Table 2

Characteristics of VA Study Facilities

Implementation Effectiveness & Rationale

Number of MOVE! Participants/1000 Candidate Veterans FY2007

Number and Type of MOVE! Visits FY2007

Active MOVE! Treatment Components


Low Implementation

Despite top-quartile reported level of participation, Veterans receive only an initial assessment, then are referred to a community-based program with no follow-up. Rate of participation dropped significantly to 12.3 in FY2008.

26.7

(Top Quartile)

Individual: 259

Phone: 0

Group: 3

• Initial assessment; no self-management support


Low Implementation

Initial assessment and group visits are present but participation continues to be among the lowest because of challenging organizational constraints. Participation remained low; 3.4 in FY2008.

3.8

(Bottom Quartile)

Individual: 0

Phone: 73

Group: 372

• Initial assessment; no individual phone-based self-management support

• 10-week series of weekly group classes

• "Reunion" group at end of each series


Transition

After a first failed attempt, efforts were well underway by the time of our interviews. Participation rates increased to 7.1/1000 candidate Veterans in FY 2008.

0.4

(Bottom Quartile)

Individual: 0

Phone: 0

Group: 1

• Initial assessment; no self-management support

• 6-week series of weekly group classes

• Ad hoc post-completion support


High Implementation

Top quartile in participation FY 2007. High use of initial assessments and group visits with ad hoc phone support. Participation remained high; 19.4 in FY2008.

19.2

(Top Quartile)

Individual: 984

Phone: 574

Group: 1773

• Initial assessment; limited self-management support

• 10-week series of weekly group classes

• Ad hoc post-completion support


High Implementation

Top quartile in participation in FY 2007. The most comprehensive implementation of MOVE! among the study facilities. Program participation remained high; 37.7 in FY2008.

27.6

(Top Quartile)

Individual: 212

Phone: 349

Group: 2311

• Initial assessment; limited self-management support

• 6-week series of weekly group classes

• Therapy using pharmacological agents

• Intensive outpatient lifestyle counseling program

• Bariatric surgery


Damschroder et al. BMC Health Services Research 2011 11:248   doi:10.1186/1472-6963-11-248

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