Preventing Obesity in the Military Community (POMC): the development of a clinical trials research network

Elena A Spieker; Tracy Sbrocco; Kelly R Theim; Douglas Maurer; Dawn Johnson; Edny Bryant; Jennifer L Bakalar; Natasha A Schvey; Rachel Ress; Dean Seehusen; David A Klein; Eric Stice; Jack A Yanovski; Linda Chan; Shari Gentry; Carol Ellsworth; Joanne W Hill; Marian Tanofsky-Kraff; Mark B Stephens

doi:10.3390/ijerph120201174

Preventing Obesity in the Military Community (POMC): the development of a clinical trials research network

Int J Environ Res Public Health. 2015 Jan 22;12(2):1174-95. doi: 10.3390/ijerph120201174.

Authors

Elena A Spieker^{1

2

3}, Tracy Sbrocco⁴, Kelly R Theim^{5

6}, Douglas Maurer⁷, Dawn Johnson⁸, Edny Bryant⁹, Jennifer L Bakalar^{10

11}, Natasha A Schvey^{12

13}, Rachel Ress^{14

15}, Dean Seehusen¹⁶, David A Klein¹⁷, Eric Stice¹⁸, Jack A Yanovski¹⁹, Linda Chan²⁰, Shari Gentry²¹, Carol Ellsworth²², Joanne W Hill²³, Marian Tanofsky-Kraff^{24

19}, Mark B Stephens²⁵

Affiliations

¹ Department of Family Medicine, Madigan Army Medical Center, 9040 Fitzsimmons Avenue, Joint Base Lewis-McChord, Tacoma, WA 98431, USA. elena.a.spieker.ctr@mail.mil.
² Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. elena.a.spieker.ctr@mail.mil.
³ The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., 6720A Rockledge Dr., Bethesda, MD 20817, USA. elena.a.spieker.ctr@mail.mil.
⁴ Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. tracy.sbrocco@usuhs.edu.
⁵ Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. kelly.theim.ctr@usuhs.edu.
⁶ The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., 6720A Rockledge Dr., Bethesda, MD 20817, USA. kelly.theim.ctr@usuhs.edu.
⁷ Department of Family Medicine, Madigan Army Medical Center, 9040 Fitzsimmons Avenue, Joint Base Lewis-McChord, Tacoma, WA 98431, USA. douglas.m.maurer.mil@mail.mil.
⁸ Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. dawn.johnson@usuhs.edu.
⁹ Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. edny.joseph@usuhs.edu.
¹⁰ Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. Jennifer.bakalar@usuhs.edu.
¹¹ The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., 6720A Rockledge Dr., Bethesda, MD 20817, USA. Jennifer.bakalar@usuhs.edu.
¹² Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. natasha.schvey.ctr@usuhs.edu.
¹³ The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., 6720A Rockledge Dr., Bethesda, MD 20817, USA. natasha.schvey.ctr@usuhs.edu.
¹⁴ Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. rachel.ress.ctr@usuhs.edu.
¹⁵ The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., 6720A Rockledge Dr., Bethesda, MD 20817, USA. rachel.ress.ctr@usuhs.edu.
¹⁶ Department of Family and Community Medicine, Nelson Hall, Fort Gordon, GA 30905, USA. Dean.A.Seehusen.mil@health.mil.
¹⁷ Department of Family Medicine, Fort Belvoir Community Hospital, 9300 DeWitt Loop, Fort Belvoir, VA 22060, USA. david.a.klein26.mil@mail.mil.
¹⁸ Oregon Research Institute, 1776 Millrace Dr., Eugene, OR 97403, USA. estice@ori.org.
¹⁹ Section on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, DHHS, Bethesda, MD 20892, USA. yanovskj@mail.nih.gov.
²⁰ Department of Obstetrics and Gynecology, Naval Hospital Camp Lejeune, 100 Brewster Blvd., Camp Lejeune, NC 28547, USA. Linda.Chan@med.navy.mil.
²¹ Department of Family Medicine, Naval Hospital Camp Lejeune, 100 Brewster Blvd., Camp Lejeune, NC 28547, USA. shari.gentry@med.navy.mil.
²² Department of Family Medicine, Naval Hospital Camp Lejeune, 100 Brewster Blvd., Camp Lejeune, NC 28547, USA. carol.ellsworth@med.navy.mil.
²³ Department of Research, Naval Hospital Camp Lejeune, 100 Brewster Blvd., Camp Lejeune, NC 28547, USA. Joanne.Hill@med.navy.mil.
²⁴ Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. yanovskj@mail.nih.gov.
²⁵ Department of Family Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. mark.stephens@usuhs.edu.

Abstract

Obesity impacts the U.S. military by affecting the health and readiness of active duty service members and their families. Preventing Obesity in Military Communities (POMC) is a comprehensive research program within Patient Centered Medical Homes (PCMHs) in three Military Training Facilities. This paper describes three pilot randomized controlled trials that target critical high risk periods for unhealthy weight gain from birth to young adulthood: (1) pregnancy and early infancy (POMC-Mother-Baby), (2) adolescence (POMC-Adolescent), and (3) the first tour of duty after boot camp (POMC-Early Career). Each study employs a two-group randomized treatment or prevention program with follow up. POMC offers a unique opportunity to bring together research and clinical expertise in obesity prevention to develop state-of-the-art programs within PCMHs in Military Training Facilities. This research builds on existing infrastructure that is expected to have immediate clinical benefits to DoD and far-reaching potential for ongoing collaborative work. POMC may offer an economical approach for widespread obesity prevention, from conception to young adulthood, in the U.S. military as well as in civilian communities.

Publication types

Research Support, N.I.H., Intramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

Adolescent
Clinical Trials as Topic
Female
Humans
Infant
Military Personnel*
Obesity / prevention & control*
Pregnancy
Risk Factors
United States
Weight Gain / physiology

Abstract

Publication types

MeSH terms

Grants and funding