Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Littman, Alyson J. ; Boyko, Edward J. ; McDonell, Mary B. ; Fihn, Stephan D.
Littman, Alyson J. ; Boyko, Edward J. ; McDonell, Mary B. ; Fihn, Stephan D. Less -
Description:
Introduction

To improve the health of overweight and obese veterans, the Department of Veterans Affairs (VA) developed the MOVE! Weight Management Program for Veterans. The aim of this evaluation was to assess its reach and effectiveness.

Methods

We extracted data on program involvement, demographics, medical conditions, and outcomes from VA administrative databases in 4 Western states. Eligibility criteria for MOVE! were being younger than 70 years and having a body mass index (BMI, in kg/m2) of at least 30.0, or 25.0 to 29.9 with an obesity-related condition. To evaluate reach, we estimated the percentage of eligible veterans who participated in the program and their representativeness. To evaluate effectiveness, we estimated changes in weight and BMI using multivariable linear regression.

Results

Less than 5% of eligible veterans participated, of whom half had only a single encounter. Likelihood of participation was greater in women, those with a higher BMI, and those with more primary care visits, sleep apnea, or a mental health condition. Likelihood of participation was lower among those who were younger than 55 (vs 55-64), widowed, current smokers, and residing farther from the medical center (≥30 vs <30 miles). At 6- and 12-month follow-up, participants lost an average of 1.3 lb (95% confidence interval [CI], −2.6 to −0.02 lb) and 0.9 lb (95% CI, −2.0 to 0.1 lb) more than nonparticipants, after covariate adjustment. More intensive treatment (≥6 encounters) was associated with greater weight loss at 12 months (−3.7 lb; 95% CI, −5.1 to −2.3 lb).

Conclusion

Few eligible patients participated in the program during the study period, and overall estimates of effectiveness were low.


Subject:
[+]
Female
Humans
Male
Middle Aged
Obesity
Original Research
Program Evaluation
Treatment Outcome
Veterans
Weight Loss

Source:
Prev Chronic Dis. 9.
Document Type:
Journal Article
Place as Subject:
United States
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:d83fb6d74a0aaec602899ed06bed042d3efa950082221ce6109b564db1d7e500
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-9-E99.nxml	txt
  	PCD-9-E99s01.gif	gif
  	PCD-9-E99s01.jpg	jpeg

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