Provider and staff perceptions of veterans' attrition from a national primary care weight management program

Danielle Arigo, Stephanie Hooker, Jennifer Funderburk, Margaret Dundon, Patricia Dubbert, Gina Evans-Hudnall, Sarah Catanese, Jenny O'Donohue, Eva Maria Dickinson, Christine DeMasi, Sheri Downey, Cyrus DeSouza

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

OBJECTIVES: This study examined provider and staff perceptions of attrition from the Veterans Health Administration MOVE!(®) Weight Management Program as an initial step toward understanding attrition from primary care-based programs.

PARTICIPANTS: MOVE!(®) clinicians, primary care providers, and other staff members who interacted with patients about participating in MOVE!(®) (n=754) from Department of Veterans Affairs medical centers throughout the United States. Respondents were predominantly female (80.8%), Caucasian (79.2%), and trained as nurses (L.P.N., R.N., or N.P.; 50%).

RESULTS: Respondents indicated that veterans experienced practical barriers to attendance (eg, transportation and scheduling difficulties) and desire for additions to the program (eg, a live exercise component). Low motivation was the primary factor identified by respondents as associated with dropout, particularly as noted by MOVE!(®) clinicians (versus other providers/staff; P<0.01).

CONCLUSIONS: These findings suggest that programmatic changes, such as adding additional meeting times or in-session exercise time, may be of benefit to MOVE!(®). In addition, increasing the use of techniques such as Motivational Interviewing among providers who refer patients to MOVE!(®) may improve participant engagement in MOVE!(®) and other primary care-based weight management programs. Further research is needed to effectively identify those likely to withdraw from weight management programs before achieving their goals, and the reasons for withdrawal.

BACKGROUND: Overweight and obesity are growing problems for primary care. Although effective weight management programs exist, these programs experience significant attrition, which limits effectiveness.

MEASURE: Participants completed a web-mediated survey; items assessed agreement with personal and programmatic reasons for dropout, and allowed respondents to indicate the number one reason for dropout in an open-ended format. This survey was adapted from an existing tool designed to capture patient perceptions.

Original languageEnglish (US)
Pages (from-to)147-156
Number of pages10
JournalPrimary health care research & development
Volume16
Issue number2
DOIs
StatePublished - Apr 1 2015

Keywords

  • weight management

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Care Planning

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    Arigo, D., Hooker, S., Funderburk, J., Dundon, M., Dubbert, P., Evans-Hudnall, G., Catanese, S., O'Donohue, J., Dickinson, E. M., DeMasi, C., Downey, S., & DeSouza, C. (2015). Provider and staff perceptions of veterans' attrition from a national primary care weight management program. Primary health care research & development, 16(2), 147-156. https://doi.org/10.1017/S1463423614000139