Participant Retention in the Veterans Health Administration's MOVE! Weight management program, 2010.
BACKGROUND
Participant retention is a frequent concern in structured weight-management programs. Although research has explored participant characteristics influencing retention, little attention has been given to the influence of program characteristics. The objective of this study was to examine how program characteristics relate to participant retention in the Veterans Health Administration's weight-management program, MOVE!


METHODS
We conducted semistructured interviews with coordinators of 12 MOVE! programs located throughout the United States, 5 with high participant retention rates and 7 with low rates. We transcribed and descriptively coded interviews and compared responses from high- and low-retention programs.


RESULTS
Characteristics related to retention were provider knowledge of and referral to the program, reputation of the program within the medical facility, the MOVE! meeting schedule, inclusion of physical activity in group meetings, and involvement of the MOVE! physician champion. MOVE! introductory sessions, frequency of group meetings, and meeting topics were not related to retention. Coordinators described efforts to improve retention, including participant contracts and team competitions. Coordinators at 5 high-retention facilities and 1 low-retention facility discussed efforts to improve retention.


CONCLUSIONS
Coordinators identified important program characteristics that could guide improvements to retention in group-based weight-management programs. Training for providers is needed to assist with referral decisions, and program planners should consider incorporating physical activity in group meetings.
Center for Management of Complex Chronic Care, Hines VA Hospital, 5000 S 5th Ave-151H, Hines, IL 60141, USA. Sara.Locatelli@va.gov
Sara M
SM
Locatelli
Min-Woong
MW
Sohn
Bonnie
B
Spring
Sattar
S
Hadi
Frances M
FM
Weaver
D001521:Behavior Therapy; D015992:Body Mass Index; D003625:Data Collection / Q000379:methods; D005081:Exercise Therapy; D006126:Group Processes; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D009765:Obesity / Q000628:therapy*; D010043:Outcome and Process Assessment, Health Care / Q000379:methods*; D010358:Patient Participation / Q000379:methods*; D017410:Practice Guidelines as Topic; D015397:Program Evaluation; D012017:Referral and Consultation; D012424:Rural Population; D012932:Social Facilitation; D012944:Social Support; D011795:Surveys and Questionnaires; D014481:United States; D014493:United States Department of Veterans Affairs; D014505:Urban Population