A systematic exploration of differences in contextual factors related to implementing the MOVE! weight management...

Area of Science:

• Health Services Research
• Implementation Science
• Obesity Management

Background:

• The Veterans Affairs (VA) launched the MOVE!® Weight Management Program in 2006 to combat high rates of overweight and obesity among veterans.
• Implementation of the MOVE! program showed significant variability across VA medical centers by its second year.
• This study aimed to identify factors influencing the success or challenges of MOVE! implementation in its second year.

Purpose of the Study:

• To explore contextual factors affecting the implementation of the MOVE! Weight Management Program.
• To understand facilitators and barriers to program effectiveness in VA medical centers.

Main Methods:

• An embedded mixed-methods cross-sectional study design was employed.
• Data collection involved semi-structured interviews with 24 staff members across five diverse VA facilities.
• Quantitative measures adapted from an implementation model were combined with qualitative content analysis.

Main Results:

• Strong management support enhances program visibility, resource allocation, and perceived importance.
• A receptive climate, emphasizing weight management's role in chronic disease reduction, is crucial.
• Effective implementation relies on cohesive, multi-disciplinary teams, with local champions aiding in supportive environments.

Conclusions:

• Local organizational factors significantly impact the implementation of the MOVE! program.
• Recommendations derived from this study can accelerate the dissemination of complex weight management interventions.