Dissemination of a Weight Management Program among US Veterans

描述(由申请人提供)：目前，由于未能将循证知识/干预措施(EBI)转化和传播到实践中，在预防和控制癌症和其他慢性病方面的进展受到限制。这项建议的目的是进行研究，研究Move的传播和实施！《管理各地退伍军人的超重/肥胖》。移动!是一项针对退伍军人的全国性体重管理计划，今年将从试点进入全面推广。超重和肥胖在美国迅速上升，迫切需要干预措施来抗击这一流行病。在退伍军人中，大约70%的退伍军人超重和/或肥胖。这项拟议的研究将与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，VANCP通过其全国退伍军人医疗机构网络和社区门诊诊所监督该计划向广泛人群的传播。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，登记患者740万，服务活跃用户超过500万，每年门诊就诊5000万人次。因此，通过退伍军人制度有效传播和实施的方案具有极大的影响力，并有可能在其他卫生系统中传播信息。我们的研究团队已经与VANCP和两个VA临床站点合作，在NCI资助的一个试点传播项目中整合和测试EBI，这些EBI具有加强现有举措的潜力！程序。我们建议研究主要由资深志愿者提供的创新型参与者自我管理干预是否能够解决目前由专业人员提供的、以诊所为基础的举措实施的现有障碍！程序。这款新车型将被称为Move*Vents！(志愿教育和量身定做的自我管理和支持)，将包括个性化的电脑定制印刷健康通讯和由志愿资深同伴辅导员提供的激励性访谈电话。我们将评估这种替代干预交付模式对MOVE的整体传播和实施的影响！在参与者层面(参与和减肥)和组织层面的变革中使用基于理论的评估措施。

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.