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.

目前在预防和控制癌症和其他慢性疾病方面的进展因失败而受到限制 将循证知识/干预措施 (EBI) 转化并传播到实践中。目的 本提案是为了研究MOVE的传播和实施！ （管理 各地退伍军人超重/肥胖）。移动！是一项国家体重管理计划 今年将从试点转向全面传播。超重和肥胖正在迅速增加 迫切需要美国采取干预措施来对抗这一流行病。在弗吉尼亚州内 人口中，大约 70% 的退伍军人超重和/或肥胖。拟议的研究将是 与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)，该机构负责监督该计划向更广泛的人群的传播 通过其全国退伍军人事务部医疗机构和社区门诊网络网络。这 美国退伍军人健康管理局 (VA) 是美国最大的医疗保健组织，拥有 157 名医疗人员 中心和 862 个社区门诊诊所，登记患者 740 万人，活跃患者超过 500 万人 服务用户，每年门诊量 5000 万人次。因此，具有巨大影响力的巨大潜力 通过 VA 系统有效传播和实施的计划，以及提供信息的潜力 在其他卫生系统中传播。 我们的研究团队已经与 VANCP 和两个 VA 临床中心合作进行试点 由 NCI 资助的传播项目，旨在纳入和测试有潜力加强 EBI 的 EBI 现有的移动！程序。我们建议研究创新参与者是否自我管理 主要由退伍军人志愿者提供的干预措施可以解决实施该计划的现有障碍 当前以专业方式提供且基于临床的 MOVE！程序。这个新模型将被称为 移动*兽医！ （志愿者教育和定制的自我管理和支持）并将包括 个性化的电脑定制印刷健康通讯和动机性访谈电话 由志愿退伍军人同伴辅导员提供。我们将评估这种替代干预措施的影响 MOVE的整体传播和实施的交付模式！使用基于理论的评估 衡量参与者层面（参与和减肥）和组织层面的变革。