Lack of Resources Barrier to Vets' Weight-Management Plan

Organizational readiness, champion needed for MOVE! implementation in VHA study

TUESDAY, Jan. 3 (HealthDay News) -- Successful implementation of the MOVE! weight-management program in Veterans Health Administration medical facilities depends upon organizational readiness and an innovation champion, according to a study published in the January issue of the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

Bryan J. Weiner, Ph.D., of the University of North Carolina at Chapel Hill, and colleagues conducted a qualitative case study. They conducted 68 interviews with medical center program coordinators, physicians formally appointed as program champions, managers directly responsible for overseeing the program, clinicians from the program's multidisciplinary team, and primary care physicians identified by program coordinators as local opinion leaders. Qualitative data analysis included coding, memorandum writing, and construction of data displays.

The researchers found that organizational readiness for change and having an innovation champion were the two factors most regularly coupled for a high likelihood of MOVE! implementation. Management support and resource availability were barriers to implementation, though the barriers did not necessarily prevent facilities from implementing MOVE!

"Policy-directed implementation of clinical weight-management programs in health care facilities is challenging, especially when no new resources are available," the authors write. "Instituting powerful, mutually reinforcing organizational policies and practices may be necessary for consistent, high-quality implementation."

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