Abstract P160: Weight Management Program Characteristics: Keeping Patients Engaged Through Group Activities
Introduction: Weight management programs must be effective at engaging patients in order to be successful. However, few studies have examined program characteristics associated with better patient engagement.
Hypothesis: The objective of this study was to assess patient engagement on a facility-level in the nation’s largest population-based weight management program (MOVE!).
Methods: Facility-level data were collected from the Veterans Health Administration (VHA) Support Services Center. Patient engagement was measured as the average number of MOVE! visits per patient per year (VPY). Bivariate statistics were examined and multivariate-adjusted generalized linear models were used to examine factors associated with VPY.
Results: We identified 140 VHA hospitals enrolled in MOVE! between 2008-2013 representing a nationwide sample of 462,132 patients with over 3 million visits. The 140 hospitals were distributed across the nation and represented a population that was 15% female, 72% white, and 34% rural. In 2008, 96% of MOVE! programs offered group counseling, 53% offered weight loss medications, and 26% offered bariatric surgery. The average facility VPY was 5.3 (SD 2.9) and increased from 4.9 (SD 3.9) in 2008 to 6.3 (SD 2.8) in 2013 (p<.01). Factors associated with higher facility VPY were more administrative staff support (p<.01), group counseling (5.3 vs. 3.3, p=0.01), and higher proportions of group counseling sessions among all MOVE! visits at a facility (p<.01). In adjusted analyses, facilities offering group counseling reported 1.8 more VPY than facilities without group counseling (p=0.01, Figure). Offering weight loss medications (p=0.76) and bariatric surgery (p=0.57) had no effect on engagement.
Conclusions: Our study demonstrates that weight loss programs offering group counseling may be more effective at engaging patients in the intervention. These findings identify potential areas for improving utilization of weight management programs.
Author Disclosures: L.A. Graham: None. J. Richman: None. E.B. Levitan: None.
- © 2017 by American Heart Association, Inc.