Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Weiner, Bryan J.; Haynes-Maslow, Lindsey; Campbell, Marci K.; Kahwati, Leila C.; Kinsinger, Linda S.;
Weiner, Bryan J.; Haynes-Maslow, Lindsey; Campbell, Marci K.; Kahwati, Leila C.; Kinsinger, Linda S.; Less -
Description:
Introduction One-third of US veterans receiving care at Veterans Health Administration (VHA) medical facilities are obese and, therefore, at higher risk for developing multiple chronic diseases. To address this problem, the VHA designed and nationally disseminated an evidence-based weight-management program (MOVE!). The objective of this study was to examine the organizational factors that aided or inhibited the implementation of MOVE! in 10 VHA medical facilities. Methods Using a multiple, holistic case study design, we conducted 68 interviews with medical center program coordinators, physicians formally appointed as program champions, managers directly responsible for overseeing the program, clinicians from the program's multidisciplinary team, and primary care physicians identified by program coordinators as local opinion leaders. Qualitative data analysis involved coding, memorandum writing, and construction of data displays. Results Organizational readiness for change and having an innovation champion were most consistently the 2 factors associated with MOVE! implementation. Other organizational factors, such as management support and resource availability, were barriers to implementation or exerted mixed effects on implementation. Barriers did not prevent facilities from implementing MOVE! However, they were obstacles that had to be overcome, worked around, or accepted as limits on the program's scope or scale. Conclusion Policy-directed implementation of clinical weight-management programs in health care facilities is challenging, especially when no new resources are available. Instituting powerful, mutually reinforcing organizational policies and practices may be necessary for consistent, high-quality implementation.
Subject:
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Body Weight
Humans
Motor Activity
Obesity
Prevalence
Program Development
Qualitative Research
Questionnaires
Retrospective Studies
Veterans
Veterans Health

Source:
Prev Chronic Dis. 2012; 9.;
Document Type:
Journal Article;
Name as Subject:
United States. Department of Veterans Affairs.;
Place as Subject:
United States;
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:0cbf892abcdd589056788d888ea1c7bcd4c341a78a573d242e1d2d025a8b3d21
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-9-E16.nxml	txt

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