Evidence map›Paper›PMID 39514496›Full record

ArticleMedical care2024

Measuring Patient Well-Being During Whole-Person Clinical Care: Lessons From the Veterans Health Administration Well-Beings Signs Implementation Pilot.

Bella Etingen, Adena Cohen-Bearak, Omonyele L Adjognon, Dawne Vogt, Timothy P Hogan, Lauren Gaj, Michelle B Orner, Anna M Barker, Barbara G Bokhour

Abstract read
In one paragraph

Article in Medical care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Bella EtingenResearch and Development Service, Dallas VA Medical Center, Dallas, TX.
Adena Cohen-BearakCenter for Health Optimization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, Boston, MA.
Omonyele L AdjognonCenter for Health Optimization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA.
Dawne VogtCenter for Health Optimization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA.
Timothy P HoganPeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, TX.
Lauren GajCenter for Health Optimization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, Boston, MA.
Michelle B OrnerCenter for Health Optimization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, Boston, MA.
Anna M BarkerCenter for Health Optimization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, Boston, MA.
Barbara G BokhourCenter for Health Optimization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, Boston, MA.

Funding

HSRD VA PEC 13-001
6 · The paper itself

Abstract

backgroundMeasuring patient well-being during clinical care may enhance patient-centered communication and treatment planning. The Veterans Health Administration (VHA) piloted the use of the Well-Being Signs (WBS), a self-report measure of psychosocial well-being, in clinical care.

objectiveTo understand early WBS implementation and health care team member experiences with its use before developing detailed support materials and finalizing the measure.

methodsWe conducted a mixed-methods evaluation of the WBS implementation pilot at 4 VHA facilities, including surveys of (n=4) Whole Health (WH) leaders/clinical leads, and semi-structured interviews with (n=11) clinical leads and team members. Survey data were characterized using descriptive statistics; interview data were analyzed using rapid qualitative analysis.

resultsFacilities supported WBS implementation by disseminating information to clinical team members, primarily during staff meetings (3/4 facilities), individual discussions (3/4), and email (3/4); only half provided training sessions. In interviews, some care team members expressed the need for more training on using the WBS in clinical care. Some interviewees also provided suggestions for changes to the draft measure, including response option format and question look-back period.

conclusionsAlthough there have been growing calls for attention to patient well-being in clinical care, our results suggest barriers to the implementation of well-being measures in this context. Findings were used to inform the development of enhanced training materials and make modifications to enhance the acceptability of the WBS to providers. Other identified barriers will need to be addressed in future implementation efforts, including bolstering leadership support and easing the added time and burden of administration.

Indexed as

United States Department of Veterans AffairsHumansPatient Care TeamPatient-Centered CarePilot ProjectsSelf ReportSurveys and QuestionnairesUnited States

Identifiers

PMID39514496
PMCPMC11548808

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.