The authors issue a call to the field address expansive reintegration needs of Veterans and their communities. Developing inclusive Veteran community research is crucial Health Administration’s becoming more learning health care delivery system. Work conducted by Enhancing Community Reintegration Research multi-stakeholder partnership project team found critical gaps in research. These included lack inclusivity, need for an intentional shift Veteran-engaged designs diverse settings contexts,...

The Department of Veterans Affairs (VA) has multiple health information technology (HIT) resources for veterans to support their care management. These include a patient portal, VetLink Kiosks, mobile apps, and telehealth services. veteran population variety needs preferences that can inform current VA HIT redesign efforts meet consumer needs.This study aimed describe veterans' experiences using the identify vision future an integrated system.Two rounds focus group interviews were conducted...

Numerous studies of community reintegration (CR) in traumatic brain injury (TBI) have been conducted civilian populations, but research is limited veteran and military service member populations. Little known about how knowledge from translates into veterans' experiences needs. The US Department Veterans Health Administration (VHA) recognizes the distinctive health care needs post-9/11 members, particularly with TBI, including need to bridge rehabilitation-related services acute inpatient...

BACKGROUND: Falls are the leading cause of injury-related deaths among people age 65 and older, fractures major category serious injuries produced by falls. OBJECTIVE: Determine market segment–specific recommendations for “selling” falls prevention in acute inpatient psychiatry. DESIGN: Descriptive using focus groups. SETTING: One unit at a Veterans’ hospital Southeastern United States one national conference psychiatric mental health nurses. PATIENTS: A convenience sample 22 registered...

Background The Veteran Administration (VA) Office of Patient-Centered Care and Cultural Transformation is invested in improving veteran health through a whole-person approach while taking advantage the electronic resources suite available VA. Currently, there no standardized process to collect integrate patient-reported outcomes (ePROs) complementary integrative (CIH) into clinical care using web-based survey platform. This quality improvement project enrolled veterans attending CIH...

Background Increasing access to nonpharmacological interventions manage pain and posttraumatic stress disorder (PTSD) is essential for veterans. Complementary integrative health (CIH) can help individuals symptom burden with enhanced accessibility via remotely delivered care. Mission Reconnect (MR) a partnered, self-directed intervention that teaches CIH skills. Objective The purpose of this paper describe the recruitment, onboarding phase, attrition fully remote randomized controlled trial...

Background Clinical care team members in Department of Veterans' Affairs (VA) facilities nationwide are working to integrate the use Secure Messaging (SM) into delivery and identify innovative uses. Identifying best practices for proactive SM is a key factor its successful implementation sustained by VA clinical veterans. Objectives A collaborative project solicited input from teams about their local using provide access patient-centered veterans enhance workflow. Methods This implemented...

Transforming Health and Resiliency through Integration of Values-based Experiences (THRIVE) is an evidence-based 14-week curriculum-based group medical appointment clinical program. THRIVE based on principles integrative medicine, positive psychology, acceptance commitment therapy. The goal this paper to review findings from a local program implementation piloted in the Women's outpatient clinics mental physical health indicators.Pilot data were obtained for 14 cohorts female veterans...

Background Nonpharmacological interventions for veterans are needed to help them manage chronic pain and posttraumatic stress disorder (PTSD) symptoms. Complementary integrative health (CIH) such as Mission Reconnect (MR) seek provide with the option of a partnered, self-directed intervention that teaches CIH skills remotely support symptom management. Objective The purpose this study was describe physical, psychological, social outcomes mobile- web-based comorbid PTSD their partners...

Background: A partnered evaluation project with Veterans Health Administration Physical Medicine and Rehabilitation program office uses a partner-engaged approach to characterize evaluate the national implementation of traumatic brain injury (TBI)Intensive Evaluation Treatment Program (IETP). Objective: This paper illustrates contextualizing IETP within an research logic model (IRLM) inform sustainment spread. Setting: The was conducted at five sites: Tampa, Richmond, San Antonio, Palo Alto,...

Veteran communities including veterans, their families, and caregivers are vital collaborators in the field of veterans studies. community engaged research (CEnR) generates findings that impactful applicable to target populations. CEnR is a valuable emerging methodological approach. In two decades since 9/11, clinical health services researchers have increasingly prioritized participatory veteran designs. The purpose this article illustrate important application development US Department...

Background: Complementary and integrative health (CIH) is a viable solution to PTSD chronic pain. Many veterans believe CIH can be performed only by licensed professionals in care setting. Health information technology bring effective their partners. Objective: This paper describes the rationale, design, methods of Mission Reconnect protocol deliver mobile Web-based complementary programs partners (eg, spouse, significant other, caregiver, or family member). Methods: three-site, 4-year...

The Whole Health Initiative is a redesign of health care delivery that focuses on administering personalized veteran plans rather than focusing treating disease. In 2018, launched at 36 Veteran Affairs (VA) facilities throughout the country. Flagship sites (<em>N</em> = 18) implemented full system and design elements Health. project purpose was to identify efforts improve implementation for this national initiative veterans’ lives. This evaluation used cross-sectional obtain qualitative...

Proactive integrated virtual healthcare resource (VHR) use can improve efficiency, maximize capacity for delivering optimal coordinated care and patient outcomes. VHR is vital high quality care. Our objectives were to identify proactive among primary teams, best practices targeted implementation strategies promote use.This a mixed-method descriptive study. We employed community-based participatory approach collect data the Consolidated Framework Implementation Research analyze contextualize...

The COVID-19 pandemic has been a catalyst for rapid uptake of virtual care through the use health resources (VHR). In Department Veterans Affairs (VA) Healthcare System, critical to maintaining healthcare access patients during COVID-19. current study we describe primary patient aligned team (PACT) VHR patterns within one VA medical center (i.e., hospital facility and five community-based outpatient clinics) pre- post-COVID-19 onset.VHR provider data from 106 individual PACTs were extracted...

Veteran community reintegration (CR) has been defined as participation in life, including employment or other productive activities, independent living, and social relationships. CR is a Veterans Health Administration priority, substantial proportion of veterans report difficulties with veteran following discharge from military service.Enhancing Community Reintegration Research (ENCORE) project funded by Administration's Service Development Service. The goal ENCORE to maximize family...

The Veterans Administration (VA) Mobility Screening and Solutions Tool (VA MSST) was developed to screen a patient's safe mobility level 'in the moment' provide clinical decision support related use of patient handling (SPHM) equipment. This evidence-based flowchart tool is common language that enables any healthcare worker at time accurately measure communicate transfer equipment needs across disciplines settings.

The Veterans Health Administration (VHA) is making system-wide efforts to increase integrated use of health information technology (HIT), including My HealtheVet (MHV), the Affairs (VA) electronic patient portal, Vet Link kiosks, telehealth, and mobile apps. Integrated HIT can individual system efficiency, maximize resources, enhance outcomes. Prior research indicates that provider endorsement reinforcement are key determinants adoption HIT. implementation strategies need reflect providers'...

<sec> <title>BACKGROUND</title> Nonpharmacological interventions for veterans are needed to help them manage chronic pain and posttraumatic stress disorder (PTSD) symptoms. Complementary integrative health (CIH) such as Mission Reconnect (MR) seek provide with the option of a partnered, self-directed intervention that teaches CIH skills remotely support symptom management. </sec> <title>OBJECTIVE</title> The purpose this study was describe physical, psychological, social outcomes mobile-...

<sec> <title>BACKGROUND</title> The responsibility of care for Veterans and Service Members (V/SMs) with traumatic brain injury (TBI) often defaults to informal family caregivers. Caregiving demands considerable knowledge, skill, support facilitate the health well-being V/SMs themselves. Persistent common TBI caregiver issues include strain, depression, anxiety. While evidence-based, brief interventions have been developed implemented caregivers in Veteran neurodegenerative populations, few...

The responsibility of care for Veterans and Service Members (V/SMs) with traumatic brain injury (TBI) often defaults to informal family caregivers. Caregiving demands considerable knowledge, skill, support facilitate the health well-being V/SMs themselves. Persistent common TBI caregiver issues include strain, depression, anxiety. While evidence-based, brief interventions have been developed implemented caregivers in Veteran neurodegenerative populations, few developed, adapted, or tested...