Design and dissemination of the MOVE! Weight-Management Program for Veterans

Linda S Kinsinger, Kenneth R Jones, Leila Kahwati, Richard Harvey, Mary Burdick, Virginia Zele, Steven J Yevich, Linda S Kinsinger, Kenneth R Jones, Leila Kahwati, Richard Harvey, Mary Burdick, Virginia Zele, Steven J Yevich

Abstract

Background: Practitioners in the Veterans Health Administration (VHA) identified comprehensive weight management as a high priority in early 2001.

Program design: The MOVE! Weight-Management Program for Veterans was developed on the basis of published guidelines from the National Institutes of Health and other organizations. Testing of program feasibility occurred at 17 VHA sites, and the program was refined during early implementation throughout 2005.

Dissemination: MOVE! was disseminated nationally in January 2006. Local program coordinators and physician champions were named, and toolkits, online training, marketing materials, and ongoing field support were provided.

Evaluation: MOVE! has been implemented at nearly all VHA medical centers. By June 2008, more than 100,000 patients had participated in MOVE! during more than 500,000 visits. An evaluation based on an established framework is under way.

Conclusion: MOVE! is an example of the large-scale translation of research into practice. It has the potential to reduce the burden of disease from obesity and related conditions.

Figures

Figure 1
Figure 1
Cumulative number of patients participating in MOVE! weight management program, by quarter, US Veterans Health Administration, October 2004 to June 2008.

References

    1. Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA. 2006;295(13):1549–1555.
    1. Das S, Kinsinger LS, Yancy WS, Wang A, Ciesco E, Burdick M, et al. Obesity prevalence among veterans at Veterans Affairs medical facilities. Am J Prev Med. 2005;28(3):291–294.
    1. Nelson KM. The burden of obesity among a national probability sample of veterans. J Gen Intern Med. 2006;21(9):915–919.
    1. Rogers WH, Kazis LE, Miller DR, Skinner KM, Clark JA, Spiro A, 3rd, et al. Comparing the health status of VA and non-VA ambulatory patients: the veterans' health and medical outcomes studies. J Ambul Care Manage. 2004;27(3):249–262.
    1. Wilson NJ, Kizer KW. The VA health care system: an unrecognized national safety net. Health Aff (Millwood) 1997;16(4):200–204.
    1. Yu W, Ravelo A, Wagner TH, Phibbs CS, Bhandari A, Chen S, et al. Prevalence and costs of chronic conditions in the VA health care system. Med Care Res Rev. 2003;60(3 Suppl):146S–167S.
    1. Fact sheet: facts about the Department of Veterans Affairs. Washington (DC): US Department of Veterans Affairs; 2008. [Accessed January 9, 2008]. .
    1. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: the evidence report (NIH Publication no. 98-4083) Bethesda (MD): National Institutes of Health; 1998.
    1. North American Association for the Study of Obesity The practical guide: identification, evaluation, and treatment of overweight and obesity in adults (NIH Publication no. 00-4084) Bethesda (MD): National Institutes of Health; National Heart, Lung, and Blood Institute;
    1. US Preventive Services Task Force Screening for obesity in adults: recommendations and rationale. Ann Intern Med. 2003;139(11):930–932.
    1. Managing Overweight and/or Obesity for Veterans Everywhere (MOVE!) program (VHA Handbook 1101.1) Washington (DC): US Department of Veterans Affairs; 2006. Mar, [Accessed January 9, 2008]. .
    1. VA/DoD clinical practice guideline for screening and management of overweight and obesity. Washington (DC): US Department of Veterans Affairs; Nov, 2006. [Accessed January 9, 2008]. .
    1. Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999;89(9):1322–1327.
    1. HealthierUS veterans. Washington (DC): US Department of Veterans Affairs; [Accessed January 9, 2008]. .
    1. Sherman SE. A framework for tobacco control: lessons learnt from Veterans Health Administration. BMJ. 2008;336(7651):1016–1019.

Source: PubMed

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