Evidence map›Paper›PMID 38625878›Full record

ArticlePloS one2024

Legal Services for Veterans (LSV): Protocol for evaluating the grant-based LSV initiative supporting community organizations' delivery of legal services to veterans.

Bo Kim, Beth Ann Petrakis, Ida Griesemer, Samantha K Sliwinski, Amanda M Midboe, Rebecca A Raciborski, Thomas H Byrne, Madolyn B Gingell, Jessica Blue-Howells, Sean C Clark and 3 more

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

13 authors.

Bo KimCenter for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts, United States of America.ORCID 0000-0001-7730-1627
Beth Ann PetrakisCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, United States of America.
Ida GriesemerCenter for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts, United States of America.ORCID 0000-0001-6556-2520
Samantha K SliwinskiCenter for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts, United States of America.
Amanda M MidboeCenter for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California, United States of America.
Rebecca A RaciborskiCenter for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, Arkansas, United States of America.ORCID 0000-0002-4135-9074
Thomas H ByrneCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, United States of America.
Madolyn B GingellVeterans Health Administration Homeless Programs Office, Washington, District of Columbia, United States of America.
Jessica Blue-HowellsVeterans Health Administration Homeless Programs Office, Washington, District of Columbia, United States of America.
Sean C ClarkVeterans Health Administration Homeless Programs Office, Washington, District of Columbia, United States of America.
Jack TsaiVeterans Health Administration Homeless Programs Office, Washington, District of Columbia, United States of America.ORCID 0000-0002-0329-648X
Kim L L HarveyCenter for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts, United States of America.
D Keith McInnesCenter for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background1.8 million Veterans are estimated to need legal services, such as for housing eviction prevention, discharge upgrades, and state and federal Veterans benefits. While having one's legal needs met is known to improve one's health and its social determinants, many Veterans' legal needs remain unmet. Public Law 116-315 enacted in 2021 authorizes VA to fund legal services for Veterans (LSV) by awarding grants to legal service providers including nonprofit organizations and law schools' legal assistance programs. This congressionally mandated LSV initiative will award grants to about 75 competitively selected entities providing legal services. This paper describes the protocol for evaluating the initiative. The evaluation will fulfill congressional reporting requirements, and inform continued implementation and sustainment of LSV over time.

methodsOur protocol calls for a prospective, mixed-methods observational study with a repeated measures design, aligning to the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) and Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) frameworks. In 2023, competitively selected legal services-providing organizations will be awarded grants to implement LSV. The primary outcome will be the number of Veterans served by LSV in the 12 months after the awarding of the grant. The evaluation has three Aims. Aim 1 will focus on measuring primary and secondary LSV implementation outcomes aligned to RE-AIM. Aim 2 will apply the mixed quantitative-qualitative Matrixed Multiple Case Study method to identify patterns in implementation barriers, enablers, and other i-PARIHS-aligned factors that relate to observed outcomes. Aim 3 involves a mixed-methods economic evaluation to understand the costs and benefits of LSV implementation. DISCUSSION: The LSV initiative is a new program that VA is implementing to help Veterans who need legal assistance. To optimize ongoing and future implementation of this program, it is important to rigorously evaluate LSV's outcomes, barriers and enablers, and costs and benefits. We have outlined the protocol for such an evaluation, which will lead to recommending strategies and resource allocation for VA's LSV implementation.

Indexed as

VeteransDriveHumansLegal ServicesObservational Studies as TopicProspective StudiesUnited StatesUnited States Department of Veterans Affairs

Identifiers

PMID38625878
PMCPMC11020365

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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.