Protocol for a prospective, randomized, controlled trial of Mental Contrasting with Implementation Intentions (MCII) to enhance the effectiveness of VA's MOVE! weight management program: WOOP (Wish, Outcome, Obstacle, Plan) VA.

INTRODUCTION: Intensive weight management programs are effective but often have low enrollment and high attrition. Lack of motivation is a key psychological barrier to enrollment, engagement, and weight loss. Mental Contrasting with Implementation Intentions (MCII) is a unique imagery technique that increases motivation for behavior change. We describe our study protocol to assess the efficacy and implementation of MCII to enhance the effectiveness of VA's MOVE! or TeleMOVE! weight management programs using a procedure called "WOOP" (Wish, Outcome, Obstacle, Plan) for Veterans. We hypothesize that WOOP+MOVE! or TeleMOVE! (intervention) will lead to greater MOVE!/TeleMOVE! program engagment and consequently weight loss than MOVE!/TeleMOVE! alone (control). METHOD: Veterans are randomized to either the intervention or control. Both arms receive the either MOVE! or TeleMOVE! weight management programs. The intervention group receives an hour long WOOP training while the control group receives patient education. Both groups receive telephone follow up calls at 3 days, 4 weeks, and 2 months post-baseline. Eligible participants are Veterans (ages 18-70 years) with either obesity (BMI ≥ 30 kg/m2) or overweight (BMI ≥ 25 kg/m2) and an obesity-associated co-morbidity. At baseline, 6 and 12 months, we assess weight, diet, physical activity in both groups. The primary outcome is mean percent weight change at 6 months. Secondary outcomes include changes in waist circumference, diet, physical activity, and dieting self-efficacy and engagement in regular physical activity. We assess implementation using the RE-AIM framework. CONCLUSION: If WOOP VA is found to be efficacious, it will be an important tool to facilitate weight management and improve weight outcomes. CLINICAL TRIAL REGISTRATION: NCT05014984.

A paradoxical mismatch between interspecific pollinator moves and heterospecific pollen receipt in a natural community.

Pollinators visiting multiple plant species may cause heterospecific pollen transfer (HPT). To test a null model that more pollinator interspecific moves result in higher HPT among interacting species, we quantified the comparative magnitudes of the two networks involving 14 co-flowering species in an alpine meadow in the eastern Himalaya, southwest China. Interspecific moves accounted for 4% of the total visits,whereas heterospecific pollen constituted 22% of the total stigmatic pollen loads. On average, plant species received interspecific moves and HPT from 6.9 and 9.7 other species, respectively. Although the two networks were largely concordant, 21.6% of interspecific move links were not correspondingly linked by HPT, and 44.1% of heterospecific pollen transfer links were not linked by moves. Plant species with more outgoing pollinator moves tended to disperse more of their own pollen to others, as expected. Surprisingly, our data reveal that plant species which received more pollinator moves from other species tended to receive less HP, implying that only species with low acceptance of HP were likely to permit frequent pollinator moves. These new findings unveil a paradoxical relation between pollinator interspecific moves and HP receipt, suggesting an adaptive strategy of co-flowering species that reduces deleterious effects of HPT.

Spatial and temporal trends in estimates of nutrient and suspended sediment loads in the Ishikari River, Japan, 1985 to 2010.

Nutrients and suspended sediment in surface water play important roles in aquatic ecosystems and contribute strongly to water quality with implication for drinking water resources, human and environmental health. Estimating loads of nutrients (nitrogen and phosphorus) and suspended sediment (SS) is complicated because of infrequent monitoring data, retransformation bias, data censoring, and non-normality. To obtain reliable unbiased estimates, the Maintenance of Variance-Extension type 3 (MOVE. 3) and the regression model Load Estimator (LOADEST) were applied to develop regression equations and to estimate total nitrogen (TN), total phosphorus (TP) and SS loads at five sites on the Ishikari River, Japan, from 1985 to 2010. Coefficients of determination (R(2)) for the best-fit regression models for loads of TN, TP, and SS for the five sites ranged from 71.86% to 90.94%, suggesting the model for all three constituents successfully simulated the variability in constituent loads at all studied sites. Estimated monthly average loads at Yishikarikakou-bashi were larger than at the other sites, with TN, TP, and SS loads ranging from 8.52×10(3) to 2.00×10(5) kg/day (Apr. 1999), 3.96×10(2) to 5.23×10(4) kg/ day (Apr. 1999), and 9.21×10(4) to 9.25×10(7) kg/day (Sep. 2001), respectively. Because of variation in river discharge, the estimated seasonal loads fluctuated widely over the period 1985 to 2010, with the greatest loads occurring in spring and the smallest loads occurring in winter. Estimated loads of TN, TP, and especially SS showed decreasing trends during the study period. Accurate load estimation is a necessary goal of water quality monitoring efforts and the methods described here provide essential information for effectively managing water resources.