Evidence map›Paper›PMID 35106189›Full record

ArticleGlobal advances in health and medicine2022

Lessons Learned From VHA's Rapid Implementation of Virtual Whole Health Peer-Led Groups During the COVID-19 Pandemic: Staff Perspectives.

Ekaterina Anderson, Kelly Dvorin, Bella Etingen, Anna M Barker, Zenith Rai, Abigail Herbst, Reagan Mozer, Rodger P Kingston, Barbara Bokhour

Abstract read
In one paragraph

Article in Global advances in health and medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. 'It Makes You Sit Back and Think Where You Wanna Go': Veteran experiences in virtual whole health peer-led groups.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  4. Article
  5. Returning Wholeness to Health.Global advances in health and medicine · 2022
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ekaterina AndersonCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.ORCID https://orcid.org/0000-0001-7109-3054
Kelly DvorinCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.
Bella EtingenCenter of Innovation for Complex Chronic Healthcare (CINCCH), Hines VA Hospital, Hines, IL, USA.
Anna M BarkerCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.
Zenith RaiCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.
Abigail HerbstCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.
Reagan MozerDepartment of Mathematical Sciences, Bentley University, Waltham, MA, USA.
Rodger P KingstonVeteran Engagement in Research Group, VA Bedford Healthcare System, Bedford, MA, USA.
Barbara BokhourCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.

Funding

K12 Cardiopulmonary Implementation Science Scholars ProgramK12HL138049 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LEMON, STEPHENIE C., LINDENAUER, PETER KYLE · 2017 to 2021
$2.7M
NHLBI NIH HHS K12 HL138049
6 · The paper itself

Abstract

backgroundCommitted 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 wherein Veterans reflect on values, set health and well-being-related goals, and provide mutual support. Prior work has demonstrated the positive impact of these groups. After face-to-face TCMLH groups were disrupted by the COVID-19 pandemic, VHA facilities rapidly implemented virtual (video-based) TCMLH groups.

objectiveWe sought to understand staff perspectives on the feasibility, challenges, and advantages of conducting TCMLH groups virtually.

methodsWe completed semi-structured telephone interviews with 35 staff members involved in the implementation of virtual TCMLH groups across 12 VHA facilities and conducted rapid qualitative analysis of the interview transcripts.

resultsHolding TCMLH groups virtually was viewed as feasible. Factors that promoted the implementation included use of standardized technology platforms amenable to delivery of group-based curriculum, availability of technical support, and adjustments in facilitator delivery style. The key drawbacks of the virtual format included difficulty maintaining engagement and barriers to relationship-building among participants. The perceived advantages of the virtual format included the positive influence of being in the home environment on Veterans' reflection, motivation, and self-disclosure, the greater convenience and accessibility of the virtual format, and the virtual group's role as an antidote to isolation during the COVID-19 pandemic.

conclusionFaced with the disruption caused by the COVID-19 pandemic, VHA pivoted by rapidly implementing virtual TCMLH groups. Staff members involved in implementation noted that delivering TCMLH virtually was feasible and highlighted both challenges and advantages of the virtual format. A virtual group-based program in which participants set and pursue personally meaningful goals related to health and well-being in a supportive environment of their peers is a promising innovation that can be replicated in other health systems.

Indexed as

health coachingimplementation and disseminationqualitativesupport grouptelemedicineveterans

Identifiers

PMID35106189
PMCPMC8795823

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.