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Hoerster KD, Lai Z, Goodrich DE, Damschroder LJ, Littman AJ, Klingaman EA, Nelson KM, Kilbourne AM. Weight loss after participation in a national VA weight management program among veterans with or without PTSD. Psychiatric services (Washington, D.C.). 2014 Nov 1; 65(11):1385-8.
OBJECTIVE: This evaluation compared the effectiveness of MOVE!, a U.S. Veterans Health Administration (VHA) weight management program, among veterans with posttraumatic stress disorder (PTSD), other mental conditions, or no mental health diagnoses. METHODS: VHA administrative data from 2008 to 2012 were used to estimate adjusted six- and 12-month weight change and = 5% weight loss among 20,819 veterans with "intense and sustained" MOVE! participation (14% of 148,963 MOVE! participants, regardless of mental health status). RESULTS: Compared with veterans with no mental health diagnoses, veterans with PTSD lost significantly less weight at six and 12 months (p < .05) and were less likely to lose = 5% body weight at six months (OR = .89, p < .05). At six months, those with other mental conditions lost significantly less weight than those with no mental health diagnoses (p < .05). CONCLUSIONS: MOVE! may need adaptation to increase overall engagement and enhance weight loss for veterans with mental conditions, especially PTSD.