ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2026
A Pilot Implementation of a Peer-Delivered Service to Increase Behavioral Healthcare Engagement among Rural Veterans.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
- "Sitting on the Porch Just Hearing the Crickets": Rural Living and Mental Well-Being Among Veterans in the U.S. South.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
purposeMost rural Veterans with behavioral health concerns are not engaged in behavioral health care. Peer Support for Treatment Seeking (PS-TS) engages Veterans in care by leveraging Veteran peer specialists' unique skills to connect with other Veterans. PS-TS is a brief conversation about treatment-seeking beliefs that aims to connect Veterans to care. PS-TS was implemented in two rural Veterans Health Administration (VHA) regions in 2024.
methodsEvidence-based implementation strategies were used to support uptake of PS-TS, including working with local stakeholders to identify site-specific implementation barriers, tailoring implementation materials for peer-delivery, tracking adaptations, and training peers to deliver PS-TS. We evaluated impact using the RE-AIM domains of reach, effectiveness, adoption, implementation, and maintenance.
findingsTailoring PS-TS and the implementation plan to fit the peers' scope of practice and the needs of rural Veterans enabled implementation, while peer discomfort with outreach calls and the complexity of delivering PS-TS were barriers. PS-TS content and training were adapted to provide peers with more support. Peers conducted 364 outreach calls and delivered PS-TS to 117 Veterans, of whom 43 (37%) initiated VHA behavioral health care and 17 (15%) sought community/other care. PS-TS fidelity was high overall, but quality of delivery was low moderate for more challenging components. PS-TS was not maintained after implementation support ended.
conclusionsEvidence-based implementation strategies enabled PS-TS to reach many rural Veterans with unmet behavioral health needs and increase care engagement. Future implementation efforts should prioritize increasing the quality of PS-TS delivery and enabling PS-TS maintenance over time.
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Registered trials
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