ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2026
Chronic Pain in Community: A Mixed Methods Evaluation of the Vet-to-Vet Program.
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. Not yet cited in PubMed.
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5 authors.
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Abstract
purposeThis paper presents findings from a mixed methods evaluation of the Vet-to-Vet Program-a virtual peer-led support group developed to bridge geographic barriers and address social needs for rural Veterans living with chronic pain, which is nowbut open to all Veterans. This study evaluates outcomes and healthcare utilization patterns among Veterans participating in Vet-to-Vet.
methodsWe explored outcomes of the Vet-to-Vet Program using a sequential mixed methods design with a pragmatic qualitative design and a retrospective observational quantitative design. First, we conducted focus groups and analyzed them with matrix analysis. Then, we calculated standardized mean differences to explore healthcare utilization 6 months prior to and 6 months after a Veteran's first Vet-to-Vet encounter.
findingsA total of 40 Veterans participated in six focus groups and 110 Veterans were included in the observational cohort (i.e., attended five or more meetings at one of seven established sites). Focus group participants attributed the following outcomes to their participation in Vet-to-Vet: reduced social isolation and increased social connection, increased awareness and utilization of services, and improved physical and mental health. Quantitative findings demonstrated a small decrease in primary care utilization (SMD = 0.12) and a small increase in the use of Complementary and Integrative Health Services (SMD = 0.11) after Vet-to-Vet participation. We observed a small decrease in the number of Emergency Department encounters (SMD = 0.14) and hospital length of stay, when hospitalized (SMD = 0.19).
conclusionsThe Vet-to-Vet Program may increase social connection, improve health outcomes, and change how Participants navigate their care.
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