OMA Guidelines Bundle

Chronic Disease of Obesity - Obesity Algorithm 2024

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26 Non-pharmacologic Treatment Behavior Therapy Techniques (cont'd) • Cognitive restructuring   ▶ Address matters of body image   ▶ Identify and establish a plan to counteract unhelpful or dysfunctional thinking leading to unhealthful behaviors and actions   ▶ Emphasize rationale of aggressive yet realistic weight-reduction expectations through an emphasis on weight reduction as a matter of medical and mental health   ▶ Encourage patient to:   > Acknowledge he/she is capable of positive thoughts and behaviors   > Replace unhelpful thoughts and behaviors with more productive ones   > Practice behavior therapy skills between clinician encounters • Goal setting   ▶ Patients are given step-by-step instructions to accomplish goals (i.e., nutrition and physical activity prescriptions)   ▶ SMART   > Specif ic, Measurable, Assignable, Realistic, Time-related (SMART) goals • Non-scale victories   ▶ Celebrate goal attainments beyond body weight and other number-focused metrics. Acknowledge:   > Better able to focus on things other than food   > Better able to engage in physical activity of daily living (e.g., walking up stairs)   > Better sleep quality   > Better able to f it into clothes previously worn before weight gain   > Reduction in medications

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