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Date of Award

Fall 2018

Document Type


Degree Name

Master of Science in Nursing (MSN)



Thesis Committee Chairperson

Janice Hobba-Glose, DNS, RN

Additional Advisor

Jennifer Walsh, MD


Objectives: The prevalence of diabetes and obesity has risen 50% in the United States over the last 20 years (“Maps and trends in diagnosis…”, 2017). These conditions effect nearly half of all Americans, 117 million individuals, with a financial burden that exceeds $245 billion annually, and the projections for the future continue to rise (USDA Dietary Guidelines, 2015).

Methods: The research design for this project is a quantitative descriptive survey seeking to identify the barriers and facilitators to adopting a low-carb high-fat (LCHF) diet and intermittent fasting for the reversal of metabolic disease processes in adult population. A convenience sample of voluntary participants were utilized from members of the Metabolic & Dietary Solutions private Facebook group. The theoretical framework for this project included: Johnson’s Behaviour System Model, Self-Efficacy Theory, and the Health Promotion Model as a synergistic approach to behavioral modification based on motivational interviewing that leads to individualized sustained lifestyle interventions.

Findings: Survey was posted online for five days, resulted in 108 usable surveys with a greater female (88%, n=95) to male (12%, n=13) ratio and even distribution among the other markers. Data collected was consistent with the literature representing improved health outcomes and individualized health teaching opportunities. Average weight lost per person totaled 29.78 pounds, and average loss in waist circumference per person totaled 4.84 inches. Barriers to adopting the LCHF diet included: concern over counting calories, selecting appropriate food choices, time, money, and the ability to incorporate the LCHF diet with family and while away from home.

Conclusion: Further research is needed to address provider resistance in utilizing LCHF diet as a treatment option for diabetes, obesity, and metabolic syndrome as it conflicts with the current recommendations of the USDA dietary guidelines.