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  1. Burr, Kassidy DNP, APRN, NP-C
  2. Roberson, Kristina B. DNP, MPA, APRN, NP-C
  3. Onsomu, Elijah O. PhD, MPH, MS, MCHES
  4. Yancu, Cecile N. PhD
  5. Pritchard, Rachel MSN, FNP-BC


Adults living in rural areas are at greater risk of becoming overweight and obese due to health care disparities. A pre-/postmatched cohort design was used to evaluate a brief weight-loss counseling intervention, Ten Top Tips (10TT), in a rural primary care setting. The rank sum scores for total weight-loss behaviors and the subscales for dietary changes, self-monitoring, physical activity, and psychological coping taken before and 12 weeks after the intervention differed significantly (P = .0001). Ten Top Tips offers rural community clinics an effective weight-loss intervention.