Evidence map›Paper›PMID 37468861›Full record

ArticleBMC health services research2023

Rapid implementation of Veterans Health Administration telehealth creative arts therapies: survey evaluation of adoption and adaptation.

Kristin M Story, Mindy E Flanagan, Sheri L Robb, Dawn M Bravata, Matthew J Bair, David Otto, Teresa M Damush

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

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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

7 authors at 4 institutions in 1 country.

Kristin M StoryDepartment of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Center for Health Information and Communication, Richard L. Roudebush VA Medical Center, Indianapolis, IN, 46202, USA. kristin.story@va.gov.ORCID http://orcid.org/0000-0003-2110-5496
Mindy E FlanaganDepartment of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Center for Health Information and Communication, Richard L. Roudebush VA Medical Center, Indianapolis, IN, 46202, USA.
Sheri L RobbIndiana University School of Nursing, Indianapolis, IN, USA.
Dawn M BravataDepartment of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Center for Health Information and Communication, Richard L. Roudebush VA Medical Center, Indianapolis, IN, 46202, USA.
Matthew J BairDepartment of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Center for Health Information and Communication, Richard L. Roudebush VA Medical Center, Indianapolis, IN, 46202, USA.
David OttoVA Rehabilitation and Prosthetic Service, Recreation Therapy and Creative Arts Therapy Service, Washington, DC, USA.
Teresa M DamushDepartment of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Center for Health Information and Communication, Richard L. Roudebush VA Medical Center, Indianapolis, IN, 46202, USA.
Regenstrief Institute · USHealth Services Research & Development · USIndiana University – Purdue University Indianapolis · USRehabilitation Research and Development Service · US

Funding

EXTEND: EXpanding expertise Through E-health Network DevelopmentI50HX003205 · VA · RLR VA MEDICAL CENTER · PI BRAVATA, DAWN MARIE, DAMUSH, TERESA M. · 2021 to 2021
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Damush HSR&D Research Career Scientist Award ApplicationIK6HX002715 · VA · RLR VA MEDICAL CENTER · PI DAMUSH, TERESA M. · 2020 to 2024
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HSRD VA IK6 HX002715
6 · The paper itself

Abstract

backgroundCreative arts therapies (CAT) are employed throughout the Veterans Health Administration (VHA) and are predominantly delivered in-person. Though telehealth delivery of CAT was used at several VHA facilities to increase services to rural Veterans, due to guidance from the Center for Disease Control and VHA that temporarily suspended or reduced in-person services, there was a large increase of CAT therapists enterprise-wide who adopted telehealth delivery. The aims of this study were to evaluate adoption and adaptation of CAT telehealth delivery and identify related barriers and facilitators.

methodsWe deployed a survey guided by the Consolidated Framework for Implementation Research and administered it via email to all VHA CAT therapists (N = 120). Descriptive statistics were used to summarize data and responses were compared based on therapists' age, years of experience and CAT discipline. Open survey field responses were summarized, qualitatively coded, and analyzed thematically.

resultsMost therapists (76%) reported adopting telehealth with 74% each delivering > 50 CAT sessions in the prior year. Therapists adapted interventions or created new ones to be delivered through telehealth. Barriers included: technical challenges, control of the virtual space, and building rapport. Facilitators included added equipment, software, and infrastructure. CAT therapists adapted their session preparation, session content, outcome expectations, and equipment. CAT therapists reported being able to reach more patients and improved access to care with telehealth compared to in person visits. Additional benefits were patient therapeutic effects from attending sessions from home, therapist convenience, and clinician growth.

conclusionsVHA CAT therapists used their inherent creativity to problem solve difficulties and make adaptations for CAT telehealth adoption. Future studies may explore CAT telehealth sustainment and its effectiveness on clinical processes and outcomes.

Indexed as

TelemedicineVeteransHumansSurveys and QuestionnairesVeterans HealthArt therapyCreative arts therapyDance movement therapyDrama therapyImplementationMusic therapyObservational studyTelehealthVeterans

Identifiers

PMID37468861
PMCPMC10357876
OpenAlexW4384819284

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.