{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T19:47:09Z","timestamp":1782416829085,"version":"3.54.5"},"reference-count":22,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T00:00:00Z","timestamp":1698278400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Most of the Veterans Administration (VA) population is either overweight or obese, which is a serious health concern. Medical weight management visits have traditionally occurred through in-person clinics. However, the COVID-19 pandemic forced care delivery to virtual platforms.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">\n                        We compared weight loss with in-person versus telephone-based medical weight management (lifestyle counseling coupled with pharmacotherapy) delivered by physician and nurse practitioner visits during the pandemic. We designed a program evaluation utilizing a naturalistic (pragmatic) observational study structure, including both newly enrolled and previously established participants in the Minneapolis VA MOVE! program between 2017 and 2021. A \u201ctransition\u201d cohort (n\u2009=\u200974) received in-person care from March 2019 to March 2020, and then transitioned to virtual care. A \u201cnew start\u201d virtual care cohort (\n                        <jats:italic toggle=\"yes\">n<\/jats:italic>\n                        \u2009=\u2009149) enrolled after March 2020 was compared to a separate historical group (n\u2009=\u2009180) that received in-person care between January 2017 and December 2019. Weight loss was accessed over a 9-month period in both cohorts.\n                      <\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Mean weight loss over 9 months was \u22126.5\u2009\u00b1\u200918.2 and \u22122.5\u2009\u00b1\u200913.3 lbs in the in-person and virtual phases of the transition cohort, respectively, without significant difference between the two phases (p\u2009=\u20090.22). Mean weight loss over 9 months in the new start (virtual) cohort was \u221214.4\u2009\u00b1\u200917.0 lbs compared to \u221216.7\u2009\u00b1\u200921.0 lbs in the historical cohort, without significant difference between groups (p\u2009=\u20090.44).<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">In our naturalistic study in a single-site VA clinic setting, weight loss with telephone-based medical weight management during the pandemic was comparable to in-person care. These findings are important for veterans living in rural and\/or underserved areas.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2023.0049","type":"journal-article","created":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T14:18:41Z","timestamp":1698329921000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Telephone Virtual Versus In-Person Pharmacotherapy-Based Obesity Care: A COVID-19-Related Experience at a Veterans Administration Facility"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0584-4638","authenticated-orcid":false,"given":"Jasleen","family":"Kaur","sequence":"first","affiliation":[{"name":"Division of Endocrinology and Diabetes, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yee L.","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Diabetes, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ethan","family":"Stortz","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guru","family":"Palani","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Diabetes, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baila","family":"Elkin","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Gravely","sequence":"additional","affiliation":[{"name":"Research Service, Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders","family":"Westanmo","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles J.","family":"Billington","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Diabetes, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA."},{"name":"Department of Medicine, Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nacide","family":"Ercan-Fang","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Diabetes, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA."},{"name":"Department of Medicine, Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalamar D.","family":"Sibley","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Diabetes, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA."},{"name":"Department of Medicine, Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,26]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"Stierman B Afful J Carroll MD et al. National Health and Nutrition Examination Survey 2017\u2013March 2020 Prepandemic Data Files: Development of Files and Prevalence Estimates for Selected Health Outcomes. 2021. Available from: www.cdc.gov\/nchs\/data\/nhsr\/nhsr158-508.pdf [Last accessed: October19 2023]."},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc15-1081"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-016-3962-1"},{"key":"e_1_3_5_5_2","first-page":"A98","article-title":"Design and dissemination of the MOVE! Weight-management program for veterans","volume":"6","author":"Kinsinger LS","year":"2009","unstructured":"Kinsinger LS, , Jones KR, , Kahwati L, et al. Design and dissemination of the MOVE! Weight-management program for veterans. Prev Chronic Dis, 2009; 6:A98.","journal-title":"Prev Chronic Dis"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2018.01.029"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.5888\/pcd19.210303"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.orcp.2016.11.005"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2022.102392"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-018-0802-7"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2022.793290"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/20420188221093220"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-021-01044-5"},{"key":"e_1_3_5_14_2","unstructured":"CDC. More Obesity in U.S. Rural Counties than in Urban Counties. 2018. Available from: https:\/\/archive.cdc.gov\/#\/details?url=https:\/\/www.cdc.gov\/media\/releases\/2018\/s0614-obesity-rates.html [Last accessed: October19 2023]."},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41586-019-1171-x"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2010.08.006"},{"key":"e_1_3_5_17_2","unstructured":"Totten AM Womack DM Eden KB et al. Telehealth: Mapping the evidence for patient outcomes from systematic reviews AHRQ comparative effectiveness technical briefs. Agency for Healthcare Research and Quality (US): Rockville MD. 2016. Report No.: 16-EHC034-EF."},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1089\/153056203772744680"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23180"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13148"},{"key":"e_1_3_5_21_2","unstructured":"Ratcliffe M Burd C Holder K et al. Defining Rural at the U.S. Census Bureau. 2016. Available from: www.census.gov\/content\/dam\/Census\/library\/publications\/2016\/acs\/acsgeo-1.pdf [Last accessed: October19 2023]."},{"key":"e_1_3_5_22_2","unstructured":"Wyatt Koma W Cubanski J Neuman T. Medicare and Telehealth: Coverage and Use During the COVID-19 Pandemic and Options for the Future. 2021. Available from: www.kff.org\/medicare\/issue-brief\/medicare-and-telehealth-coverage-and-use-during-the-covid-19-pandemic-and-options-for-the-future\/"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/oby.21358"}],"container-title":["Telemedicine and e-Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/tmj.2023.0049","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2023.0049","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2023.0049","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T19:01:36Z","timestamp":1782414096000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/tmj.2023.0049"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,26]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1089\/tmj.2023.0049"],"URL":"https:\/\/doi.org\/10.1089\/tmj.2023.0049","relation":{},"ISSN":["1530-5627","1556-3669"],"issn-type":[{"value":"1530-5627","type":"print"},{"value":"1556-3669","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,26]]}}}