Development of a Sleep Telementorship Program for Rural Department of Veterans Affairs Primary Care Providers: Sleep Veterans Affairs Extension for Community Healthcare Outcomes

Parsons, Elizabeth C.; Mattox, Elizabeth Andersson; Beste, Lauren A.; Au, David H.; Young, Bessie A.; Chang, Michael; Palen, Brian

doi:10.1513/annalsats.201605-361bc

Cited by 27 publications

(12 citation statements)

References 39 publications

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“…The seven studies on training on a foundation level (Chernyak, 2019; Gomes, 2020; Meaklim et al, 2023; Ock et al, 2020; Parsons et al, 2017; Paterson et al, 2022; Sciberras et al, 2022) included mostly trainees who were medical doctors at different levels and of different specialties (family medicine residents, psychiatry residents, sleep medicine fellows, internal medicine residents on primary care track, physicians, junior doctors, and paediatricians), but also other (healthcare) professionals, such as nurses, pharmacists, occupational and respiratory therapists, and pharmacy technicians. Some also included students at master's or graduate psychology programmes or psychologists.…”

Section: Resultsmentioning

confidence: 99%

Training of professionals in cognitive behavioural therapy for insomnia – A systematic review of peer‐reviewed studies

Jernelöv,

Blom

2023

Journal of Sleep Research

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SummaryInsomnia is common, and causes substantial individual suffering and costs for society. The recommended first‐line treatment is cognitive behavioural therapy for insomnia (CBT‐I), which is under‐used partly due to a lack of trained providers. To train providers is thus important, but what is the current situation regarding CBT‐I training? A systematic search of databases was conducted to identify scientific peer‐reviewed papers describing CBT‐I training with regards to: existing amounts of training, proposed curricula, trainees, delivery context, content of training, modes of delivery, evaluation of the training from a trainee perspective, and effects on patients. This systematic review shows that research on training in CBT‐I is an emerging field, with the literature presenting a limited number of papers, with varying objectives. One group of papers investigate the amount of training that exists in a region or educational context and/or propose training curricula; and another group evaluate training initiatives and describe CBT‐I training trainees, context, content, modes of delivery, and outcomes on trainees and on treated patients. The studies show that little training is currently provided and proposed curricula vary, and evaluations present promising results: training is feasible in different contexts and modes, digital training may be used to disseminate training efforts at a large scale, trainees' skills increase and positive effects on patients can be seen. To move the field forward, more high‐quality studies on CBT‐I training are needed, and we propose that training in CBT‐I should be targeted towards varying levels of expertise, matching a stepped‐care model.

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Section: Resultsmentioning

confidence: 99%

Training of professionals in cognitive behavioural therapy for insomnia – A systematic review of peer‐reviewed studies

Jernelöv,

Blom

2023

Journal of Sleep Research

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“…More than half of the participants attended more than one session, which is similar to the attendance patterns reported with the other VA-ECHO programs. 15 A previous evaluation of a VA-ECHO program found that time of day/day of the week was the most common reason for limited participation among those receiving invitations to attend, 14 which may be similar with this program because it occurs at the same time and date each month.…”

Section: Discussionmentioning

confidence: 97%

“…The VA offers multiple VA-ECHO programs, in a variety of specialties, including diabetes, sleep medicine, and gastroenterology. Previous work has shown that VA-ECHO promotes topic knowledge and is anticipated (by learners) to result in practice change 14–16 . In most VA-ECHO sessions, subject matter experts present didactic material and review clinical cases for 60–90 mins.…”

Section: Methodsmentioning

confidence: 99%

“…Previous work has shown that VA-ECHO promotes topic knowledge and is anticipated (by learners) to result in practice change. [14][15][16] In most VA-ECHO sessions, subject matter experts present didactic material and review clinical cases for 60-90 mins. The sessions promote real-time communication between learners and speakers and facilitate the development of a multidisciplinary community of practice inclusive of providers from all disciplines, all clinical specialties, and all sites of care.…”

Section: Va-echomentioning

confidence: 99%

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Cancer Rehabilitation Veterans Affairs Extension for Community Healthcare Outcomes Virtual Education Program

Qin

Monda

Mattox

et al. 2023

Am J Phys Med Rehabil

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Rehabilitation is important in the care of patients with cancer for improving function, pain, and quality of life. However, only a small number of clinicians are formally trained in cancer rehabilitation. Virtual learning environments may play a promising role in cancer rehabilitation education, especially in the coronavirus pandemic era where in-person learning is not readily available. A national, interprofessional cancer rehabilitation education program involving a monthly longitudinal webinar series and a 2-day virtual bootcamp was developed through the US Department of Veterans Affairs Extension for Community Healthcare Outcomes to improve Department of Veterans Affairs clinician understanding of cancer rehabilitation and ultimately increase the availability of cancer rehabilitation services in the Veterans Health Administration. From March 2020 to July 2022, 923 individuals participated with an average of 72 participants per session and 204 participants per session in the bootcamp. Participants’ most common disciplines were physical therapy, occupational therapy, nursing, medicine (physicians), advanced practice providers, speech therapy, and pharmacy. Participants reported improved knowledge of cancer rehabilitation and anticipated that the knowledge would change their practice. Virtual education can be a useful means to educate Department of Veterans Affairs–based healthcare professionals about cancer rehabilitation and improve access to rehabilitation services for veterans with cancer.

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“…A systematic review by McLay et al in 2020 provided evidence of a positive effect of telehealth interventions on sleep problems in children and adolescents [47]. Another study in 2017 showed that the use of telemedicine programs in sleep, changes behavior and improves sleep patterns [50].…”

Section: Discussionmentioning

confidence: 99%

Telemedicine and insomnia: a comprehensive systematic review and meta-analysis

et al. 2022

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Development of a Sleep Telementorship Program for Rural Department of Veterans Affairs Primary Care Providers: Sleep Veterans Affairs Extension for Community Healthcare Outcomes

Cited by 27 publications

References 39 publications

Training of professionals in cognitive behavioural therapy for insomnia – A systematic review of peer‐reviewed studies

Training of professionals in cognitive behavioural therapy for insomnia – A systematic review of peer‐reviewed studies

Cancer Rehabilitation Veterans Affairs Extension for Community Healthcare Outcomes Virtual Education Program

Telemedicine and insomnia: a comprehensive systematic review and meta-analysis

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