State of the art conference on weight management in VA: Policy and research recommendations for advancing behavioral interventions

doi:10.1007/s11606-016-3965-y

. 2017 Apr;32(Suppl 1):74-78.

doi: 10.1007/s11606-016-3965-y.

State of the art conference on weight management in VA: Policy and research recommendations for advancing behavioral interventions

Robin M Masheb^{1

2}, Stephanie H Chan³, Susan D Raffa³, Ronald Ackermann⁴, Laura J Damschroder⁵, Paul A Estabrooks⁶, Gina Evans-Hudnall⁷, Neil C Evans⁸, Trina Histon⁹, Alyson J Littman¹⁰, Tannaz Moin^{11

12}, Karin M Nelson^{10

13}, Sherry Pagoto¹⁴, Nico P Pronk¹⁵, Deborah F Tate¹⁶, Michael G Goldstein³

Affiliations

¹ Yale School of Medicine, New Haven, CT, USA. robin.masheb@yale.edu.
² VA Connecticut Healthcare System, 950 Campbell Ave Psychology Service, 116B, West Haven, CT, 06516, USA. robin.masheb@yale.edu.
³ VHA National Center for Health Promotion and Disease Prevention, Durham, NC, USA.
⁴ Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
⁵ VA Ann Arbor Center for Clinical Management Research, Ann Arbor, MI, USA.
⁶ University of Nebraska Medical Center, Omaha, NE, USA.
⁷ Michael E. DeBakey VA Medical Center, Houston, TX, USA.
⁸ VA Office of Connected Care, Washington, DC, USA.
⁹ Kaiser Permanente Care Management Institute, Washington, DC, USA.
¹⁰ VA Puget Sound Healthcare System, Tacoma, WA, USA.
¹¹ VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
¹² David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
¹³ University of Washington, Seattle, WA, USA.
¹⁴ University of Massachusetts Medical School, Worcester, MA, USA.
¹⁵ HealthPartners Institute, Minneapolis, MN, USA.
¹⁶ University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA.

PMID: 28271431
PMCID: PMC5359158
DOI: 10.1007/s11606-016-3965-y

State of the art conference on weight management in VA: Policy and research recommendations for advancing behavioral interventions

Robin M Masheb et al. J Gen Intern Med. 2017 Apr.

. 2017 Apr;32(Suppl 1):74-78.

doi: 10.1007/s11606-016-3965-y.

Authors

Affiliations

¹ Yale School of Medicine, New Haven, CT, USA. robin.masheb@yale.edu.
² VA Connecticut Healthcare System, 950 Campbell Ave Psychology Service, 116B, West Haven, CT, 06516, USA. robin.masheb@yale.edu.
³ VHA National Center for Health Promotion and Disease Prevention, Durham, NC, USA.
⁴ Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
⁵ VA Ann Arbor Center for Clinical Management Research, Ann Arbor, MI, USA.
⁶ University of Nebraska Medical Center, Omaha, NE, USA.
⁷ Michael E. DeBakey VA Medical Center, Houston, TX, USA.
⁸ VA Office of Connected Care, Washington, DC, USA.
⁹ Kaiser Permanente Care Management Institute, Washington, DC, USA.
¹⁰ VA Puget Sound Healthcare System, Tacoma, WA, USA.
¹¹ VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
¹² David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
¹³ University of Washington, Seattle, WA, USA.
¹⁴ University of Massachusetts Medical School, Worcester, MA, USA.
¹⁵ HealthPartners Institute, Minneapolis, MN, USA.
¹⁶ University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA.

PMID: 28271431
PMCID: PMC5359158
DOI: 10.1007/s11606-016-3965-y

Abstract

This article summarizes outcomes of the behavioral interventions work group for the Veterans Health Administration (VHA) State of the Art Conference (SOTA) for Weight Management. Sixteen VHA and non-VHA subject matter experts, representing clinical care delivery, research, and policy arenas, participated. The work group reviewed current evidence of efficacy, effectiveness, and implementation of behavioral interventions for weight management, participated in phone- and online-based consensus processes, generated key questions to address gaps, and attended an in-person conference in March 2016. The work group agreed that there is strong evidence for efficacy and effectiveness of core behavioral intervention components and processes, but insufficient evidence to determine the comparative effectiveness of multiple clinician-delivered weight management modalities, as well as technologies that may or may not supplement clinician-delivered treatments. Effective strategies for implementation of weight management services in VHA were identified. The SOTA work group's foremost policy recommendations are to establish a system-wide culture for weight management and to identify a population-level health metric to measure the impact of weight management interventions that can be tracked and clearly communicated throughout VHA. The work group's top research recommendation is to determine how to deploy and scale the most effective behavioral weight management interventions for Veterans.

Keywords: obesity; overweight; veterans; weight loss; weight management.

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Conflict of interest statement

Conflict of Interest

None of the authors acknowledge conflicts of interest with the exception of Deborah Tate, PhD, who is on the Scientific Advisory Board for Weight Watchers.

Funding

The State of the Art Conference was supported by the Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Health Services Research and Development.

Disclaimer

The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans of Affairs or the US Government.

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References

1. Flegal KM, Kruszon-Moran D, Carroll MD, Fryar CD, Ogden CL. Trends in obesity among adults in the United States, 2005-2014. JAMA. 2016;315(21):2284–91. doi: 10.1001/jama.2016.6458. - DOI - PMC - PubMed
1. Kahwati LC, Lance TX, Jones KR, Kinsinger LS. RE-AIM evaluation of the Veterans Health Administration’s MOVE! Weight Management Program. Transl Behav Med. 2011;1(4):551–60. doi: 10.1007/s13142-011-0077-4. - DOI - PMC - PubMed
1. MOVE! Weight Management Program. http://www.move.va.gov/. Accessed July 13, 2016.
1. Littman AJ, Damschroder LJ, Verchinina L, et al. National evaluation of obesity screening and treatment among veterans with and without mental health disorders. Gen Hosp Psychiatry. 2015;37(1):7–13. doi: 10.1016/j.genhosppsych.2014.11.005. - DOI - PubMed
1. Moyer VA, Force USPST Screening for and management of obesity in adults: US Preventive Services Task Force recommendation statement. Ann Intern Med. 2012;157(5):373–8. - PubMed

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[1] Flegal KM, Kruszon-Moran D, Carroll MD, Fryar CD, Ogden CL. Trends in obesity among adults in the United States, 2005-2014. JAMA. 2016;315(21):2284–91. doi: 10.1001/jama.2016.6458. - DOI - PMC - PubMed

[2] Flegal KM, Kruszon-Moran D, Carroll MD, Fryar CD, Ogden CL. Trends in obesity among adults in the United States, 2005-2014. JAMA. 2016;315(21):2284–91. doi: 10.1001/jama.2016.6458. - DOI - PMC - PubMed

[3] Kahwati LC, Lance TX, Jones KR, Kinsinger LS. RE-AIM evaluation of the Veterans Health Administration’s MOVE! Weight Management Program. Transl Behav Med. 2011;1(4):551–60. doi: 10.1007/s13142-011-0077-4. - DOI - PMC - PubMed

[4] Kahwati LC, Lance TX, Jones KR, Kinsinger LS. RE-AIM evaluation of the Veterans Health Administration’s MOVE! Weight Management Program. Transl Behav Med. 2011;1(4):551–60. doi: 10.1007/s13142-011-0077-4. - DOI - PMC - PubMed

[5] MOVE! Weight Management Program. http://www.move.va.gov/. Accessed July 13, 2016.

[6] MOVE! Weight Management Program. http://www.move.va.gov/. Accessed July 13, 2016.

[7] Littman AJ, Damschroder LJ, Verchinina L, et al. National evaluation of obesity screening and treatment among veterans with and without mental health disorders. Gen Hosp Psychiatry. 2015;37(1):7–13. doi: 10.1016/j.genhosppsych.2014.11.005. - DOI - PubMed

[8] Littman AJ, Damschroder LJ, Verchinina L, et al. National evaluation of obesity screening and treatment among veterans with and without mental health disorders. Gen Hosp Psychiatry. 2015;37(1):7–13. doi: 10.1016/j.genhosppsych.2014.11.005. - DOI - PubMed

[9] Moyer VA, Force USPST Screening for and management of obesity in adults: US Preventive Services Task Force recommendation statement. Ann Intern Med. 2012;157(5):373–8. - PubMed

[10] Moyer VA, Force USPST Screening for and management of obesity in adults: US Preventive Services Task Force recommendation statement. Ann Intern Med. 2012;157(5):373–8. - PubMed

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State of the art conference on weight management in VA: Policy and research recommendations for advancing behavioral interventions

Affiliations

State of the art conference on weight management in VA: Policy and research recommendations for advancing behavioral interventions

Authors

Affiliations

Abstract

Conflict of interest statement

Conflict of Interest

Funding

Disclaimer

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Cited by

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical