Dissemination of a Weight Management Program Among US Veterans

Not Applicable

Completed

Brief Summary: This study is being conducted with the Veterans Affairs National Center for Health Promotion and Disease Prevention (VANCP), which is overseeing the current dissemination of MOVE! (Managing Overweight/Obesity for Veterans Everywhere), a national weight management program for veterans. It will be based at 10 local sites in the national network of VA medical settings and community-based outpatient clinics and will compare two different models for disseminating and implementing MOVE! using a randomized experimental design. One study arm will implement the MOVE\* VETS! (Volunteer Education and Tailored Self-management and support) model that includes tailored newsletters and peer counseling MI calls and activities, and the other will receive the standard MOVE! program.

Detailed Description: The purpose of this research is to study the dissemination and implementation of MOVE!. MOVE! is a national weight management program for veterans that has moved form pilot to full dissemination. Overweight and obesity are rapidly rising in the United States and interventions to combat this epidemic are desperately needed. Within the VA population, approximately 70% of veterans are overweight and or obese. Participants will be male and female Veterans, aged 21 and over receiving health services at one of the 10 study sites, who qualify for the MOVE! program. We are recruiting a minimum of 800 -1000 Veterans to complete a baseline survey at the 10 VA sites participating in the study. Participants at the 10 VA sites are recruited during a primary care visit by primary care provider, they will not be chosen based on the presence or absence of any disease, thus health status will vary. The primary outcome measures will be participation after enrollment into MOVE! and participant weight loss.

Recruitment & Eligibility

Inclusion Criteria

Receiving primary care at the one of the 10 selected VA centers
BMI 25 or over
21 years old, no upper age limit
Pregnant women may participate in the study with the approval of the VA medical staff

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
MOVE*VETS	MOVE*VETS	Participants will receive the same MOVE! program as the control group plus 4 tailored newsletters on the study health behavior topics created from the baseline survey. Also 2-4 counseling calls from volunteer veteran peer counselors.

Primary Outcome Measures

Name	Time	Method
Primary study outcome measures at the participant level will be program participation and effectiveness in achieving weight loss.	At enrollment and 6 months post-enrollment

Secondary Outcome Measures

Name	Time	Method
Secondary outcome measures include improved self-management behaviors (diet and physical activity),psychosocial factors, awareness and utilization of program components/activities, and perceptions of the program/organization.	enrollment to 6 months post-enrollment

Locations (11): West Haven VAMC
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West Haven, Connecticut, United States
Omaha VAMC
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Omaha, Nebraska, United States
Lineberger Comprehensive Cancer Center at UNC-CH
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Chapel Hill, North Carolina, United States
West LA VAMC
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West Los Angeles, California, United States
Boston VAMC
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Boston, Massachusetts, United States
Jesse Brown VAMC
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Chicago, Illinois, United States
Audie L. Murphy VAMC
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San Antonio, Texas, United States
Edward Hines Jr. VAMC
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Hines, Illinois, United States
George E. Wahlen VAMC
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Salt Lake City, Utah, United States
VA Puget Sound HCS
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Seattle, Washington, United States
Minneapolis VAMC
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Minneapolis, Minnesota, United States