Dissemination of a Weight Management Program among US Veterans

描述（由申请人提供）：预防和控制癌症和其他慢性疾病的进展目前受到未能将循证知识/干预措施（EBI）转化和传播到实践中的限制。本提案的目的是进行研究，以研究MOVE！（管理超重/肥胖的退伍军人无处不在）。动起来！是一项针对退伍军人的全国性体重管理计划，今年将从试点转向全面推广。超重和肥胖在美国迅速上升，迫切需要采取干预措施来防治这一流行病。在退伍军人管理局人口中，大约70%的退伍军人超重和/或肥胖。拟议的研究将与一个联邦机构，退伍军人事务国家健康促进和疾病预防中心（VANCP）合作进行，该中心通过其VA医疗机构和社区门诊诊所的全国网络监督该计划向广大人群的传播。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个医疗中心和862个社区门诊诊所，740万注册患者，超过500万活跃用户的服务，和5000万门诊人次/年。因此，通过VA系统有效传播和实施的方案具有巨大的影响潜力，并有可能为其他卫生系统的传播提供信息。我们的研究团队已经与VANCP和两个VA临床研究中心合作，开展了一个由NCI资助的试点传播项目，以纳入和测试有可能加强现有MOVE的EBI！程序.我们建议研究是否创新的参与者自我管理干预提供主要由资深志愿者可以解决现有的障碍，目前的专业交付和诊所为基础的移动！程序.这款新车型将被称为MOVE*VETS！（志愿者教育和量身定制的自我管理和支持），并将包括个性化的计算机定制的印刷健康通讯和激励面试电话提供的志愿者退伍军人同侪顾问。我们将评估这种替代干预提供模式对MOVE的整体传播和实施的影响！在参与者一级（参与和减肥）和组织一级的变化中使用基于理论的评价措施。

DESCRIPTION (provided by applicant): 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.