Veterans with post-traumatic stress disorder (PTSD), prevalent in Veterans, experience high rates of obesity and related conditions due to unique activity and healthy diet barriers; and reduced effectiveness of VA's MOVE! program. This CDA studies MOVE!+UP, a program designed to address these issues. MOVE!+UP is co-led by a psychologist and peer support counselor in 16 in-person group sessions that include 90 minutes of general weight loss support, coupled with Cognitive Behavior Therapy skills to address PTSD barriers. Each session includes a 35-minute community-based walk to address activity barriers. In addition to potential health behavior and weight loss benefits, MOVE!+UP is expected to address PTSD symptoms.
1) Test acceptability and feasibility of MOVE!+UP, and change from baseline on outcomes and mediators, in an uncontrolled pilot trial among overweight Veterans with PTSD.
2) Conduct interviews with VA providers and stakeholders to assess MOVE!+UP's feasibility.
3) Compare MOVE!+UP to MOVE! among overweight Veterans with PTSD in a Hybrid Type 1 trial to test its effectiveness and identify implementation barriers and facilitators.
This CDA involves two studies that will assess MOVE!+UP's acceptability and feasibility, informing its refinement and future implementation: 1) an uncontrolled pilot trial with 44 overweight Veterans with PTSD; and 2) qualitative interviews with VA Puget Sound staff regarding MOVE!+UP. The refined MOVE!+UP intervention will be tested in a two-site Hybrid Type 1 effectiveness trial to 1) determine whether MOVE!+UP leads to better weight loss than usual care MOVE! among 154 overweight Veterans with PTSD, 2) assess MOVE!+UP's impact on secondary outcomes such as PTSD symptoms and quality of life; and 3) identify implementation barriers, facilitators, and strategies.
Not yet available.
This CDA seeks to address the health, mental health, and quality of life of Veterans with PTSD, thereby addressing several top VA priorities. Preliminary findings suggest MOVE!+UP is positioned to impact a substantial Veteran subgroup, important given high prevalence of PTSD among Veterans, and substantial burden of overweight/obesity and related conditions among Veterans with PTSD.
External Links for this Project
Grant Number: IK2HX001160-01A3
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- Goodrich DE, Klingaman EA, Verchinina L, Goldberg RW, Littman AJ, Janney CA, Kim HM, Maguen S, Hoerster KD, Owen RR, Holleman RG, Roman P, Lai Z, Bowersox NW. Sex Differences in Weight Loss among Veterans with Serious Mental Illness: Observational Study of a National Weight Management Program. Women's health issues : official publication of the Jacobs Institute of Women's Health. 2016 Jul 1; 26(4):410-9. [view]
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- Janney CA, Kilbourne AM, Germain A, Lai Z, Hoerster KD, Goodrich DE, Klingaman EA, Verchinina L, Richardson CR. The Influence of Sleep Disordered Breathing on Weight Loss in a National Weight Management Program. Sleep. 2016 Jan 1; 39(1):59-65. [view]
- Painter JM, Gray K, McGinn MM, Mostoufi S, Hoerster KD. The relationships of posttraumatic stress disorder and depression symptoms with health-related quality of life and the role of social support among Veterans. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. 2016 Oct 1; 25(10):2657-2667. [view]
- Washington DL, Gray K, Hoerster KD, Katon JG, Cochrane BB, LaMonte MJ, Weitlauf JC, Groessl E, Bastian L, Vitolins MZ, Tinker L. Trajectories in Physical Activity and Sedentary Time Among Women Veterans in the Women's Health Initiative. The Gerontologist. 2016 Feb 1; 56 Suppl 1:S27-39. [view]
- Blais RK, Hoerster KD, Malte C, Hunt S, Jakupcak M. Unique PTSD clusters predict intention to seek mental health care and subsequent utilization in US veterans with PTSD symptoms. Journal of traumatic stress. 2014 Apr 1; 27(2):168-74. [view]
- Klingaman EA, Hoerster KD, Aakre JM, Viverito KM, Medoff DR, Goldberg RW. Veterans with PTSD report more weight loss barriers than Veterans with no mental health disorders. General hospital psychiatry. 2016 Mar 1; 39:1-7. [view]
- Hoerster KD, Lai Z, Goodrich DE, Damschroder LJ, Littman AJ, Klingaman EA, Nelson KM, Kilbourne AM. Weight loss after participation in a national VA weight management program among veterans with or without PTSD. Psychiatric services (Washington, D.C.). 2014 Nov 1; 65(11):1385-8. [view]
- Hoerster KD, Gray K, Raffa SD. Weight Management and Healthy Lifestyles. JAMA internal medicine. 2020 Oct 1; 180(10):1403-1404. [view]
- Mc Andrew L, Breland J, Hoerster K, Earnest D, Runnels T, Litke D. Listening to Patient and Clinician Voices in Order to be Heard: Reverse Translation in Action. [Abstract]. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine. 2019 Mar 1; 53:S460. [view]
- Hoerster KD, Hall K, Shirazipour C, Rosenbaum S, de Groot M. Two Birds One Stone: Improving Mental and Physical Health Simultaneously through Health Behavior Interventions. [Abstract]. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine. 2019 Mar 1; 53:S422. [view]
- Hoerster KD. An Examination of Relationship Satisfaction and PTSD among Veterans and Romantic Partners Enrolled in the Post-9/11 Caregiver Program. Paper presented at: International Society for Traumatic Stress Studies Annual Symposium; 2015 Nov 6; New Orleans, LA. [view]
- Hoerster KD. Modeling the direct and indirect effects of PTSD on cardio-metabolic health among Veterans. Recognized by the Aging, Trauma, and the Lifecourse Special Interest Group. Poster session presented at: International Society for Traumatic Stress Studies Annual Symposium; 2015 Nov 5; New Orleans, LA. [view]
Mental, Cognitive and Behavioral Disorders, Diabetes and Other Endocrine Disorders
Technology Development and Assessment, Treatment - Efficacy/Effectiveness Clinical Trial