Promoting Whole Health and Well-Being at Home: Veteran and Provider Perspectives on the Impact of Tele-Whole Health Services

Background The Veterans Health Administration (VA) is undergoing a transformation in how healthcare is organized and provided. This transformation to a Whole Health System of Care encompasses the integration of complementary and integrative health services, education, and Whole Health coaching to de...

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Main Authors: Aishwarya Khanna BS, Eileen M. Dryden PhD, Rendelle E. Bolton MPH, MSW, MA, Juliet Wu BS, Stephanie L. Taylor PhD, Marla L. Clayman MPH, PhD, Chitra Anwar MA, Danna Kasom BS, Michael McGowan MA, Rashmi S. Mullur MD, Barbara G. Bokhour PhD, Justeen Hyde PhD
Format: Article
Language:English
Published: SAGE Publishing 2022-11-01
Series:Global Advances in Health and Medicine
Online Access:https://doi.org/10.1177/2164957X221142608
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author Aishwarya Khanna BS
Eileen M. Dryden PhD
Rendelle E. Bolton MPH, MSW, MA
Juliet Wu BS
Stephanie L. Taylor PhD
Marla L. Clayman MPH, PhD
Chitra Anwar MA
Danna Kasom BS
Michael McGowan MA
Rashmi S. Mullur MD
Barbara G. Bokhour PhD
Justeen Hyde PhD
author_facet Aishwarya Khanna BS
Eileen M. Dryden PhD
Rendelle E. Bolton MPH, MSW, MA
Juliet Wu BS
Stephanie L. Taylor PhD
Marla L. Clayman MPH, PhD
Chitra Anwar MA
Danna Kasom BS
Michael McGowan MA
Rashmi S. Mullur MD
Barbara G. Bokhour PhD
Justeen Hyde PhD
author_sort Aishwarya Khanna BS
collection DOAJ
description Background The Veterans Health Administration (VA) is undergoing a transformation in how healthcare is organized and provided. This transformation to a Whole Health System of Care encompasses the integration of complementary and integrative health services, education, and Whole Health coaching to develop Veterans’ self-care skills. During the COVID-19 pandemic, these services were provided via telehealth (tele-WH). Objective We sought to understand Veteran and provider perspectives on how tele-WH impacts Veteran engagement in Whole Health-aligned services and the impact on their well-being. Methods Semi-structured interviews were conducted with 51 providers who delivered tele-WH at 10 VA Medical Centers (VAMCs) and 19 Veterans receiving tele-WH at 6 VAMCs. Participants were asked about their experiences with tele-WH, what they perceived to be the impact of tele-WH on Veterans, and their preferences moving forward. Interviews were transcribed, and a content analysis was performed using a rapid approach. Results We identified 3 major themes that describe the perceived impact of tele-WH on Veterans. These include: (1) increased use of Whole Health-aligned services; (2) deeper engagement with Whole-Health aligned services; and (3) improvements in social, psychological, and physical well-being. Conclusion Tele-WH is perceived to be a strong complement to in-person services and is a promising mechanism for improving engagement with Whole Health-aligned services and promoting Veteran well-being. Future research is needed to measure outcomes identified in this study and to support more equitable access to telehealth for all.
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spelling doaj.art-d87e7a39f64e408e8616d5c94cc2656d2022-12-22T03:46:12ZengSAGE PublishingGlobal Advances in Health and Medicine2164-95612022-11-011110.1177/2164957X221142608Promoting Whole Health and Well-Being at Home: Veteran and Provider Perspectives on the Impact of Tele-Whole Health ServicesAishwarya Khanna BSEileen M. Dryden PhDRendelle E. Bolton MPH, MSW, MAJuliet Wu BSStephanie L. Taylor PhDMarla L. Clayman MPH, PhDChitra Anwar MADanna Kasom BSMichael McGowan MARashmi S. Mullur MDBarbara G. Bokhour PhDJusteen Hyde PhDBackground The Veterans Health Administration (VA) is undergoing a transformation in how healthcare is organized and provided. This transformation to a Whole Health System of Care encompasses the integration of complementary and integrative health services, education, and Whole Health coaching to develop Veterans’ self-care skills. During the COVID-19 pandemic, these services were provided via telehealth (tele-WH). Objective We sought to understand Veteran and provider perspectives on how tele-WH impacts Veteran engagement in Whole Health-aligned services and the impact on their well-being. Methods Semi-structured interviews were conducted with 51 providers who delivered tele-WH at 10 VA Medical Centers (VAMCs) and 19 Veterans receiving tele-WH at 6 VAMCs. Participants were asked about their experiences with tele-WH, what they perceived to be the impact of tele-WH on Veterans, and their preferences moving forward. Interviews were transcribed, and a content analysis was performed using a rapid approach. Results We identified 3 major themes that describe the perceived impact of tele-WH on Veterans. These include: (1) increased use of Whole Health-aligned services; (2) deeper engagement with Whole-Health aligned services; and (3) improvements in social, psychological, and physical well-being. Conclusion Tele-WH is perceived to be a strong complement to in-person services and is a promising mechanism for improving engagement with Whole Health-aligned services and promoting Veteran well-being. Future research is needed to measure outcomes identified in this study and to support more equitable access to telehealth for all.https://doi.org/10.1177/2164957X221142608
spellingShingle Aishwarya Khanna BS
Eileen M. Dryden PhD
Rendelle E. Bolton MPH, MSW, MA
Juliet Wu BS
Stephanie L. Taylor PhD
Marla L. Clayman MPH, PhD
Chitra Anwar MA
Danna Kasom BS
Michael McGowan MA
Rashmi S. Mullur MD
Barbara G. Bokhour PhD
Justeen Hyde PhD
Promoting Whole Health and Well-Being at Home: Veteran and Provider Perspectives on the Impact of Tele-Whole Health Services
Global Advances in Health and Medicine
title Promoting Whole Health and Well-Being at Home: Veteran and Provider Perspectives on the Impact of Tele-Whole Health Services
title_full Promoting Whole Health and Well-Being at Home: Veteran and Provider Perspectives on the Impact of Tele-Whole Health Services
title_fullStr Promoting Whole Health and Well-Being at Home: Veteran and Provider Perspectives on the Impact of Tele-Whole Health Services
title_full_unstemmed Promoting Whole Health and Well-Being at Home: Veteran and Provider Perspectives on the Impact of Tele-Whole Health Services
title_short Promoting Whole Health and Well-Being at Home: Veteran and Provider Perspectives on the Impact of Tele-Whole Health Services
title_sort promoting whole health and well being at home veteran and provider perspectives on the impact of tele whole health services
url https://doi.org/10.1177/2164957X221142608
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