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Document Type

Thesis - University Access Only

Award Date

2016

Degree Name

Master of Science (MS)

Department

Health and Nutritional Sciences

First Advisor

Kendra Kattelmann

Abstract

Objective The purpose of this study was to determine the effectiveness of the MOVE! Weight-Management Program delivered via videoconferencing to Veterans in rural areas compared to no treatment.
Design A retrospective cohort study was conducted by chart extraction of data, for the years 2008-201 O. The treatment included a 12-week MOVE! class series delivered using clinical video telehealth. Data was extracted from the time of baseline weight to one year after baseline weight for the MOVE! and control groups. Participants This study compared Veterans who participated in the MOVE! class series via remote location over the use of live videoconferencing (n=60) to a control group of Veterans who received no treatment (n=60).
Main Outcome Measures The main outcome measure for this study was the difference in body weight from baseline to one year after baseline weight between the MOVE! group and the control group after adjusting for baseline covariates.
Statistical analyses The baseline characteristics of the two study groups were described and compared using Fisher's exact tests to compare group proportions and means, standard deviations and two group t-tests for normally distributed continuous measures. Multivariable linear regression was used to test the changes in body weight with adjustment of baseline covariates. Change from baseline to one year after baseline in body mass index, blood pressure, cholesterol, high density lipoprotein, low density lipoprotein, triglycerides, glucose and hemoglobin A1c were also compared via linear regression without adjustment for baseline covariates. Results The majority of subjects were Caucasian males. The mean age for the control group was 62 years old (±11.1) and the mean age for the MOVE! group was 57 years old (±10.1, P= . 0174). The mean baseline BMI (± SD) for the control and treatment group were 38.57 (±7.2), and 38.87 (±7.3) respectively. The mean (±SEM) difference in changes in weight between the groups after adjusting for differences in baseline characteristics was -5. 5 ± 2. 7 kg (95% Cl = - 8. 0 to -3. 0; P < 0.0001). Attrition rate was comparable to other weight management interventions at 23.3%. Conclusions: These results indicate that the use of clinical video telehealth is an effective form of weight management for Veterans in rural areas.

Library of Congress Subject Headings

Veterans -- Health and hygiene -- South Dakota Veterans -- Health and hygiene -- Iowa Weight loss Medical telematics Rural health services

Description

Includes bibliographical references (pages 26-27)

Format

application/pdf

Number of Pages

43

Publisher

South Dakota State University

Rights

In Copyright - Non-Commercial Use Permitted
http://rightsstatements.org/vocab/InC-NC/1.0/

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