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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：
9076131
负责人：
Melanie Jay
金额：
--
依托单位：
VA MEDICAL CENTER
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：
https://reporter.nih.gov/project-details/9076131
关键词：
Address Adherence Adopted Area Award Behavior Behavior assessment Behavioral Body Weight decreased Caring Case Manager Chronic Disease Clinic Clinical Clinical Trials Design Comorbidity Computer Assisted Computer software Consultations Counseling Data Development Diabetes Mellitus Diet Evaluation Expert Systems Foundations Goals Grant Health Health Promotion Healthcare Systems High Prevalence Hyperlipidemia Hypertension Institution Instruction Intention Intervention K-Series Research Career Programs Life Style Medical Care Team Mentors Mentorship Methodology Methods Modeling Motivation New York Nutritional Study Obesity Outcome Overweight Patients Phase Physical activity Pilot Projects Play Population Preventive Intervention Primary Health Care Process Provider Public Health Qualitative Methods Randomized Randomized Controlled Trials Reading Recruitment Activity Research Research Personnel Research Training Resources Risk Role Self Efficacy Services Shoulder System Technology Telephone Testing Time Training Translational Research United States National Institutes of Health Universities Veterans Weight Weight maintenance regimen Writing arm base behavior change brief intervention computer generated computerized cost design diet and exercise digital dissemination research effective intervention health administration health disparity implementation science improved innovation member obesity prevention obesity treatment patient population post intervention prevent primary care setting programs skills software development theories therapy development tool treatment 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.

描述(由申请人提供)：项目摘要在这份申请指导职业发展奖(CDA-2)的申请书中，Melanie Jay医学硕士描述了她计划继续进行培训和研究，以实现她的长期目标，即成为一名独立的、面向临床的、致力于改善退伍军人健康管理局(VHA)肥胖症治疗和预防的转化型研究员。她的具体和培训目标是解决这样的假设，即在初级保健中使用简短的计算机辅助干预来治疗肥胖症将是可行的，并将被患者和提供者接受，并导致中间阶段(即患者自我效能、改变生活方式行为的意图和动机)、行为(饮食和体力活动的改善)和减肥结果的改善。在公共卫生硕士Scott Sherman的赞助下，该培训计划利用退伍军人事务部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、定向阅读和体验部分。该计划涉及关键领域的指导和教学指导，包括定性方法论、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、拨款撰写和研究传播。杰伊博士提出了一个分三个阶段的项目，以增强VA Move！23软件应用程序，以便它可以用作初级保健中治疗贝西特的目标设定干预的一部分。然后，她将评估这一干预措施，以便采用它来服务于更广泛的初级保健退伍军人群体。在形成阶段，她将使用定性方法来介绍Move！23软件的增强和干预措施的开发。在开发阶段，她将加强Move 23软件应用程序，并开发和试行干预的其他组件。然后，她将申请临床翻译科学研究所(CTSI)和/或基金会拨款，以帮助支持她的项目的评估阶段。在评估阶段，她将在退伍军人事务部纽约港初级保健诊所进行一项试点研究，以测试这种干预措施的可行性、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。所有受试者都将接受增强型MOVE！23和患者导向护理团队(PACT)咨询。然后，他们将被随机分成两个干预组：仅接受PACT咨询或PACT咨询加额外的电话咨询支持。她将探索在每组干预前后6个月和12个月的可行性、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。这项研究和培训计划将为开发Merit Review应用程序生成试点数据，以进行干预的三组随机对照试验。