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 |