Evaluating an Insurance-Sponsored Weight Management Program With the RE-AIM Model, West Virginia, 2004-2008

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Abildso, Christiaan G. ; Zizzi, Sam J. ; Reger-Nash, Bill
• Description:
  Introduction
  
  Evaluations of weight management programs in real-world settings are lacking. The RE-AIM model (reach, effectiveness, adoption, implementation, maintenance) was developed to address this deficiency. Our primary objective was to evaluate a 12-week insurance-sponsored weight management intervention by using the RE-AIM model, including short-term and long-term individual outcomes and setting-level implementation factors. Our secondary objective was to critique the RE-AIM model and its revised calculation methods.
  
  Methods
  
  We created operational definitions for components of the 5 RE-AIM indices and used standardized effect size values from various statistical procedures to measure multiple components or outcomes within each index. We used χ2 analysis to compare categorical variables and repeated-measures analysis of variance to assess the magnitude of outcome changes over time.
  
  Results
  
  On the basis of data for 1,952 participants and surveys completed by administrators at 23 sites, RE-AIM indices ranging from 0 to 100 revealed low program reach and adoption (5.4 and 8.8, respectively), moderate effectiveness (43.8), high implementation (91.4), low to moderate individual maintenance (21.2), and moderate to high site maintenance (77.8). Median (interquartile range) weight loss was 13 lb (6.5-21.4 lb) among participants who completed phase I (12 weeks; 76.5%) and 15 lb (6.1-30.3 lb) among those who completed phase II (1 year; 45.7%).
  
  Conclusions
  
  This program had a significant, positive effect on participants and has been sustainable but needs to be expanded for more public health benefit. The RE-AIM model provided a useful framework to determine program strengths and weaknesses and to present them to the insurance agency and public health decision makers.
  
  
• Subjects:
  Adolescent Adult Body Mass Index Cost-Benefit Analysis Exercise Therapy Female Health Promotion Humans Insurance, Health Male Middle Aged Original Research Overweight Patient Compliance Program Evaluation Public Health Quality Of Life Retrospective Studies Young Adult

  More +
• Source:
  Prev Chronic Dis. 7(3).
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  West Virginia
• Location:
  North America
• Volume:
  7
• Issue:
  3
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:09b69f8ba4436a31e22f4258ec0beb11f59ee342ed5391453524851dbd0f5c8c2d4bce1e47dade8059d341a4d77e0296c936c95cda9a9e921b6daf2c0b2bdb1f
• Download URL:
  https://stacks.cdc.gov/view/cdc/20454/cdc_20454_DS1.pdf
• File Type:
  [PDF - 554.06 KB ]