National Veterans Health Administration MOVE! Weight Management Program Participation During the COVID-19 Pandemic.
National Veterans Health Administration MOVE! Weight Management Program Participation During the COVID-19 Pandemic.
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DOI：
10.5888/pcd19.210303
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发表时间：
2022-03-10
影响因子：
5.5
通讯作者：
Raffa SD
中科院分区：
文献类型：
--
作者：
Gray KE;Hoerster KD;Spohr SA;Breland JY;Raffa SD
为了应对 COVID-19，退伍军人健康管理局 (VHA) 将适当的门诊就诊转为虚拟护理，包括 MOVE！退伍军人体重管理计划 (MOVE!) 访问。在大流行之前，大多数退伍军人都参加了MOVE！亲自进行，有多种远程医疗方式可供选择。我们试图在 MOVE! 中描述国家趋势！大流行期间（2020 年 3 月至 2021 年 1 月）的总体参与情况和按方式进行的参与情况，并将参与情况与大流行前的水平进行比较。我们对参加 MOVE 的退伍军人进行了一项全国回顾性队列研究！从 2018 年 1 月到 2021 年 1 月。我们检查了 MOVE！按月在国家层面汇总的整个 VHA 的参与情况，包括亲自和通过远程医疗（包括电话、诊所到诊所同步视频、任何地方到任何地方（例如，提供者家庭到患者家庭）同步视频以及远程教育和监控）就诊、参与者和新参与者的数量。我们还确定了所有 MOVE! 的百分比！每种方式的访问次数以及大流行期间参与率与前几年月平均数相比的每月百分比变化。 2020 年 3 月之前，MOVE 的 20% 至 30%！是通过远程医疗提供的，到 2020 年 4 月，这一比例增加到 90%。在大流行初期，电话提供了 MOVE！是最常见的方式，但随着时间的推移，随时随地的同步视频参与不断增加。与往年同月相比，月度总MOVE！从 2020 年底到 2021 年 1 月，参与度仍下降 20% 至 40%。VHA MOVE!为了应对这一流行病，该计划迅速转向提供体重管理服务的远程医疗。然而，与前几年相比，接受这些服务的退伍军人人数仍然存在差距，这表明体重管理的潜在需求尚未得到满足。
In response to COVID-19, the Veterans Health Administration (VHA) converted appropriate outpatient visits to virtual care, including MOVE! Weight Management Program for Veterans (MOVE!) visits. Before the pandemic, most veterans participated in MOVE! in person, with several telehealth modalities available. We sought to describe national trends in MOVE! participation during the pandemic (March 2020–January 2021) overall and by modality and to compare participation to prepandemic levels. We conducted a national retrospective cohort study of veterans who participated in MOVE! from January 2018 through January 2021. We examined MOVE! participation across VHA aggregated at the national level by month, including the number of visits, participants, and new participants in person and via telehealth, including telephone, clinic-to-clinic synchronous video, anywhere-to-anywhere (eg, provider home to patient home) synchronous video, and remote education and monitoring. We also determined the percentage of all MOVE! visits attributable to each modality and the monthly percentage change in participation during the pandemic compared with monthly averages in prior years. Before March 2020, 20% to 30% of MOVE! was delivered via telehealth, which increased to 90% by April 2020. Early in the pandemic, telephone-delivered MOVE! was the most common modality, but anywhere-to-anywhere synchronous video participation increased over time. Compared with the same months in prior years, total monthly MOVE! participation remained 20% to 40% lower at the end of 2020 and into January 2021. The VHA MOVE! program rapidly shifted to telehealth delivery of weight management services in response to the pandemic. However, a gap remained in the number of veterans receiving these services compared with prior years, suggesting potential unmet needs for weight management.
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