical activity). Nurses and other health professionals are committed to utilizing research and practicing using evidence-based (Bianchi et al., 2018). For example, nurses are likely to use parent involvement program for childhood obesity, which has been shown to effectively improve dietary intake and weight management skills among children (Kim et al., 2016; Norman et al., 2019).  

Patient Population

In (P), the population affected in the above practice question will be discussed. The population affected in this case is children. The project will be implemented in a primary care clinic that serves community members. Even with a high rate of obesity or overweight in this population, there are no measures at the clinic to involve parents in preventing and managing childhood obesity. The clinic lacks an evidence-based intervention to promote the involvement of parents in the management of childhood obesity, even though nursing care and intervention need to be founded on evidence (Tucker, 2017). Obese children would benefit from parental involvement in the management of their condition. Parental involvement intervention is linked to improved dietary efficacy of obese children and weight management skills (Kim et al., 2016). A parent-involved childhood obesity program focusing on dietary intake and physical activity would significantly benefit the children population seeking health services at the practice site. 


In the (O) phase, the program’s outcomes and the results will be examined to determine if the evidence-based practice change project will be helpful in clinical practice. The primary goal is to assess if parent involvement in a childhood obesity program effectively improves children’s physical activity, dietary intake, and weight management skills. The anticipated outcomes will be enhanced children’s dietary intake, physical activity, and weight management skills in children seeking health services at the clinic. 


In (T), the time it will take the intervention to realize the expected project’s outcomes. Pre-test data will be collected before initiating the evidence-based intervention for parents and children, while posttest data will be collected after the completion of 8 weeks. A self-report survey questionnaire will be used to collect baseline and posttest data within the specified timeframe. Pre-and post-intervention data will be analyzed upon project completion to determine if parents-involved childhood obesity program will have successfully improved the project’s outcome measures.    


Bianchi, M., Bagnasco, A., Bressan, V., Barisone, M., Timmins, F., Rossi, S., Pellegrini, R., Aleo, G., & Sasso, L. (2018). A review of the role of nurse leadership in promoting and sustaining evidence‐based practice. Journal of Nursing Management26(8), 918-932. https://doi.org/10.1111/jonm.12638 

Kim, H. S., Park, J., Park, K. Y., Lee, M. N., & Ham, O. K. (2016). Parent involvement intervention in developing weight management skills for both parents and overweight/obese children. Asian Nursing Research10(1), 11-17. https://doi.org/10.1016/j.anr.2015.07.006 

Norman, Å., Zeebari, Z., Nyberg, G., & Elinder, L. S. (2019). Parental support in promoting children’s health behaviours and preventing overweight and obesity–a long-term follow-up of the cluster-randomised healthy school start study II trial. BMC Pediatrics19(1), 1-11. https://doi.org/10.1186/s12887-019-1467-x 

Tucker, S. (2017). People, practices, and places: Realities that influence evidence‐based practice uptake. Worldviews on Evidence‐Based Nursing, 14(2), 87–89. http://dx.doi.org/10.1111/wvn.12216