Improving weight management at the VA: Enhancing the MOVE!23 for primary care
改善 VA 的体重管理:加强初级保健的 MOVE!23
基本信息
- 批准号:8398206
- 负责人:
- 金额:--
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2012
- 资助国家:美国
- 起止时间:2012-10-01 至 2017-09-30
- 项目状态:已结题
- 来源:
- 关键词:AddressAdherenceAdoptedAreaAwardBehaviorBehavior assessmentBehavioralBody Weight decreasedCaringCase ManagerChronic DiseaseClinicClinicalClinical Trials DesignComorbidityComputer AssistedComputer softwareConsultationsCounselingDataDevelopmentDiabetes MellitusDietEvaluationExpert SystemsFoundationsGoalsGrantHealthHealth PromotionHealthcare SystemsHigh PrevalenceHyperlipidemiaHypertensionInstitutionInstructionIntentionInterventionK-Series Research Career ProgramsLife StyleMedical Care TeamMentorsMentorshipMethodologyMethodsModelingMotivationNew YorkNutritional StudyObesityOutcomeOverweightPatientsPhasePhysical activityPilot ProjectsPlayPopulationPreventive InterventionPrimary Health CareProcessProviderPublic HealthQualitative MethodsRandomizedRandomized Controlled TrialsReadingRecruitment ActivityResearchResearch PersonnelResearch TrainingResourcesRiskRoleSelf EfficacyServicesShoulderSystemTechnologyTelephoneTestingTimeTrainingTranslational ResearchUnited States National Institutes of HealthUniversitiesVeteransWeightWeight maintenance regimenWritingarmbasebehavior changebrief interventioncomputer generatedcomputerizedcostdesigndiet and exercisedigitaldissemination researcheffective interventionhealth administrationhealth disparityimplementation scienceimprovedinnovationmemberobesity preventionobesity treatmentpatient populationpost interventionpreventprimary care settingprogramspublic health relevanceskillssoftware developmenttheoriestherapy developmenttooltreatment program
项目摘要
DESCRIPTION (provided by applicant):
Project Summary In this application for a Mentored Career Development Award (CDA-2), Melanie Jay, MD, MS describes her plan to pursue training and research to achieve her long-term goal of becoming an independent, clinically- oriented, translational investigator dedicated to improving the treatment and prevention of obesity at the Veterans Health Administration (VHA). Her specific and training aims address the hypothesis that a brief, computer-assisted intervention to treat obesity in primary care will be feasible and acceptable to patients and providers and result in improvements in intermediate (i.e. patient self-efficacy, intention, and motivation to change lifestyle behaviors), behavioral (diet and physical activity improvements), and weight-loss outcomes. Under the sponsorship of Scott Sherman, MD, MPH, the training plan capitalizes on the resources of the VA New York Harbor Healthcare System (HCS), New York University, and the NIH-sponsored New York Obesity Nutrition Research Center, combining formal coursework, directed readings, and experiential components. The plan involves mentorship and didactic instruction in key areas including qualitative methodology, behavior change theories, implementation science, clinical trial design and implementation, obesity innovations, digital media design, advanced statistical analysis, grant writing, and research dissemination. Dr. Jay proposes a three-phased project to enhance the VA MOVE!23 software application so that it can be used as part of a goal- setting intervention to treat obesit in primary care. She will then evaluate this intervention so that it can be adopted to serve the broader primary care Veteran population. During the Formative Phase, she will use qualitative methodologies to inform enhancement of the MOVE!23 software and development of the intervention. During the Development Phase, she will enhance the MOVE!23 software application and develop and pilot-test other components of the intervention. She will then apply for a Clinical Translational Science Institution (CTSI) and/or foundation grant to help support the
Evaluation Phase of her project. During the Evaluation Phase, she will conduct a pilot study at the VA New York Harbor HCS primary care clinics to test the feasibility, acceptability, and explore preliminary outcomes of this intervention. She will also explore differences in feasibility
and outcomes when telephone counseling is added to the intervention. She will recruit 140 subjects. All subjects will receive the enhanced MOVE!23 and Patient Aligned Care Team (PACT) counseling. They will then be randomized into two intervention arms: PACT counseling only or PACT counseling plus additional telephone counseling support. She will explore differences in feasibility, acceptability, and intermediate, behavioral, and weight loss outcomes at 6 and 12 months pre- and post- within each arm and comparing the two intervention arms. This research and training plan will generate pilot data for the development of a Merit Review application to conduct a 3-arm randomized controlled trial of the intervention.
PUBLIC HEALTH RELEVANCE:
Project Narrative The high prevalence of obesity and its negative impact on Veteran health make treating and preventing obesity a high priority of the Veteran Health Administration since modest weight loss can prevent and ameliorate chronic disease. Unfortunately, innovative VA obesity treatment programs such as MOVE! do not reach the majority of eligible Veterans. Primary care is an important venue to provide obesity-related services and increase access to obesity care, but, few effective interventions exist that can be delivered in this setting. Dr. Jay
proposes to use qualitatitve methods to enhance existing MOVE!23 software for use as part of a brief, computer-assisted primary care-based intervention to treat obesity and improve Veteran Health. She will then do a pilot study to evaluate preliminary outcomes.
描述(由申请人提供):
在这份导师职业发展奖(CDA-2)的申请中,Melanie Jay,MD,MS描述了她计划进行培训和研究,以实现她的长期目标,即成为一名独立的,临床导向的,致力于改善退伍军人健康管理局(VHA)肥胖症的治疗和预防的翻译研究员。她的具体和培训目标解决了一个假设,即在初级保健中治疗肥胖症的简短的计算机辅助干预将是可行的,并为患者和提供者所接受,并导致中间(即患者自我效能,意图和改变生活方式行为的动机),行为(饮食和身体活动改善)和减肥结果的改善。在医学博士、公共卫生硕士斯科特·谢尔曼(Scott Sherman)的赞助下,该培训计划利用退伍军人管理局纽约港医疗保健系统(HCS)、纽约大学和NIH赞助的纽约肥胖营养研究中心的资源,结合正式课程作业、指导阅读和体验部分。该计划涉及关键领域的指导和教学指导,包括定性方法,行为改变理论,实施科学,临床试验设计和实施,肥胖创新,数字媒体设计,高级统计分析,赠款写作和研究传播。杰伊博士提出了一个三阶段的项目,以提高VA移动!23软件应用程序,以便它可以作为目标设定干预的一部分,在初级保健中治疗obesit。然后,她将评估这种干预措施,以便它可以被采用,以服务于更广泛的初级保健退伍军人人口。在形成阶段,她将使用定性方法来为MOVE的增强提供信息!23软件和干预的发展。在发展阶段,她将加强移动!23软件应用和开发以及试点测试干预措施的其他组成部分。然后,她将申请临床转化科学机构(CTSI)和/或基金会资助,以帮助支持
项目的评估阶段。在评估阶段,她将在VA纽约港HCS初级保健诊所进行一项试点研究,以测试这种干预的可行性、可接受性并探索初步结果。她还将探讨可行性方面的差异
以及在干预中加入电话咨询的结果。她将招募140名受试者。所有受试者将获得增强的移动!23和患者对齐护理团队(PACT)咨询。然后,他们将被随机分为两个干预组:仅PACT咨询或PACT咨询加上额外的电话咨询支持。她将探索每组内6个月和12个月前和后的可行性、可接受性以及中间、行为和体重减轻结果的差异,并比较两个干预组。本研究和培训计划将生成用于开发Merit Review应用程序的试点数据,以进行干预的3组随机对照试验。
公共卫生相关性:
肥胖的高患病率及其对退伍军人健康的负面影响使治疗和预防肥胖成为退伍军人健康管理局的一个高度优先事项,因为适度的减肥可以预防和改善慢性疾病。不幸的是,创新的VA肥胖治疗计划,如移动!没有达到大多数合格的退伍军人。初级保健是提供肥胖相关服务和增加获得肥胖护理的重要场所,但在这种情况下,几乎没有有效的干预措施。杰博士
建议使用定性方法来增强现有的MOVE!23软件作为一个简短的,计算机辅助的初级保健为基础的干预,以治疗肥胖和改善退伍军人健康的一部分使用。然后,她将进行一项试点研究,以评估初步结果。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Melanie Jay其他文献
Melanie Jay的其他文献
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{{ truncateString('Melanie Jay', 18)}}的其他基金
Mentoring the next generation of trainees in patient-oriented, community engaged research in obesity and health equity
指导下一代学员进行以患者为中心、社区参与的肥胖和健康公平研究
- 批准号:
10662072 - 财政年份:2023
- 资助金额:
-- - 项目类别:
WOOP VA: Mental Contrasting With Implementation Intentions to Promote Weight Management in Primary Care
WOOP VA:心理对比与促进初级保健体重管理的实施意图
- 批准号:
10471776 - 财政年份:2021
- 资助金额:
-- - 项目类别:
WOOP VA: Mental Contrasting With Implementation Intentions to Promote Weight Management in Primary Care
WOOP VA:心理对比与促进初级保健体重管理的实施意图
- 批准号:
10187942 - 财政年份:2021
- 资助金额:
-- - 项目类别:
WOOP VA: Mental Contrasting With Implementation Intentions to Promote Weight Management in Primary Care
WOOP VA:心理对比与促进初级保健体重管理的实施意图
- 批准号:
10739719 - 财政年份:2021
- 资助金额:
-- - 项目类别:
Testing the efficacy of a technology-assisted intervention to improve weight management of obese patients within Patient Aligned Care Teams at the VA
测试技术辅助干预措施的有效性,以改善退伍军人管理局患者协调护理团队中肥胖患者的体重管理
- 批准号:
10208960 - 财政年份:2017
- 资助金额:
-- - 项目类别:
Testing the efficacy of a technology-assisted intervention to improve weight management of obese patients within Patient Aligned Care Teams at the VA
测试技术辅助干预措施的有效性,以改善退伍军人管理局患者协调护理团队中肥胖患者的体重管理
- 批准号:
9292709 - 财政年份:2017
- 资助金额:
-- - 项目类别:
Testing the efficacy of a technology-assisted intervention to improve weight management of obese patients within Patient Aligned Care Teams at the VA
测试技术辅助干预措施的有效性,以改善退伍军人管理局患者协调护理团队中肥胖患者的体重管理
- 批准号:
9927908 - 财政年份:2017
- 资助金额:
-- - 项目类别:
Testing the efficacy of a technology-assisted intervention to improve weight management of obese patients within Patient Aligned Care Teams at the VA
测试技术辅助干预措施的有效性,以改善退伍军人管理局患者协调护理团队中肥胖患者的体重管理
- 批准号:
10194473 - 财政年份:2017
- 资助金额:
-- - 项目类别:
Testing the Efficacy of a Technology-Assisted Weight Management Intervention within Patient-Centered Medical Homes: The GEM (Goals for Eating and Moving) Study
测试以患者为中心的医疗之家中技术辅助体重管理干预措施的功效:GEM(饮食和运动目标)研究
- 批准号:
10000126 - 财政年份:2016
- 资助金额:
-- - 项目类别:
Testing the Efficacy of a Technology-Assisted Weight Management Intervention within Patient-Centered Medical Homes: The GEM (Goals for Eating and Moving) Study
测试以患者为中心的医疗之家中技术辅助体重管理干预措施的功效:GEM(饮食和运动目标)研究
- 批准号:
9544183 - 财政年份:2016
- 资助金额:
-- - 项目类别:
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