Talk to the Veterans Crisis Line now
U.S. flag
An official website of the United States government

VA Health Systems Research

Go to the VA ORD website
Go to the QUERI website

CDA 15-257 – HSR Study

 
CDA 15-257
Patient-centered Strategies to Engage Veterans in Behavioral Health Services
Jessica Yelena Breland, PhD MS BA
VA Palo Alto Health Care System, Palo Alto, CA
Palo Alto, CA
Funding Period: October 2016 - December 2022
BACKGROUND/RATIONALE:
Almost 80% of Veterans using the Veterans Health Administration (VHA) are overweight or obese, putting millions at risk for costly and debilitating chronic conditions. Weight loss treatments improve health, but there is an implementation gap: VHA offers weight loss treatments to 94% of overweight/obese Veterans, but only 10% use them. Therefore, improving weight loss treatment engagement could prolong millions of lives. Motivational interviewing can improve treatment engagement (i.e., help patients initiate/maintain treatments), but clinicians have limited time to use it. As a result, there is a need for a motivational, self-help tool that can increase Veterans' weight loss treatment engagement without requiring clinicians' time.

OBJECTIVE(S):
Aim 1: Identify patient and organizational predictors of weight loss treatment engagement.
Aim 2: Develop a motivational, self-help tool to increase weight loss treatment engagement.
Aim 3: Pilot-test a motivational, self-help tool to engage Veterans in weight loss treatments.

METHODS:
Aim 1 used interviews with clinicians and national leaders to identify VHA behavioral weight loss treatments, including, but not limited to MOVE! (VHA's primary weight loss treatment). Next, gender stratified administrative database analyses will be used to identify patient and organizational predictors of Veterans' engagement in those treatments. Aim 2 uses Aim 1 results and interviews with VHA clinicians and patients to develop a motivational, self-help tool to increase women and men Veterans' weight loss treatment engagement. Aim 3 will be a pilot test of the tool to assess the feasibility of methods for a subsequent randomized trial of the tool's effects on weight loss treatment engagement.

FINDINGS/RESULTS:
Not yet available.

IMPACT:
The proposed research will help identify Veteran populations most in need of improved weight loss treatment engagement and inform efforts to implement VHA weight management programs. Findings may ultimately lead to increased engagement in effective weight loss treatments that will improve the health of Veterans through weight loss, improved physical health, and improved quality of life. Results may also facilitate understanding of and improvements in engagement and outcomes related to other behavioral health treatments.


External Links for this Project

NIH Reporter

Grant Number: IK2HX002125-01A1
Link: https://reporter.nih.gov/project-details/9193594

Dimensions for VA

Dimensions for VA is a web-based tool available to VA staff that enables detailed searches of published research and research projects.

Learn more about Dimensions for VA.

VA staff not currently on the VA network can access Dimensions by registering for an account using their VA email address.
    Search Dimensions for this project

PUBLICATIONS:

None at this time.


DRA: Cardiovascular Disease, Diabetes and Other Endocrine Conditions, Other Conditions
DRE: Prevention, TRL - Development, Technology Development and Assessment, Treatment - Preclinical
Keywords: none
MeSH Terms: none

Questions about the HSR website? Email the Web Team

Any health information on this website is strictly for informational purposes and is not intended as medical advice. It should not be used to diagnose or treat any condition.