HOME | LOG IN | SIGN UP

Open Access Open Access  Restricted Access Subscription Access

Improving Weight Management Services for Female Veterans: Design and Participation Factors for a Women Only Program, and Comparisons with Gender Neutral Services

Lindsey Bloor

Abstract


Introduction: With the sustained growth of women using Veterans Affairs (VA) healthcare, health promotion and disease prevention programs need to address women’s unique bio-psychosocial concerns, encourage their engagement, and optimize program outcomes. This paper describes the development and evaluation of Women’s MOVE!, a gender-modified weight management program at one VA medical center. Factors associated with female Veteran participation in the program are reported, as well as comparisons of participation rates and weight change between these women and women participating in the regular, gender-neutral MOVE! program.

 

Methods: The MOVE! class content was gender-modified and fifteen female Veterans participated in an 8-session program. Within this group, Student’s t-tests were used to compare women who completed four or more sessions to those who participated less.  The overall rate of participation of this group was compared to those of 14 women participating in the regular MOVE! program, as well as changes in weight.

 

Results:  Among Women’s MOVE! participants, seven (47%) engaged in four or more sessions, while 8 (53%) participated less. Women who participated more fully had higher scores on the Weight Management Ability Scale (p = .00) and the SF-36 mental health subscale (marginally significant, p =.07) at baseline, compared to those who participated less. Between groups comparisons revealed a higher rate of participation among women enrolled in regular MOVE! (p=.007) compared to those in the Women’s MOVE!, and no difference in weight change.

 

Conclusions:  Results revealed variable participation in a women-only weight management program, and lower participation rates compared to that of regular programming. Future research can formally assess factors that support as well as those that hinder female Veteran participation in weight management and other health promotion, disease prevention programs, in order to inform more optimal program development and engagement efforts.

 

Key Words:  Veteran, women, overweight, obesity, prevention, health promotion


Keywords


Veteran, women, overweight, obesity, prevention, health promotion

Full Text:

References


Anderson RM, Fitzgerald JT, Gruppen LD, Funnell MM, Oh MS. The diabetes empowerment scale-short form (DES-SF). Diabetes Care 2003;26:1641–2.

Anton SD, Martin CK, Redman L, York-Crowe E, Heilbronn LK, Han H, et al. Psychosocial and behavioral pre-treatment predictors of weight loss outcomes. Eating and Weight Disorders 2008;13:30–7.

Bernier M, Avard J. Self-efficacy, outcome, and attrition in a weight-reduction program. Cog Therapy Res 1986;10(3):319-338.

Cash TF, Roy RE. Pounds of flesh: Weight, gender, and body images. In: Sobal J, Maurer D, editors. Interpreting Weight: The Social Management of Fatness and Thinness. Hawthorne (NY): Aldine de Gruyter; 1999.p.209-28.

Chao D, Farmer DF, Sevick MA, Espeland MA, Vitolins M, Naughton MJ. The value of session attendance in a weight-loss intervention. Am J Health Behav 2000;24(6):413-421.

Das SR, Kinsinger LS, Yancy Jr WS, Wang A, Ciesco E, Burdick M, et al. Obesity prevalence among veterans at Veterans Affairs medical facilities. Am J Prev Med 2005;28(3):291-4.

Doll HA, Petersen PEK, Stewart-Brown SL. Obesity and physical and emotional well-being: associations between body mass index, chronic illness, and the physical and mental components of the SF-36 questionnaire. Obes Res 2000;8(2):160-170.

Fabricatore AN, Wadden TA, Moore RH, Butryn ML, Heymsfield SB, Martin Nguyen A. Predictors of attrition and weight loss success: results for a randomized controlled trail. Behav Res and Ther 2009;27:685-691.

Fontaine KR, Cheskin LJ. Self-efficacy, attendance, and weight loss in obesity treatment. Addict Behav 1997;22(4):567-570.

Eckel RH, Krauss RM. American Heart Association call to action: obesity as a major risk factor for coronary heart disease. Circulation 1998;97(21):2099-100.

Garner DM, Garfinkel PE, Schwartz D, Thompson M. Cultural expectations of thinness in women. Psychol Rep 1980;47(2):483-491.

Grossi E, Dalle Grave R, Mannucci E, Molainari E, Compare A, Cuzzolaro M, et al. Complexity of attrition in the treatment of obesity: clues from a structures telephone interview. Int J Obesity 2006;30(7):1132-7.

Kinsinger LS, Jones KR, Kahwati L, Harvey R, Burdick M, Zele V, et al. Design and dissemination of the MOVE! Weight-Management Program for Veterans. Prev Chronic Dis 2009;6(3):A98. http://www.cdc.gov/pcd/issues/2009/jul/08_0150.htm. Accessed May 1, 2014.

Lemon SC, Rosal MC, Zapka J, Borg A, Andersen V. Contributions of weight perceptions to weight loss attempts: differences by body mass index and gender. Body Image 2009;6:90-6.

Linde JA, Jeffery RW, Levy RL, Sherwood NE, Utter J, Pronk NP, et al. Binge eating disorder, weight control self-efficacy, and depression in overweight men and women. Int J Obesity 2004;28:418-425.

Linde JA, Rothman AJ, Baldwin AS, Jeffery RW. The impact of self-efficacy on behavior change and weight change among overweight participants in a weight loss trial. Health Psychol 2006; 25(3):282-291.

Littman AJ, Boyko EJ, McDonell MB, Fihn SD. Evaluation of a weight management program for veterans. Prev Chronic Dis 2012;9:110267. http://dx.doi.org/10.5888/pcd9.110267. Accessed March 22, 2014.

Miller WR, Rose GS. Toward a theory of motivational interviewing. Am Psychol 2009; 64(6):527.

National Institutes of Health. Clinical guidelines of the identification, evaluation, and treatment of overweight and obesity in adults. Report of a National Heart, Lung, and Blood Institute Committee. NIH Publication; 1998. No.98-4083.

Nelson KM. The burden of obesity among a national probability sample of veterans. J Gen Intern Med 2006;21(9):915-9.

Resnicow K, Soler R, Braithwaite RL, Ahluwalia JS, Butler J. Cultural sensitivity in substance use prevention. J Community Psychol 2000;28(3):271-290.

Romanova M, Liang L, Deng ML, Li Z, Heber D. Effectiveness of the MOVE! multidisciplinary weight loss program for veterans in Los Angeles. Prev Chronic Dis 2013;10:120325. http://dx.doi.org/ 10.5888/pcd10.120325. Accessed March 22, 2014.

Rothblum ED. The stigma of women’s weight: social and economic realities. Fem Psychol 1992;2(1):61-73.

Runnals JJ, Garovoy N, McCutcheon SJ, Robbins AT, Mann-Wrobel MC, Elliott A. Systematic Review of Women Veterans’ Mental Health. Women’s Health Issues 2014; 24-5:485-502.

Teixeira PJ, Going SB, Houtkooper LB, Cussler EC, Martin CJ, Metcalfe LL, et al. Weight loss readiness in middle-aged women: psychosocial predictors of success for behavioral weight reduction. J Behav Med 2002;25(6):499-523.

Teixeira PJ, Palmeira AL, Branco TL, Martins SS, Minderico CS Barata JT, et al. Who will lose weight? A reexamination of predictors of weight loss in women. Int J Behav Nutr Phys Act 2004; 1:12 10.1186/1479-5868-1-12.

Ware Jr JE. SF-36 health survey. In: Maruish ME, editor. The use of psychological testing for treatment planning and outcomes assessment. 2nd edition. Mahwah (NJ): Lawrence Erlbaum Associates Publishers; 2007.p.1227-46.

Washington DL, Kleimann S, Michelini AN, Kleimann KM, Canning M. Women veterans’ perceptions and decision-making about Veterans Affairs health care. Mil Med 2007;172(8):812-

Washington DL, Yano EM, Simon B, Sun S. To use or not to use. J Gen Intern Med 2006; 21(S3):S11-8.

Weiner BJ, Haynes-Maslow L, Kahwati LC, Kinsinger LS, Campbell MK. Implementing the MOVE! Weight-Management Program in the Veterans Health Administration, 2007-2010: a qualitative study. Prev Chronic Dis 2012;9:110127. http://dx.doi.org/10.5888/pcd9.110127. Accessed March 22, 2014.

Yano EM, Hayes P, Wright S, Schnurr PP, Lipson L, Bean-Mayberry B, et al. Integration of women veterans into VA quality improvement research efforts: what researchers need to know. J of Gen Intern Med 2010;25(S1):56-61.




DOI: http://dx.doi.org/10.18103/mra.v0i2.63

Refbacks

  • There are currently no refbacks.