Batch Bryan C, Brown Candace S, Goldstein Karen M, Danus Susanne, Sperber Nina R, Bosworth Hayden B
Division of Endocrinology, Department of Medicine, Durham VA Medical Center, Durham, North Carolina.
Division of Endocrinology, Metabolism and Nutrition, Duke University, Durham, North Carolina.
Womens Health Rep (New Rochelle). 2020 Mar 4;1(1):65-72. doi: 10.1089/whr.2019.0009. eCollection 2020.
Obesity prevalence is higher in women veterans overall than their civilian counterparts considering 44% of women veterans are obese. Thus, there is a critical need to understand the facilitators and barriers to women veterans' participation in weight management programs. The objective of this study is to explore facilitators and barriers to weight loss for women veterans enrolled in the Veterans Health Administration Motivating Overweight/Obese Veterans Everywhere (VA MOVE!) weight management program and gather feedback on the design and delivery of the MOVE!
Primary qualitative data were collected from women veterans who completed at least one MOVE! visit semistructured telephone interviews. Two authors independently reviewed transcripts for data-derived codes. A content analysis approach was used within the software to code the transcripts. The mean age of participants was 52 years. Sixty-eight percent ( = 17/25) were black, and 52% ( = 13/25) lived >64 kilometers from the location of the MOVE!
Facilitators to participation included both intrinsic (, drive to become healthy) and extrinsic (, drive to improve laboratories) motivating factors. Women expressed difficulty with learning in a group setting and applying lessons to their everyday lives. Others reported the setup of group classes triggered their post-traumatic stress disorder and prevented them from fully participating in the program. Additional barriers included distance traveled to group sessions and lack of access to exercise space. Our results illuminate barriers and facilitators to engagement in the MOVE!
Many of the barriers highlighted by these women veterans mirror barriers civilian women face, highlighting the possibility that our results could be applied to other programs designed to target weight loss in women.
总体而言，女性退伍军人的肥胖患病率高于她们的平民同龄人，因为44%的女性退伍军人肥胖。因此，迫切需要了解女性退伍军人参与体重管理项目的促进因素和障碍。本研究的目的是探讨参加退伍军人健康管理局“激励各地超重/肥胖退伍军人”（VA MOVE！）体重管理项目的女性退伍军人减肥的促进因素和障碍，并收集对MOVE！项目设计和实施的反馈。
主要定性数据收集自至少完成一次MOVE！项目访视的女性退伍军人，采用半结构化电话访谈。两位作者独立审查访谈记录以获取数据衍生代码。在软件中使用内容分析方法对访谈记录进行编码。参与者的平均年龄为52岁。68%（n = 17/25）为黑人，52%（n = 13/25）居住在距离MOVE！项目地点超过64公里的地方。
参与的促进因素包括内在（如渴望变得健康）和外在（如渴望改善检查结果）激励因素。女性表示在小组环境中学习以及将所学应用到日常生活中有困难。其他人报告说小组课程的设置引发了她们的创伤后应激障碍，使她们无法充分参与该项目。其他障碍包括前往小组课程地点的距离以及缺乏锻炼空间。我们的结果揭示了参与MOVE！项目的障碍和促进因素。
这些女性退伍军人强调的许多障碍与平民女性面临的障碍相似，这表明我们的结果有可能应用于其他旨在帮助女性减肥的项目。
