Weight Reduction Goal Achievement with MOVE Jane T Garvin PhD RN FNPBC College of Nursing Georgia Regents University Augusta Georgia METHODS DISCUSSION INTRODUCTION RESULTS ID: 1045314
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1. High-intensity Treatment & Weight Reduction Goal Achievement with MOVE!® Jane T. Garvin, PhD, RN, FNP-BCCollege of Nursing, Georgia Regents University, Augusta, GeorgiaMETHODSDISCUSSIONINTRODUCTIONRESULTSREFERENCESThe Obesity Society’s 2013 guideline1 identified 5% weight reduction as the initial weight reduction goal and high-intensity ( > 14 sessions in 6 months) interventions as the most effective behavioral treatment for obesity and comorbid conditions with a BMI > 27MOVE!®The Veteran’s Administration clinical facilities’ behavioral weight reduction program 2,3Free of charge to veterans 4Outcomes varied by age, gender, race and participation 5-9MOVE!® program outcomes have not been evaluated in terms of weight reduction and engaging participants to achieve a high-intensity intervention at 6 months. Data were extracted from medical records of 216 local MOVE!® program group participants for this descriptive study. Key measures Weight reductionweights at baseline 6 months post-enrollingParticipation in group MOVE!® over 6 monthsnumber of sessions14 or more sessionsDescriptive statisticsLogistic regression Used to examine the effect of high-intensity MOVE!® on achievement of 5% or greater weight reduction six months post-enrollment while controlling for age, gender, and raceDemographicsMean ± SDFrequency (%)Age (Range 26 – 81 years)57.5 ± 10.9Male174 (81)African American125 (58)ObesityBody Mass Index (Range 27 – 62.7)35.3 ± 6.2ComorbidityDiabetes71 (33)Hypertension152 (70)Hyperlipidemia/Dyslipidemia128 (59)Table 1. Baseline Characteristics (n = 216)* p < .05Table 2. MOVE!® Participation during first 6 months (n = 216)Sessions RangeMean ± SDFrequency (%)Number0-244 + 4.9High Intensity ( > 14)11 (5)Table 3. Weight Reduction at 6 months (n = 216)Weight ReductionFrequency (%)Goal Achieved with > 5% Weight Reduction34 (16)Table 4. Logistic Regression Models for 5% Weight Reduction at 6 monthsVariablebOR p 95% CIAge.0041.04.85.97, 1.04Female-.76.47.260.12, 1.77African American-.36.70.370.32, 1.52High-intensity MOVE! ®1.564.74<.02* 1.31, 17.16VariablebORp95% CIHigh-intensity MOVE! ®1.625.06.01* 1.45, 17.65CONCLUSIONSFindings are consistent with earlier reports that more weight reduction was associated with attending more sessions Findings support guideline recommendation for 14 or more sessions within six monthsMOVE!® design was a limitationNot designed to have 14 sessionsNot designed for 6 month dataClinical Implication - educating providers and potential participants about the benefit of attending 14 or more sessions within six months of enrollmentFurther study needed - especially related to participants who achieved 5% weight reduction at six months but failed to achieve high-intensity MOVE!®Jensen MD, Ryan DH, Donato KA, Apovian C M, et al. (2014) Guidelines (2013) for the management of overweight and obesity in adults. Obesity, 22(S2), S1-S410.Kinsinger LS, Jones KR, Kahwati L, Harvey R, et al. (2009) Design and dissemination of the MOVE! weight-management program for veterans. Preventing Chronic Disease, 6(3), A98.Veterans Health Administration. (2006) Managing Overweight and/or Obesity for Veterans Everywhere (MOVE!) program (VHA Handbook 1101.1). Washington, D.C.: Department of Veterans Affairs, http://www.move.va.gov/download/Resources/1101.1HK3_27_06.pdf Department of Veterans Affairs. (April 16, 2008). Elimination of Co-Payment for Weight Management Counseling, 73 Fed. Reg. 20,530. Dahn JR, Fitzpatrick SL, Llabre MM, Apterbach GS, Helms RL, et al. (2011) Weight management for veterans: Examining change in weight before and after MOVE! Obesity, 19(5), 977-981.Jay, M. (2011). Outcomes research in review. Impact of VA weight management program for veterans. Journal of Clinical Outcomes Management, 18(7), 294-296.Romanova M, Liang LJ, Deng ML, Li Z, Heber D. (2013) Effectiveness of the MOVE! Multidisciplinary weight loss program for veterans in Los Angeles. Preventing Chronic Disease, 10, E112.Littman AJ, Boyko EJ, McDonell MB, Fihn SD. (2012) Evaluation of a weight management program for veterans. Preventing Chronic Disease, 9, E99.Garvin JT, Marion LN, Narsavage GL, Finnegan L. (2015) Characteristics influencing weight reduction among veterans in the MOVE!® program. Western Journal of Nursing Research. 37(1), 50-65. ACKNOWLEDGEMENTSYou may contact the author at bgarvin@gru.edu Katherine Maeve, PhD, RN, Nurse Researcher & VA Postdoctoral Nursing Fellowship Program Director; and Lucy Marion, PhD, FAAN, Program MentorKaren Cota, RD, LD, CDE, CNVAMC MOVE!® Program CoordinatorCaroline McKinnon, PhD, CNS/PMH-BC, assisted with data collectionStephen Looney, PhD, provided statistical consultationThe Department of Veterans Affairs funded this work with a Postdoctoral Nursing Fellowship.Additional funding provided by Georgia Regents University College of Nursing and Beta Omicron Chapter of Sigma Theta Tau InternationalPURPOSEThe purpose of this study was to examine weight reduction and high-intensity treatment at 6 months after enrolling in the local MOVE!® program.Participants who achieved high-intensity MOVE!® were five times more likely to meet the weight reduction goal of at least 5% at six months than those participants who attended fewer sessions.