Evidence map›Paper›PMID 40800073›Full record

ArticleFrontiers in health services2025

The Boost Team: transforming outreach for female veterans in rural communities.

Jenny Krause Cohen, Kara Zamora-Rogoski, Caitlin McLean, Mariam Jacob, Tara Stacker, Caroline Dancu, Jennifer Childers

Abstract read
In one paragraph

Article in Frontiers in health services, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. A National Virtual Peer Support Group for Women Veterans Living with Breast Cancer: Lessons from the Field.International journal of environmental research and public health · 2026
    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

7 authors.

Jenny Krause CohenUnited States Department of Veterans Affairs, San Francisco VA Health Care System, Veterans Health Administration, San Francisco, CA, United States.
Kara Zamora-RogoskiUnited States Department of Veterans Affairs, San Francisco VA Health Care System, Veterans Health Administration, San Francisco, CA, United States.
Caitlin McLeanUnited States Department of Veterans Affairs, VA Central Western Massachusetts Healthcare System, Veterans Health Administration, Leeds, AL, United States.
Mariam JacobUnited States Department of Veterans Affairs, San Francisco VA Health Care System, Veterans Health Administration, San Francisco, CA, United States.
Tara StackerUnited States Department of Veterans Affairs, San Francisco VA Health Care System, Veterans Health Administration, San Francisco, CA, United States.
Caroline DancuUnited States Department of Veterans Affairs, San Francisco VA Health Care System, Veterans Health Administration, San Francisco, CA, United States.
Jennifer ChildersVeterans Integrated Service Network 21, Pleasanton, CA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Prior studies show that rurality and sex act synergistically resulting in poor health outcomes for rural female Veterans in large part due to challenges utilizing timely and convenient health care services. We conducted a mixed-methods quality improvement evaluation of a novel outreach program within the Veterans Health Administration (VHA) that provides clinician-driven outreach to women Veterans served by rural VHA clinics. Our goal was to understand the impact the program has on rural female Veterans' access to and engagement in VHA care as well as the impact the program has on health system leaders and rural VHA clinic staff. Materials and methods: In 2022, we developed a clinician-driven outreach program known as The Boost Team. The Boost nurse practitioner (NP) "cold called" female Veterans within a regional VA health care system and provided real-time clinical care and linkage to VHA services. Outreach calls were completed with 543 Veterans and metrics on call attempts and services rendered were tracked. Of Veterans who received the outreach, 58 completed a telephone survey using the Patient Empowerment Engagement Activation Survey (PEEAS), and 21 completed a semi-structured interview. Interviews focused on experiences with the NP, Boost's impact on access to and experience of VHA care, and suggestions for program improvement. Health system leaders (HSLs; Findings: The most common needs addressed during outreach calls included new referrals to specialty care, completion of outstanding health care maintenance (e.g., age-appropriate cancer screening), coordination with primary and specialty care, assistance with medication management, and reviewing diagnostics (e.g., labs, imaging). PEEAS data demonstrated strong agreement across all categories (median = 5 or "strongly agree"). Veterans, HSLs, and clinic staff reported that Boost outreach increased trust in VHA among Veterans and provided necessary support for under-staffed clinics. Conclusions: Clinician-driven outreach is a powerful tool to improve access to and engagement in care for rural female Veterans and provides necessary support to rural VHA clinics. Future efforts include expanding geographic range of Boost and better characterizing populations of veterans that most benefit from clinician-driven outreach.

Indexed as

mixed methodsoutreachprimary care redesignrural veteranswomen veterans

Identifiers

PMID40800073
PMCPMC12339469

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.