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View article: Patient Preferences for Technology-Assisted Patient Reported Outcomes Measurement of Mental Health Symptoms: Results from a National Survey of Veterans (Preprint)
Patient Preferences for Technology-Assisted Patient Reported Outcomes Measurement of Mental Health Symptoms: Results from a National Survey of Veterans (Preprint) Open
View article: Veteran Preferences for Technology-Assisted Patient Reported Outcomes Measurement of Mental Health Symptoms (Preprint)
Veteran Preferences for Technology-Assisted Patient Reported Outcomes Measurement of Mental Health Symptoms (Preprint) Open
BACKGROUND The Veterans Health Administration (VHA) is promoting patient-reported outcome measures (PROMs) collection for measurement-based mental healthcare. Understanding Veteran preferences about how and when to complete PROMs is criti…
View article: Assessment of Two Online Interventions for Veterans With Chronic Pain: Protocol for a Randomized Controlled Efficacy Trial
Assessment of Two Online Interventions for Veterans With Chronic Pain: Protocol for a Randomized Controlled Efficacy Trial Open
Background Chronic pain is a debilitating condition that disproportionately impacts US veterans who manage numerous negative pain-related outcomes. There is an urgent need for accessible, engaging, and innovative treatments that can help v…
View article: What Matters Most to Veterans When Deciding to Use Technology for Health: Cross-Sectional Analysis of a National Survey
What Matters Most to Veterans When Deciding to Use Technology for Health: Cross-Sectional Analysis of a National Survey Open
Background There is an increasingly diverse range of mobile apps and digital health devices available to help patients manage their health. Despite evidence for the effectiveness of such technologies, their potential has not been fully rea…
View article: Developing Infrastructure to Realize the Value of Patient-Generated Health Data in a Large Integrated Health Care System: The Veterans Health Administration Experience
Developing Infrastructure to Realize the Value of Patient-Generated Health Data in a Large Integrated Health Care System: The Veterans Health Administration Experience Open
Patient-generated health data (PGHD) encompass health-related information created, recorded, and gathered by patients in their daily lives, and are distinct from data collected in clinical settings. PGHD can offer insight into patients’ ev…
View article: Longitudinal Utilization of Invasive Pain Treatment Procedures Among Veterans with Chronic Pain Following Use of Whole Health Services and Complementary and Integrative Health Therapies
Longitudinal Utilization of Invasive Pain Treatment Procedures Among Veterans with Chronic Pain Following Use of Whole Health Services and Complementary and Integrative Health Therapies Open
Whole Health care, including CIH therapies, may help patients interrupt patterns of escalating and invasive pain care.
View article: Developing Infrastructure to Realize the Value of Patient-Generated Health Data in a Large Integrated Healthcare System: The Veterans Health Administration Experience (Preprint)
Developing Infrastructure to Realize the Value of Patient-Generated Health Data in a Large Integrated Healthcare System: The Veterans Health Administration Experience (Preprint) Open
UNSTRUCTURED Patient-generated health data (PGHD) encompass health-related information created, recorded, and gathered by patients in their daily lives, and is distinct from data collected in clinical settings. PGHD can offer insight into…
View article: Using Well-Being Measurements to Enhance Clinical Practice
Using Well-Being Measurements to Enhance Clinical Practice Open
View article: Is the PHQ-2 a Good Measure to Inform Providers About Patient Well-Being and Functioning? Data From the Veterans Health and Life Survey
Is the PHQ-2 a Good Measure to Inform Providers About Patient Well-Being and Functioning? Data From the Veterans Health and Life Survey Open
Background: Health care systems are increasingly focused on assessing patient well-being and functioning. The objective of the current analysis was to evaluate a pragmatic question: to what extent and in what way can the PHQ-2, a routinely…
View article: Measuring Patient Well-Being During Whole-Person Clinical Care
Measuring Patient Well-Being During Whole-Person Clinical Care Open
Background: Measuring patient well-being during clinical care may enhance patient-centered communication and treatment planning. The Veterans Health Administration (VHA) piloted the use of the Well-Being Signs (WBS), a self-report measure …
View article: Mental health provider perspectives on a mobile health application to support remote measurement-based care: Challenges and impacts.
Mental health provider perspectives on a mobile health application to support remote measurement-based care: Challenges and impacts. Open
Measurement-based care (MBC) comprises collecting patient-reported outcomes data using validated assessments and using that information to support treatment. The Veterans Health Administration (VHA) has developed technology platforms to su…
View article: Veteran Experiences With an mHealth App to Support Measurement-Based Mental Health Care: Results From a Mixed Methods Evaluation
Veteran Experiences With an mHealth App to Support Measurement-Based Mental Health Care: Results From a Mixed Methods Evaluation Open
Background Mental health conditions are highly prevalent among US veterans. The Veterans Health Administration (VHA) is committed to enhancing mental health care through the integration of measurement-based care (MBC) practices, guided by …
View article: Factors Associated with Veteran Self-Reported Use of Digital Health Devices
Factors Associated with Veteran Self-Reported Use of Digital Health Devices Open
Background Digital health devices (DHDs), technologies designed to gather, monitor, and sometimes share data about health-related behaviors or symptoms, can support the prevention or management of chronic conditions. DHDs range in complexi…
View article: Examining the Veterans Health Administration whole health model of care within the context of posttraumatic stress disorder.
Examining the Veterans Health Administration whole health model of care within the context of posttraumatic stress disorder. Open
The Veterans Health Administration's Whole Health system of care focuses on offering veterans holistic health approaches and tailoring health care to individual's goals and preferences. The present study assessed factors associated with Wh…
View article: Safety and feasibility of a combined neuromodulation and yoga intervention for individuals with mild traumatic brain injury and chronic pain: a pilot study
Safety and feasibility of a combined neuromodulation and yoga intervention for individuals with mild traumatic brain injury and chronic pain: a pilot study Open
The complex clinical presentation of patients with mild traumatic brain injury and chronic pain (mTBI+CP) often causes symptoms that are resistant to standard treatments. For the first time, our team combined intermittent theta burst stimu…
View article: Veteran Experiences With an mHealth App to Support Measurement-Based Mental Health Care: Results From a Mixed Methods Evaluation (Preprint)
Veteran Experiences With an mHealth App to Support Measurement-Based Mental Health Care: Results From a Mixed Methods Evaluation (Preprint) Open
BACKGROUND Mental health conditions are highly prevalent among US veterans. The Veterans Health Administration (VHA) is committed to enhancing mental health care through the integration of measurement-based care (MBC) practices, guided by…
View article: VHA Whole Health Services and Complementary and Integrative Health Therapies: a Gateway to Evidence-Based Mental Health Treatment
VHA Whole Health Services and Complementary and Integrative Health Therapies: a Gateway to Evidence-Based Mental Health Treatment Open
View article: Utilization of whole health services among veterans with spinal cord injuries and disorders (SCI/D): Early insights from the VA SCI/D system of care
Utilization of whole health services among veterans with spinal cord injuries and disorders (SCI/D): Early insights from the VA SCI/D system of care Open
Participation in WH services has been increasing among Veterans with SCI/D who receive health care from the VHA SCI/D System of Care. However, utilization among Veterans with SCI/D remains low overall, and targeted efforts to increase WH p…
View article: Provider and Older Patient Responses to Rapid Expansion of Telehealth in an Urban Cancer Center: Mixed Methods Critical Incident Evaluation
Provider and Older Patient Responses to Rapid Expansion of Telehealth in an Urban Cancer Center: Mixed Methods Critical Incident Evaluation Open
Background Synchronous video visits (“telehealth”) were rapidly adopted by many cancer centers across the nation to facilitate provision of care during the COVID-19 pandemic; however, in many cases, there was little time to comprehensively…
View article: Factors Associated With Self-reported Use of Web and Mobile Health Apps Among US Military Veterans: Cross-sectional Survey
Factors Associated With Self-reported Use of Web and Mobile Health Apps Among US Military Veterans: Cross-sectional Survey Open
Background Despite their prevalence and reported patient interest in their use, uptake of health-related apps is limited. The Veterans Health Administration (VHA) has developed a variety of apps to support veterans; however, uptake remains…
View article: ‘It Makes You Sit Back and Think Where You Wanna Go’: Veteran experiences in virtual whole health peer‐led groups
‘It Makes You Sit Back and Think Where You Wanna Go’: Veteran experiences in virtual whole health peer‐led groups Open
Background The Veterans Health Administration (VHA) is building a Whole Health system of care that aspires to empower and equip each Veteran to pursue a personally meaningful vision of health and well‐being. As part of this effort, VHA has…
View article: Factors Associated with Self-Reported Use of Web and Mobile Health Applications: Results from a Cross-Sectional Survey of US Military Veterans (Preprint)
Factors Associated with Self-Reported Use of Web and Mobile Health Applications: Results from a Cross-Sectional Survey of US Military Veterans (Preprint) Open
BACKGROUND Despite their prevalence and reported patient interest in use, uptake of health-related applications (apps) is limited. The Veterans Health Administration (VHA) has developed a variety of mobile and web-based apps to support Ve…
View article: Use of the Veterans Health Administration online patient portal among Veterans with spinal cord injuries and disorders
Use of the Veterans Health Administration online patient portal among Veterans with spinal cord injuries and disorders Open
Our results suggest that MHV registration and use of key portal features was limited among Veterans with SCI/D. Effort to increase portal use in this population are warranted.
View article: Feasibility of a Combined Neuromodulation and Yoga Intervention for Mild Traumatic Brain Injury and Chronic Pain: Protocol for an Open-label Pilot Trial
Feasibility of a Combined Neuromodulation and Yoga Intervention for Mild Traumatic Brain Injury and Chronic Pain: Protocol for an Open-label Pilot Trial Open
Background Mild traumatic brain injury (mTBI) and chronic pain often co-occur and worsen rehabilitation outcomes. There is a need for improved multimodal nonpharmacologic treatments that could improve outcomes for both conditions. Yoga is …
View article: Feasibility of a Combined Neuromodulation and Yoga Intervention for Mild Traumatic Brain Injury and Chronic Pain: Protocol for an Open-label Pilot Trial (Preprint)
Feasibility of a Combined Neuromodulation and Yoga Intervention for Mild Traumatic Brain Injury and Chronic Pain: Protocol for an Open-label Pilot Trial (Preprint) Open
BACKGROUND Mild traumatic brain injury (mTBI) and chronic pain often co-occur and worsen rehabilitation outcomes. There is a need for improved multimodal nonpharmacologic treatments that could improve outcomes for both conditions. Yoga is…
View article: Dual utilization of Medicare and VA outpatient care among Veterans with spinal cord injuries and disorders
Dual utilization of Medicare and VA outpatient care among Veterans with spinal cord injuries and disorders Open
A substantial number (∼30%) of Veterans with SCI/D are dual users. These numbers highlight the importance of improved strategies to coordinate care and increase health information sharing across systems.
View article: Lessons Learned From VHA’s Rapid Implementation of Virtual Whole Health Peer-Led Groups During the COVID-19 Pandemic: Staff Perspectives
Lessons Learned From VHA’s Rapid Implementation of Virtual Whole Health Peer-Led Groups During the COVID-19 Pandemic: Staff Perspectives Open
Background Committed to implementing a person-centered, holistic (Whole Health) system of care, the Veterans Health Administration (VHA) developed a peer-led, group-based, multi-session “Taking Charge of My Life and Health” (TCMLH) program…
View article: A Mobile App to Support Self-management of Chronic Kidney Disease: Development Study
A Mobile App to Support Self-management of Chronic Kidney Disease: Development Study Open
Background Chronic kidney disease (CKD) is a common and costly condition that is usually accompanied by multiple comorbidities including type 2 diabetes, hypertension, and obesity. Proper management of CKD can delay or prevent kidney failu…
View article: Understanding Adoption and Preliminary Effectiveness of a Mobile App for Chronic Pain Management Among US Military Veterans: Pre-Post Mixed Methods Evaluation
Understanding Adoption and Preliminary Effectiveness of a Mobile App for Chronic Pain Management Among US Military Veterans: Pre-Post Mixed Methods Evaluation Open
Background The Veterans Health Administration Pain Coach mobile health app was developed to support veterans with chronic pain. Objective Our objective was to evaluate early user experiences with the Pain Coach app and preliminary impacts …
View article: Understanding Adoption and Preliminary Effectiveness of a Mobile App for Chronic Pain Management Among US Military Veterans: Pre-Post Mixed Methods Evaluation (Preprint)
Understanding Adoption and Preliminary Effectiveness of a Mobile App for Chronic Pain Management Among US Military Veterans: Pre-Post Mixed Methods Evaluation (Preprint) Open
BACKGROUND The Veterans Health Administration Pain Coach mobile health app was developed to support veterans with chronic pain. OBJECTIVE Our objective was to evaluate early user experiences with the Pain Coach app and preliminary impac…