Changes in Patient-Reported Outcomes Associated with Receiving Whole Health in the Veteran Health Administration (VHA)’s National Demonstration Project

Bokhour, Barbara G.; DeFaccio, Rian; Gaj, Lauren; Barker, Anna; Deeney, Christine; Coggeshall, Scott; Gelman, Hannah; Taylor, Stephanie L.; Thomas, Eva; Zeliadt, Steven B.

doi:10.1007/s11606-023-08376-0

Cited by 3 publications

(2 citation statements)

References 36 publications

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“…Recent studies have shown the impact of the VA’s investment in the dissemination of a Whole Health System of care and implementation of CIH modalities to support personalized and patient-centered care, 12 , 27 including reduction in opioid use among patients with chronic pain. 28 , 29 The VA Whole Health model directs patients to identify health and wellness goals up front and engage with clinicians in achieving these goals, yet the actual clinical models for having VA providers engage with patients in collaborative health goal attainment is not well developed or in widespread use.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a New Integrative Health and Wellness Clinic for Veterans at the San Francisco VA Health Care System: A Mixed-Methods Pilot Study

Nicosia,

Purcell,

Bertenthal

et al. 2024

Global Advances in Integrative Medicine and Health

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Objective The Integrative Health and Wellness Clinic (IHWC), established in 2019 at the San Francisco VA Health Care System, is an interdisciplinary clinic consisting of a medical provider, dietician, physical therapist, and psychologist trained in complementary and integrative health (CIH) following the VA Whole Health model of care. Veterans with complex chronic conditions seeking CIH and nonpharmacologic approaches are referred to the IHWC. This study evaluated the clinic’s acceptability and feasibility among veteran patients and its preliminary impact on health and wellbeing, health-related goals, and use of CIH approaches. Methods Mixed methods were used to assess patient-reported outcomes and experiences with the IHWC. Participants completed surveys administered at baseline and 6-months and a subset completed a qualitative interview. Pre- and post-scores were compared using t-tests and chi-square tests. Results Thirty-five veterans completed baseline and 6-month follow up surveys. Of these, 13% were women; 24% < 50 years of age, and 44% identified as racial/ethnic minorities. Compared to baseline, at 6 months, there were significant ( P < .05) improvements in overall health, physical health, perceived stress, and perceived helpfulness of clinicians in assisting with goal attainment; there was a trend toward improved mental health ( P = .057). Interviews (n = 25) indicated satisfaction with the interdisciplinary clinical model, support of IHWC providers in goal attainment, and positive impact on physical and mental health. Areas for improvement included logistics related to scheduling of multiple IHWC providers and referrals to other CIH services. Conclusion Results revealed significant improvement in important clinical domains and satisfaction with interprofessional IHWC clinic providers, but also opportunities to improve clinic processes and care coordination. An interdisciplinary clinic focused on CIH and Whole Health is a feasible and acceptable model of care for veterans with complex chronic health conditions in the VA healthcare system.

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Section: Discussionmentioning

confidence: 99%

Evaluation of a New Integrative Health and Wellness Clinic for Veterans at the San Francisco VA Health Care System: A Mixed-Methods Pilot Study

Nicosia,

Purcell,

Bertenthal

et al. 2024

Global Advances in Integrative Medicine and Health

View full text Add to dashboard Cite

show abstract

“…In fact, they contribute tremendously to healthcare system transformation and enhancing the value proposition for investing in the WHS. 21 On the other hand, individual‐level PRO data can be subject to various biases, including recall bias (inaccurate recollection of information) and response bias (influenced patient responses). 22 , 23 Recall bias may lead patients to inaccurately remember and report their previous treatments or therapies, potentially omitting essential information.…”

Section: Common Rwd Challenges and Burdens Of Whol...mentioning

confidence: 99%

Enhancing data practices for Whole Health: Strategies for a transformative future

Guo,

Reddy,

Van Iseghem

et al. 2024

Learning Health Systems

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We explored the challenges and solutions for managing data within the Whole Health System (WHS), which operates as a Learning Health System and a patient‐centered healthcare approach that combines conventional and complementary approaches. Addressing these challenges is critical for enhancing patient care and improving outcomes within WHS. The proposed solutions include prioritizing interoperability for seamless data exchange, incorporating patient‐centered comparative clinical effectiveness research and real‐world data to personalize treatment plans and validate integrative approaches, and leveraging advanced data analytics tools to incorporate patient‐reported outcomes, objective metrics, robust data platforms. Implementing these measures will enable WHS to fulfill its mission as a holistic and patient‐centered healthcare model, promoting greater collaboration among providers, boosting the well‐being of patients and providers, and improving patient outcomes.

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Co-occurring Chronic Pain and PTSD Among US Military Veterans: Prevalence, Correlates, and Functioning

Reed,

Fischer,

Williams

et al. 2024

J GEN INTERN MED

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Changes in Patient-Reported Outcomes Associated with Receiving Whole Health in the Veteran Health Administration (VHA)’s National Demonstration Project

Cited by 3 publications

References 36 publications

Evaluation of a New Integrative Health and Wellness Clinic for Veterans at the San Francisco VA Health Care System: A Mixed-Methods Pilot Study

Evaluation of a New Integrative Health and Wellness Clinic for Veterans at the San Francisco VA Health Care System: A Mixed-Methods Pilot Study

Enhancing data practices for Whole Health: Strategies for a transformative future

Co-occurring Chronic Pain and PTSD Among US Military Veterans: Prevalence, Correlates, and Functioning

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