Dissemination of a Weight Management Program among US Veterans

在美国退伍军人中传播体重管理计划

• 批准号: 7500475
• 负责人: MARCI K CAMPBELL
• 金额: $ 7.57万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-28 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7500475
• 关键词: Address; Adopted; Adoption; Ambulatory Care Facilities; Awareness; Behavior; Body Weight decreased; Cancer Control; Characteristics; Chronic Disease; Clinic; Collaborations; Communities; Compatible; Computerized Medical Record; Computers; Condition; Diet; Education; Effectiveness; Enrollment; Epidemic; Evaluation; Evidence based intervention; Failure; Funding; Health; Health Promotion; Health system; Internet; Intervention; Leadership; Learning; Maintenance; Measures; Medical; Medical center; Methods; Modeling; Newsletter; Obesity; Outcome; Outcome Measure; Outcome Study; Outpatients; Overweight; Participant; Patients; Perception; Physical activity; Population; Printing; Professional counselor; Provider; Psychosocial Factor; Public Health; Purpose; Randomized Controlled Clinical Trials; Range; Relative (related person); Research; Research Personnel; Self Management; Services; Site; Standards of Weights and Measures; Subjects Selections; System; Technology; Telephone; Testing; Time; Training; Translating; United States; Veterans; Visit; Weight; base; clinical research site; design; disorder prevention; dissemination research; health administration; health care service organization; innovation; knowledge base; motivational enhancement therapy; peer; prevent; programs; research study; theories; volunteer

Advances in preventing and controlling cancer and other chronic diseases are currently limited by the failure to translate and disseminate evidence-based knowledge/interventions (EBI's) into practice. The purpose of this proposal is to conduct research to study the dissemination and implementation of MOVE! (Managing Overweight/Obesity for Veterans Everywhere). MOVE! is a national weight management program for veterans that is moving from pilot to full dissemination this year. 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. The proposed research study will be conducted in partnership with a federal agency, the Veterans Affairs National Center for Health Promotion and Disease Prevention (VANCP), which is overseeing the dissemination of the program to a broad population through its national network of VA medical settings and community-based outpatient clinics. The US Veteran's Health Administration (VA) is the nation's largest health care organization, with 157 medical centers and 862 community-based out-patient clinics, 7.4 million enrolled patients, over five million active users of services, and 50 million out-patient visits/year. Thus, there is tremendous potential for high impact of programs disseminated and implemented effectively through the VA system, as well as potential to inform dissemination in other health systems. Our research team already has been collaborating with the VANCP and two VA clinical sites on a pilot dissemination project funded by NCI to incorporate and test EBI's that have the potential to strengthen the existing MOVE! program. We propose to study whether an innovative participant self-management intervention delivered primarily by veteran volunteers can address existing barriers to implementation of the current professionally-delivered and clinic-based MOVE! program. This new model will be called MOVE*VETS! (Volunteer Education and Tailored Self-management and support) and will include individualized computer-tailored printed health newsletters and motivational interviewing telephone calls delivered by volunteer veteran peer counselors. We will assess the impact of this alternative intervention delivery model on the overall dissemination and implementation of MOVE! using theory-based evaluation measures at both the participant level (participation and weight loss) and organizational levels of change.

目前，预防和控制癌症和其他慢性疾病的进展受到失败的限制 将基于证据的知识/干预措施（EBI）转化为实践。目的 该建议是进行研究以研究移动的传播和实施！ （管理 到处都是退伍军人的超重/肥胖）。移动！是一个国家体重管理计划 今年从飞行员到充分传播的退伍军人。超重和肥胖正在迅速上升 迫切需要美国和打击这种流行病的干预措施。在VA内 人口，约有70％的退伍军人超重和 /或肥胖。拟议的研究将是 与一家联邦机构，退伍军人事务国家健康促进中心合作进行 和疾病预防（vancp），它正在监督该计划的传播到广泛的 通过其国家的VA医疗环境和基于社区的门诊诊所进行人口。这 美国退伍军人卫生管理局（VA）是美国最大的医疗保健组织，拥有157个医疗 中心和862个基于社区的门诊诊所，740万名患者，超过500万活跃 服务用户和5000万个门诊访问/年。因此，具有巨大的潜力 通过VA系统有效地传播和实施的程序，并潜力告知 在其他卫生系统中传播。 我们的研究团队已经在飞行员上与VANCP和两个VA临床站点合作 由NCI资助的传播项目，旨在合并和测试EBI，这些项目有可能加强 现有的举动！程序。我们建议研究创新的参与者自我管理 主要由资深志愿者提供的干预措施可以解决实施的现有障碍 目前以专业交付和基于诊所的举动！程序。这个新模型将被称为 移动*兽医！ （志愿教育和量身定制的自我管理和支持），并将包括 个性化的计算机定制印刷健康新闻通讯和励志采访电话 由志愿资深的同伴顾问提供。我们将评估这种替代干预的影响 有关整体传播和移动实施的交付模型！使用基于理论的评估 参与者级别（参与和体重减轻）和组织变化级别的衡量标准。