Association between a national behavioral weight management program and real-world weight change.

Autor: Hung A; Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, Durham, NC, USA; Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA; Duke-Margolis Center for Health Policy, Durham, NC, USA. Electronic address: anna.hung@duke.edu., Pura JA; Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, Durham, NC, USA; Department of Biostatistics and Bioinformatics, Duke University, Durham, NC, USA., Stechuchak KM; Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, Durham, NC, USA., Dennis PA; Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, Durham, NC, USA; Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA., Maciejewski ML; Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, Durham, NC, USA; Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA; Duke-Margolis Center for Health Policy, Durham, NC, USA; Division of General Internal Medicine, Department of Medicine, Duke University School of Medicine, Durham, NC, USA., Smith VA; Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, Durham, NC, USA; Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA; Division of General Internal Medicine, Department of Medicine, Duke University School of Medicine, Durham, NC, USA., Blalock DV; Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA., Hoerster K; Health Services Research & Development Center of Innovation for Veteran-Centered and Value-Driven Care, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA; Department of Health Services, University of Washington, Seattle, WA, USA; School of Medicine, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA., Raffa SD; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA; National Center for Health Promotion and Disease Prevention, Veterans Health Administration, Durham, NC, USA., Wong E; Health Services Research & Development Center of Innovation for Veteran-Centered and Value-Driven Care, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA; Department of Health Services, University of Washington, Seattle, WA, USA.
Jazyk: angličtina
Zdroj: Obesity research & clinical practice [Obes Res Clin Pract] 2024 May-Jun; Vol. 18 (3), pp. 201-208. Date of Electronic Publication: 2024 Jun 08.
DOI: 10.1016/j.orcp.2024.05.003
Abstrakt: Objective: In a national cohort of Veterans, weight change was compared between participants in a US Department of Veterans Affairs (VA) behavioral weight management program (MOVE!) and matched non-participants, and between high-intensity and low-intensity participants.
Methods: Retrospective cohort study of Veterans with 1 + MOVE! visits in 2008-2017 were matched to MOVE! non-participants via sequential stratification. Percent weight change up to two years after MOVE! initiation of participants and non-participants was modeled using generalized additive mixed models, and 1-year weight change of high-intensity or low-intensity participants was also compared.
Results: MOVE! participants (n = 499,696) and non-participant controls (n = 1,336,172) were well-matched, with an average age of 56 years and average BMI of 35. MOVE! participants lost 1.4 % at 12 months and 1.2 % at 24 months, which was 0.89 % points (95 % CI: 0.83-0.96) more at 12 months than non-participants and 0.55 % points (95 % CI: 0.41-0.68) more at 24 months. 9.1 % of MOVE! participants had high-intensity use in one year, and they had 2.38 % point (95 % CI: 2.25-2.52) greater weight loss than low-intensity participation at 12 months (2.8 % vs 0.4 %).
Conclusions: Participation in VA's system-wide behavioral weight management program (MOVE!) was associated with modest weight loss, suggesting that program modifications are needed to increase Veteran engagement and program effectiveness. Future research should further explore how variations in program delivery and the use of newer anti-obesity medications may impact the program's effectiveness.
Competing Interests: Declaration of Competing Interest MLM reports research grants from NIH and VA HSR&D and ownership of Amgen stock due to his spouse’s employment. VAS reports research grants from NIH and VA HSR&D. AH reports research grants from NIH, VA HSR&D, AstraZeneca, and Abbott. All other authors declare no conflicts of interest.
(Published by Elsevier Ltd.)
Databáze: MEDLINE
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