The Effectiveness of Telemedicine for Weight Management in the MOVE! Program

Authors

  • April D. Ahrendt MS,

    Corresponding author
    1. Department of Clinical Nutrition, Sioux Falls VA Health Care System, Sioux Falls, South Dakota
    • For further information, contact: April Ahrendt, MS, RD, LN, Department of Clinical Nutrition, Sioux Falls VA Health Care System, 2501 W. 22nd Street; Sioux Falls, SD 57105; e-mail: April.Ahrendt@va.gov.

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  • Kendra K. Kattelmann PhD,

    1. Department of Nutritional Sciences, South Dakota State University, Brookings, South Dakota
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  • Thomas S. Rector PhD,

    1. Center for Chronic Disease Outcomes Research, Minneapolis VA Medical Center, Minneapolis, Minnesota
    2. Department of Medicine, University of Minnesota, Minneapolis, Minnesota
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  • David A. Maddox PhD

    1. Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota
    2. Basic Research, Avera Research Institute, Sioux Falls, South Dakota
    3. Research and Development, Sioux Falls VA Health Care System, Sioux Falls, South Dakota
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  • Disclosures: April D. Ahrendt and David A. Maddox are employed by the SFVA HCS; Thomas S. Rector is employed by the Minneapolis VA Health Care System. A subcommittee of the SFVA HCS Research & Development Committee reviewed and approved this manuscript prior to submission. There is no funding to disclose. The contents of this manuscript do not represent the views of the Department of Veterans Affairs or the United States government.

  • Acknowledgments: This material is the result of work supported with resources and use of the facilities of the Sioux Falls VA Health Care System (SFVA HCS), Sioux Falls, South Dakota, and the Minneapolis VA Health Care System. The authors gratefully acknowledge Brian Scott Harvill, MHA (Administrative Officer/Research and Development) for his assistance in creating the filter to extract data from CPRS for matching of subjects in the control group to the MOVE! subjects.

Abstract

Purpose

To examine the effectiveness of videoconferencing technology for delivering comprehensive weight management treatment.

Methods

This retrospective cohort study was conducted by extraction of data from medical records for the years 2008-2010. The treatment included a series of 12 weekly MOVE!® classes delivered using videoconferencing. Data were extracted from the time of baseline weight to 1 year after baseline weight for the MOVE! participants (n = 60) and from a concurrent control group (n = 60) that did not participate in MOVE! treatment.

Findings

Results indicated that the MOVE! group lost weight while the control group gained weight, resulting in a mean difference between the groups of −5.5 ± 2.7 kg (95% CI = −8.0 to −3.0; P < .0001).

Conclusions

These results indicate that videoconferencing is an effective method to provide the MOVE! Weight Management Program to veterans. Weight loss was maintained for one year after baseline in the MOVE! group. This is very promising as weight re-gain is a common issue and these results support using videoconferencing for a long-term weight management treatment option.

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