Implementing the MOVE! Weight-Management Program in the Veterans Health Administration, 2007-2010: A Qualitative Study

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Weiner, Bryan J. ; Haynes-Maslow, Lindsey ; Campbell, Marci K. ; Kahwati, Leila C. ; Kinsinger, Linda S.
• 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.
  
  
• Subjects:
  Body Weight Humans Motor Activity Obesity Prevalence Program Development Qualitative Research Questionnaires Retrospective Studies Veterans Veterans Health

  More +
• Source:
  Prev Chronic Dis. 2012; 9.
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Name as Subject:
  United States. Department of Veterans Affairs. ; United States. Department of Veterans Affairs.
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  9
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:076d5312ddbe30beb916ad2f4fe1d32f2fa0114329fd4031d4ab8351fb677195885a2a7fc1012632a4094938585799cb2e33150dbcf0494492ce54a45c826368
• Download URL:
  https://stacks.cdc.gov/view/cdc/19764/cdc_19764_DS1.pdf
• File Type:
  [PDF - 194.32 KB ]