Evidence map›Paper›PMID 36754647›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2023

Supporting Veterans, Caregivers, and Providers in Rural Regions With Tele-Geriatric Psychiatry Consultation: A Mixed Methods Pilot Study.

Christine E Gould, Chalise Carlson, Ana Jessica Alfaro, Ranak Trivedi, A Denise Savell, Priyanka S Mehta, Zachary Burningham, Amanda Peeples, Julie Filips

Abstract read
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In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Ask the Expert Geriatric Psychiatry: A VHA Email Consultation Program to Support Clinicians.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2026
    Article
  4. Article
  5. 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.

Christine E GouldVA Palo Alto Health Care System, Geriatric Research (CEG, CC, AJA, PSM), Education and Clinical Center (GRECC), Palo Alto, CA; Department of Psychiatry and Behavioral Services (CEG, AJA, RT), Stanford University School of Medicine, Palo Alto, CA. Electronic address: christine.gould@va.gov.
Chalise CarlsonVA Palo Alto Health Care System, Geriatric Research (CEG, CC, AJA, PSM), Education and Clinical Center (GRECC), Palo Alto, CA.
Ana Jessica AlfaroVA Palo Alto Health Care System, Geriatric Research (CEG, CC, AJA, PSM), Education and Clinical Center (GRECC), Palo Alto, CA; Department of Psychiatry and Behavioral Services (CEG, AJA, RT), Stanford University School of Medicine, Palo Alto, CA.
Ranak TrivediDepartment of Psychiatry and Behavioral Services (CEG, AJA, RT), Stanford University School of Medicine, Palo Alto, CA; Center for Innovation to Implementation (RT), VA Palo Alto Health Care System, Palo Alto, CA.
A Denise SavellVeterans Integrated Service Network (VISN) 23 Clinical Resource Hub (ADS, JF), Minneapolis, MN.
Priyanka S MehtaVA Palo Alto Health Care System, Geriatric Research (CEG, CC, AJA, PSM), Education and Clinical Center (GRECC), Palo Alto, CA.
Zachary BurninghamInformatics, Decision-Enhancement, and Analytic Sciences (IDEAS) Center of Innovation (ZB), VA Salt Lake City Health Care System, Salt Lake City, UT; Division of Epidemiology, Department of Internal Medicine (ZB), University of Utah, Salt Lake City, UT.
Amanda PeeplesCenter for Health Equity Research and Promotion (AP), Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA.
Julie FilipsVeterans Integrated Service Network (VISN) 23 Clinical Resource Hub (ADS, JF), Minneapolis, MN.

Funding

Intramural VA VA999999
6 · The paper itself

Abstract

objectivesCross-facility tele-geriatric psychiatry consultation is a promising model for providing specialty services to regions lacking sufficient geriatric psychiatry expertise. This evaluation focused on assessing the feasibility and acceptability of a consultation program developed by a geriatric psychiatrist in a Veterans Health Administration regional telehealth hub.

designConcurrent, mixed methods program evaluation.

settingA region served by a VA health care system telehealth hub.

participantsPatients with at least 1 geriatric mental health encounter with a geriatric psychiatrist consultant during a 1 year-period; referring providers.

interventionVirtual psychiatric evaluation of Veterans with time-limited follow-up and e-consultation with providers. MEASUREMENTS: Interviews with consultant, medical record data, and referring provider surveys.

resultsThree hundred fifteen Veterans (M = 76.0 ± 9.64 years; 40% rural-dwelling) had 666 encounters (M = 2.11 ± 1.78) with most occurring via clinical video telehealth (n = 443; 67.6%), e-consultation (n = 99; 15.1%), or video to home (n = 95; 14.5%). Most encounters were related to neurocognitive disorders, depressive disorders, trauma-related disorders, or serious mental illness. Referring providers (N = 58) highly recommended the program, reported high satisfaction, followed through with recommendations, and believed that this program increased access to geriatric psychiatry.

conclusionsThis single program was shown to be feasible, acceptable, and valued by the referring providers. The findings highlighted the complex presentations of Veterans referred, and the current unmet need of providers of such Veterans, providing impetus for wider implementation.

Indexed as

TelemedicineVeteransAgedCaregiversGeriatric PsychiatryHumansPilot ProjectsReferral and ConsultationConsultationneurocognitive disordersnursing hometelehealthveteransvirtual care

Identifiers

PMID36754647
PMCPMC13537014

What OpenQuestion holds

Textmetadata
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.