Evidence map›Paper›PMID 35174002›Full record

ArticleGlobal advances in health and medicine2021

"Then COVID happened…": Veterans' Health, Wellbeing, and Engagement in Whole Health Care During the COVID-19 Pandemic.

Natalie Purcell, Joanna Sells, Sarah McGrath, Haley Mehlman, Daniel Bertenthal, Karen H Seal

Open access · goldAbstract read
In one paragraph

Article in Global advances in health and medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% of its field
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Moral Injury and COVID-Related Stress Among Post-9/11 Veterans: Examining Longitudinal Associations.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. '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
  8. Article
  9. Covid-19 Outcomes Among US Veterans.Global advances in health and medicine · 2022
    Article
  10. Returning Wholeness to Health.Global advances in health and medicine · 2022
    Article
  11. Article
  12. 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

6 authors at 2 institutions in 1 country.

Natalie PurcellSan Francisco VA Health Care System, San Francisco, CA, USA.ORCID https://orcid.org/0000-0002-0582-9235
Joanna SellsSan Francisco VA Health Care System, San Francisco, CA, USA.
Sarah McGrathSan Francisco VA Health Care System, San Francisco, CA, USA.
Haley MehlmanSan Francisco VA Health Care System, San Francisco, CA, USA.
Daniel BertenthalSan Francisco VA Health Care System, San Francisco, CA, USA.
Karen H SealSan Francisco VA Health Care System, San Francisco, CA, USA.
San Francisco VA Health Care System · USUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the COVID-19 pandemic's impact on US military veterans' health, wellbeing, and care engagement. Healthcare systems like VA need additional information about the pandemic's biopsychosocial impacts and how a Whole Health approach may help to address them.

objectiveTo examine how the pandemic has affected veterans' health, wellbeing, and engagement in the VA Whole Health System of Care.

methodWe conducted qualitative interviews with 40 veterans at a large multicampus VA healthcare system during the pandemic. Informed by a Whole Health approach, interviews used open-ended questions to holistically explore pandemic impacts on mental and physical health, healthcare access and engagement, social support, coping strategies, and use of VA healthcare and wellness services. Interviews were conducted by telephone, audio-recorded, and analyzed using a matrix-based technique. Interviews were supplemented by an original survey assessing pandemic impacts; descriptive frequencies were calculated to describe and characterize the interviewed sample. INTERVIEW

resultsNearly, all participating veterans described significant pandemic impacts on their wellbeing, especially loneliness and sorrow stemming from isolation and disruptions to ordinary routines. These emotional impacts-sometimes combined with new constraints on care access and personal mobility-disrupted veterans' health plans and sometimes deterred engagement in both routine and wellness care. Veterans already struggling with chronic mental and physical health conditions and those who experienced transitions or losses during the pandemic described the most severe impacts on their wellbeing. Virtual VA wellness services, especially health coaching and mind-body wellness groups, were a key source of support and connection for those who engaged in them.

conclusionWe discuss the implications of our findings for care systems attempting to implement a Whole Health System of Care, including how they can address postpandemic barriers to engagement in healthcare and wellness programs, and how wellness programs can be leveraged to support those most at risk after the COVID-19 pandemic and in future crises.

Indexed as

biopsychosocial careCOVID-19 pandemicveteranswellnesswhole health

Identifiers

PMID35174002
PMCPMC8842446
OpenAlexW3210275190

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.