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Annie f or Weight M anagement Presenter: Melissa Treinen, MS, RD, LN, CHC VA Telehealth Dietitian 2

Overview of the Discussion • Overview and Introductions – Rescheduled Event from October • Annie Weight Management Protocol • Questions • Closing Remarks and Survey VETERANS HEALTH ADMINISTRATION 3

VHA Obesity Prevalence FY00-FY18 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% FY00 FY01 FY02 FY03 FY04 FY05 FY06 FY07 FY08 FY09 FY10 FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 Normal or Underweight (BMI < 25) Overweight (BMI 25-29.9) Obese (BMI ≥ 30) Data Source: VHA Corporate Data Warehouse VETERANS HEALTH ADMINISTRATION 4

VETERANS HEALTH ADMINISTRATION 5

Annie Features: • Automated texting for self-care • Track and submit health information • Sends motivational a nd educational messages • Tailored to individual Annie for Clinicians: Annie G. Fox https://mobile.va.gov/app/annie-app-clinicians Chief Nurse at Annie Implementation: Pearl Harbor, first https://vaww.connectedhealth.va.gov/mhd/VAMR/Annie/Lis woman to receive ts/Annie%20Implementation%20POCs/AllItems.aspx Purple Heart VETERANS HEALTH ADMINISTRATION 6

Annie Weight Management Protocol • Veterans working on weight management independently • Veterans participating in a MOVE! program option • Veterans who have ‘graduated’ from MOVE! and are working on maintenance VETERANS HEALTH ADMINISTRATION 7

Annie Weight Management Protocol • Provides educational messages • Veterans can track: – Weight – Physical Activity – Nutrition VETERANS HEALTH ADMINISTRATION 8

Annie Weight Management Protocol Weight Settings – View weight history in graph or table format VETERANS HEALTH ADMINISTRATION 9

Annie Weight Management Protocol Exercise Settings – Sent daily VETERANS HEALTH ADMINISTRATION 10

Annie Weight Management Protocol Caloric Intake Settings – Sent daily VETERANS HEALTH ADMINISTRATION 11

Annie Weight Management Protocol Motivational Messages – Sent daily VETERANS HEALTH ADMINISTRATION 12

Annie Weight Management Protocol Goal Settings – Sent weekly – SMART Goals VETERANS HEALTH ADMINISTRATION 13

Annie Weight Management Protocol Message History VETERANS HEALTH ADMINISTRATION 14

Implementing Annie • Support after graduating TeleMOVE! • Combine with MOVE! program option – Individual – Telephone – VVC • Benefits to Veterans – Personalized – Ease of use – Promotes self-care – Empowers the Veteran VETERANS HEALTH ADMINISTRATION 15

Annie Supports Weight Management • Veteran Success Stories – Joe • 54 year old Veteran with Type 2 Diabetes • Lost 32 lbs. and reduced A1C from 6.5% to 6.1% – Bill • 67 year old Veteran • Maintained 15% weight loss VETERANS HEALTH ADMINISTRATION 16

Interdisciplinary Team Approach Healthy Living Team Admin. MOVE! Staff Coordinator Primary MOVE! Care MOVE! Provider Clinician Champion Team Registered Health Dietitian Psychol. Nutritionist Rehab. Exercise Specialist Physiologist VETERANS HEALTH ADMINISTRATION 17

Flexible Options Comprehensive Lifestyle Other MOVE! Intervention Interventions • MOVE! Group Sessions • TeleMOVE! – Home Telehealth • MOVE! Individual Se ssions • MOVE! Coach Mobile App • MOVE! Telephone Lifestyle Coaching • MOVE! Coach with Care (app + clinical contacts) • MOVE! Clinical V ideo Teleconferencing • Annie Text Message App • Be Active and MOVE! (physical a ctivity) VETERANS HEALTH ADMINISTRATION 18

Telehealth VHA Telehealth • Clinical Video Telehealth (CVT) VA Video Connect (VVC)- Synchronous • Remote P atient Monitoring- Home Telehealth (RPM-HT) and L2 and • Store and Forward Telehealth (SFT)-Asynchronous VETERANS HEALTH ADMINISTRATION 19

VA Mobile VA Mobile • VA App Store • Veteran apps – self management, resources, access • Provider apps – clinical care, improving access to resources VETERANS HEALTH ADMINISTRATION 20

My Health e Vet My Health e Vet • Pharmacy • Appointments • Secure Messaging • Health Records VETERANS HEALTH ADMINISTRATION 21

Additional Resources • https://vaww.infoshare.va.gov/sites/telehealth/docs/th-mnl.pdf Connected Care/Telehealth Manual • https://vaww.telehealth.va.gov/pgm/vvc/index.asp# What is VA Video Connect (CVT) • https://vaww.telehealth.va.gov/pgm/ht/index.asp RPM-HT • https://vaww.telehealth.va.gov/pgm/async/index.asp Asynchronous Telehealth (SFT) • https://www.myhealth.va.gov/mhv-portal-web/home My Health e Vet • https://www.move.va.gov/ MOVE! Weight Management Program • https://mobile.va.gov/app/move-coach MOVE! Coach App VETERANS HEALTH ADMINISTRATION 22

Questions QUESTIONS? Please use the chat feature on the right to submit your questions. VETERANS HEALTH ADMINISTRATION 23

Survey Have an idea you want to share on how we can improve the discussion ? Let us know by providing feedback at this link: https://www.surveymonkey.com/r/BDQKF2T VETERANS HEALTH ADMINISTRATION 24