Primary Care Provider Page

NP Sam has conducted original research on assessment & treatment of obesity in the primary care setting. Part of her mission is to network & collaborate with other health care professionals & primary care teams & support them to develop obesity care for their patients. 


NP Sam has developed three evidence-based tools to assist primary care providers and multidisciplinary teams to assess overweight and obese patients. These tools are transferred into electronic health record (EHR) custom forms & can be stamped into patient charts and completed by providers. 


Nutrition program presentations are developed and maintained by NP Sam in collaboration with Nutrition Coach Shelley Aggett. These presentations are provided to Trent Hills Family Health Team Nutrition Program participants online (password protected website) to be viewed prior to their appointments with the Nutrition Coach. 

The Obesity Tool

The Obesity Tool was designed to support brief counselling in the primary care patient-provider encounter and was created using the 5A's smoking cessation model 1 and Canadian Guidelines on Obesity. 2 3 4  Please see PDF at the bottom of this page. 

Nutrition Program Intake Tool

The Nutrition Program Intake Tool was designed for the patient's first visit with the Nutrition Coach. It was created to support the patient and coach to identify individualized goals & a behavioural change plan and was created using Canadian Guidelines on Obesity. 5 6 7 8 9  Please see PDF at the bottom of this page.

Nutrition Program Follow-Up Tool

The Nutrition Program Follow-up Tool was designed for the patient's follow-up visits with the Nutrition Coach. It was created to support the patient and coach with ongoing individualized goals & behavioural change and was created using Canadian Guidelines on Obesity. 10 11 12 13 14  Please see PDF at the bottom of this page.

Nutrition Program Presentations

The Nutrition Program Presentations are a series of PowerPoint presentations for program participants to view before appointments with the Nutrition Coach. The presentations are posted on a password-protected section of the THFHT website and can be viewed by patients as many times as they like. Presentation topics include:


  • Program Introduction
  • Getting Started
  • Habits & Portion Sizes
  • Preparation & Practices
  • Eating on the Go & Socializing
  • Kitchen Makeover & Groceries
  • Sugar
  • Macronutrients
  • Fruit, Vegetables, & Fibre

The emphasis in the presentations is on behavioural change and eating a whole-foods, controlled carbohydrate diet tailored to the individual needs and response of the patient. The content of the presentations is revised & updated annually. 

Contact NP Sam

If you are interested in providing obesity care or developing a nutrition program at your primary care clinic please feel free to email NP Sam @ npsamanthadalby@gmail.com. To read more about NP Sam's research click the button below. 

NP Sam's research

Endnotes

  1. Program & Training Consultation Centre. (2015). Brief counselling for tobacco use cessation: a guide for health professionals. Toronto, ON: Cancer Care Ontario. Retrieved from https://www.ptcc-cfc.on.ca/common/pages/UserFile.aspx?fileID=349266 
  2. Brauer, P., Gorber, S.C., Shaw, E., Singh, H., Bell, N., Shane, A....Tonelli, M. (2015). CMAJ guidelines: Recommendations for prevention of weight gain and use of behavioural and pharmacologic interventions to manage overweight and obesity in adults in primary care. Ottawa, ON: Canadian Task Force on Preventive Health Care & Canadian Medical Association. Retrieved from http://www.cmaj.ca/content/early/2015/01/26/cmaj.140887.full.pdf.
  3. Canadian Obesity Network. (2017a). 5 As of obesity management for adults. Edm, AB: Canadian Obesity Network. 
  4. Vallis, M., Piccinini-Vallis, H., Sharma, A.M., & Freedhoff, Y. (2013). Modified 5 A’s: Minimal intervention for obesity counselling in primary care. Canadian Family Physician, 59, 27-31.
  5. Brauer, P., Gorber, S.C., Shaw, E., Singh, H., Bell, N., Shane, A....Tonelli, M. (2015). CMAJ guidelines: Recommendations for prevention of weight gain and use of behavioural and pharmacologic interventions to manage overweight and obesity in adults in primary care. Ottawa, ON: Canadian Task Force on Preventive Health Care & Canadian Medical Association. Retrieved from http://www.cmaj.ca/content/early/2015/01/26/cmaj.140887.full.pdf.
  6. Canadian Obesity Network. (2017a). 5 As of obesity management for adults. Edm, AB: Canadian Obesity Network. 
  7. Canadian Obesity Network. (2017b). Report card on access to obesity treatment for adults in Canada 2017.  Edmonton, AB: Canadian Obesity Network Inc. Retrieved from http://www.obesitynetwork.ca/files/FULLREPORTfinalENG.pdf
  8. Kirk, S., Penney, T.L., McHugh, T., & Sharma, A.M. (2012). Effective weight management practice: A review of the lifestyle intervention evidence. International Journal of Obesity, 36, 178-185.
  9. Vallis, M., Piccinini-Vallis, H., Sharma, A.M., & Freedhoff, Y. (2013). Modified 5 A’s: Minimal intervention for obesity counselling in primary care. Canadian Family Physician, 59, 27-31.
  10. Brauer, P., Gorber, S.C., Shaw, E., Singh, H., Bell, N., Shane, A....Tonelli, M. (2015). CMAJ guidelines: Recommendations for prevention of weight gain and use of behavioural and pharmacologic interventions to manage overweight and obesity in adults in primary care. Ottawa, ON: Canadian Task Force on Preventive Health Care & Canadian Medical Association. Retrieved from http://www.cmaj.ca/content/early/2015/01/26/cmaj.140887.full.pdf.
  11. Canadian Obesity Network. (2017a). 5 As of obesity management for adults. Edm, AB: Canadian Obesity Network. 
  12. Canadian Obesity Network. (2017b). Report card on access to obesity treatment for adults in Canada 2017.  Edmonton, AB: Canadian Obesity Network Inc. Retrieved from http://www.obesitynetwork.ca/files/FULLREPORTfinalENG.pdf
  13. Kirk, S., Penney, T.L., McHugh, T., & Sharma, A.M. (2012). Effective weight management practice: A review of the lifestyle intervention evidence. International Journal of Obesity, 36, 178-185.
  14. Vallis, M., Piccinini-Vallis, H., Sharma, A.M., & Freedhoff, Y. (2013). Modified 5 A’s: Minimal intervention for obesity counselling in primary care. Canadian Family Physician, 59, 27-31.