Telerehabilitation (TR) is increasingly being used to meet the rehabilitation needs of individuals living in rural areas. Nevertheless, reports on TR implementation for patients remain limited. As part a broader evaluation, this study investigated barriers and facilitators national program Veterans Health Administration (VHA) patients.This applied qualitative approach RE-AIM framework investigate impacting implementation. We conducted in-depth, semi-structured interviews with ten managers...

Telerehabilitation provides Veteran patients with necessary rehabilitation treatment. It enhances care continuity and reduces travel time for Veterans who face long distances to receive at a Health Administration (VHA) medical facility. The onset of the COVID-19 pandemic necessitated sudden shift telehealth-including telerehabilitation, where paucity data-driven guidelines exist that are specific practicalities entailed in telerehabilitation implementation. This paper explicates gains...

Kidney Disease Education (KDE) has been shown to improve informed dialysis selection and home use, two long-held but underachieved goals of US nephrology community. In 2010, the Center for Medicare Medicaid Services launched a policy KDE reimbursements all beneficiaries with advanced chronic kidney disease. However, incorporation service in real-world practice its association utilization not examined.Using 2016 Renal Data System linked end-stage renal disease (ESRD) pre-ESRD claim data, we...

The Advancing Americans Kidney Health Executive order has directed substantial increases in home dialysis use for incident kidney replacement therapy (KRT). Clinical guidelines recommend patients' self-selection of KRT modality through a shared decision-making process, which, at the minimum, requires predialysis nephrology care and KRT-directed comprehensive prekidney failure patient education (CoPE). current state these essential services among with advanced (stages 4 5) chronic disease...

Background The Veterans Health Administration (VHA) is one of the largest providers telehealth in United States and continues to lead way transforming healthcare services. VHA has been implementing its Whole (WH) initiative since 2018, a proactive practice empowering patients take charge their health well-being. A key facilitator WH coach who partners with achieve health-related goals. gap exists literature regarding understanding coaches’ use engage rural-residing Veterans. COVID-19...

Abstract Background Informed dialysis selection and greater home use are the two long-desired, underachieved targets of advanced chronic kidney disease (CKD) care in US healthcare system. Observational institutional studies have shown that comprehensive pre-kidney failure, conventionally referred to as end stage education (CPE) can improve both these outcomes. However, lack validated protocols, well-controlled studies, systemic models limited wide-spread adoption CPE US. We hypothesized a...

The purpose of this qualitative study was to explore perspectives Whole Health (WH) coaches at the Veterans Administration (VHA) on meeting needs rural during COVID-19 pandemic. evaluation design employed a description approach, employing focus groups and in-depth interviews with convenience sample WH across VHA system. Fourteen who work participated in either one three groups, individual interviews, or both. group data were analyzed separately using thematic analysis, findings then merged...

Introduction: Effective post-acute multidisciplinary rehabilitation therapy improves stroke survivors' functional recovery and daily living activities. The US Department of Veterans Affairs (VA) places veterans needing institutional care in private community nursing homes (CNHs). These placements are made under the same rules regulations across VA health system through individual per diem contracts between local facilities CNHs. However, there is limited information about utilization these...

BACKGROUND: Telerehabilitation is an effective health delivery method for patients with a variety of conditions. There insufficient knowledge about use telerehabilitation to support disabilities and chronic illness in obtaining or sustaining competitive employment. Employment rates Veterans are lower than civilian rates, the employment gap higher living rural areas. OBJECTIVE: To investigate factors that enabled constrained routine video tele-technologies delivering individualized...

Despite rich literature on the meaning of "aging well" and related concepts, such as "successful" or "optimal" aging, aging well to foreign-born immigrants in U.S. is relatively understudied not understood. In this paper, we present findings perceptions among with differing characteristics including ethnicity, age, gender, mode entry U.S., length stay US. The paper based upon a mixed methods study successful conducted St. Louis, Missouri middle-aged older adult immigrant/refugee sample...

Inaccessible home environments that create barriers to the enjoyment and approachability of living space impact some U.S. Veterans. Injuries acquired while serving in military or developed through aging process complicate matters for Veterans with disabilities. Home modifications (HM) afforded by Improvements Structural Alterations (HISA) program can increase accessibility. We examine difference between urban rural their health service utilization (hospitalization versus outpatient...

Abstract This study comprises a systematic national examination of how Centers for Independent Living can and do support Veteran consumers, especially those living in rural communities. research provides contextualized understanding needs community-based services resources available through Living. A survey was administered to the leadership 383 throughout United States, majority which have catchment areas serve Veterans both main satellite offices. Descriptive univariate analysis used...

Background Identifying advanced (stages 4 and 5) chronic kidney disease (CKD) cohorts in clinical databases is complicated often unreliable. Accurately identifying these patients can allow targeting this population for their specialized research needs. Objective This study was conducted as a system-based strategy to identify all prevalent Veterans with CKD subsequent enrollment trial. We aimed examine the prevalence accuracy of conventionally used diagnosis codes estimated glomerular...

Reseña a Shamans of the foye Tree: Gender power and healing among Chilean Mapuche, 2007, de Ana Mariella Bacigalupo, University Texas Press, Austin, Texas, ISBN 978-0-292-71659-9.

Abstract Background Stroke is one of the leading causes death and main cause long-term disability in United States. The significant risk factors stroke among Hispanics are well-documented. majority survivors return home following a cared for by family caregivers. Due to abrupt nature strokes, caregivers experience unexpected changes demands that oftentimes lead caregiver burden depression. Given influence culture norms management, we developed telephone online problem-solving intervention...

Abstract Background Urinary and fecal incontinence contribute to significant quality of life impairments for patients caregivers. Preliminary research suggests that rates may be higher among Veterans. However, few studies have examined experiences Veterans their Objectives We aimed demonstrate the feasibility conducting a one-year, telephone survey with caregivers help inform larger studies. By including both Veteran caregiver perspectives, we explored how impacts Veterans’ self-management...

Abstract Date Presented 04/02/2022 There exists a paucity of data-driven guidelines specific to practicalities implementing telerehabilitation. This study explicates gains in practical knowledge for telerehabilitation that were accelerated during the Veterans Health Administration health care systems’ rapid shift COVID-19 pandemic and contributes clinical reasoning considerations, supportive strategies, approaches engaging veterans Primary Author Speaker: Consuelo Kreider Additional Authors...