University of Missouri - Saint Louis

The Graduate School


An oral examination in defense of the final project for the degree

Doctor of Nursing Practice

Deanna L. Babb
M.N. in nursing, August, 1999, Montana State University, Bozeman, MT
B.S.N. in nursing, June, 1980, Montana State University, Bozeman, MT

Project: Move Montana: An Exercise Program for Children, Adolescents and Their Families


Despite advances in medical science, the prevalence of obesity in the US has more than doubled in the last three decades, to over 72 million people (CDC, 2009). The purpose of this project was to pilot an exercise program that would increase physical activity in a group of adolescents and one of their parents or guardians. A convenient sample of 10 adults and eight adolescents returned surveys and exercised through the entire eight weeks (N = 18). Ten of the 18 participants (56%), six parents and four adolescents, reported increased frequency of exercise each week throughout the eight week period. Of the participants who exercised for the eight week period, only four of 18 (22%) used a pedometer (three adults and one adolescent). Over the eight weeks, one (12.5%) adolescent weight did not change, five (62.5) lost weight, and two (25%) gained weight; four adults (40%) weight did not change, six (60%) lost weight, and none (0%) gained weight. When initial BMIs were calculated, 2 (25%) of adolescents were obese, four (50%) were overweight, one (12.5%) was underweight, and one (12.5%) was normal; six (60%) adults were obese, none (0%) were overweight, and four (40%) were normal. Over the eight week exercise program, one adolescent BMI remained unchanged, six had a reduction, and one increased; four adults (40%) BMI remained unchanged, six (60%) were lowered, and none (0%) increased. Using the Wilcoxon Signed Rank Test, the BMI and weight loss of adult participants pre and post exercise was significant (Z = 0.027, P <0.05) but not significant for adolescents. Findings demonstrate that nurse practitioners in a family health care practice can encourage adolescents and their families to increase physical activity that can result in weight loss, a decrease in BMI, and may help to reduce overweight and obesity in families


Date: April 8, 2013

Time: 9:00 to 11:00

Place: Seton Hall, Conference Room 229


Defense of Final Project Committee


Jean Bachman, RN, DSN (Advisor)

Susan Farberman, APRN, DNP (Co-Advisor)


Shelly Hanko, RN, PhD

Deborah Kiel, RN, PhD