ArticleJournal of general internal medicine2024
Changes in Patient-Reported Outcomes Associated with Receiving Whole Health in the Veteran Health Administration (VHA)'s National Demonstration Project.
Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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
13 citing papers in PubMed.
- How initial perceptions of the effectiveness of mind and body complementary and integrative health therapies influence long-term adherence in a pragmatic trial.Pain medicine (Malden, Mass.) · 2024Trial
- Exploring the Ripple Effect: Changes in Quality Measures Before and After Whole Health Adoption in Veterans Health Administration.Journal of general internal medicine · 2026Article
- Preparing clinical champions for sustainable implementation of practice change within large healthcare systems.Implementation science communications · 2026Article
- Embedded Research in a Learning Health System: How a Research-Operations Partnership Informed the Development, Implementation, and Scaling of VA's Whole Health System.Learning health systems · 2026Article
- Reaching Veterans with Cooccurring Mental Health Conditions Through the VA Whole Health System of Care.Journal of integrative and complementary medicine · 2025Article
- Longitudinal Utilization of Invasive Pain Treatment Procedures Among Veterans with Chronic Pain Following Use of Whole Health Services and Complementary and Integrative Health Therapies.Journal of pain research · 2025Article
- Development of an Integrative Medicine Rotation for Family Medicine and Preventive Medicine Residency.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025Article
- Is the PHQ-2 a Good Measure to Inform Providers About Patient Well-Being and Functioning? Data From the Veterans Health and Life Survey.Medical care · 2024Article
- Advancing a new model of collaborative practice: a decade of Whole Health interprofessional education across Veterans Health Administration.BMC medical education · 2024Article
- Co-occurring Chronic Pain and PTSD Among US Military Veterans: Prevalence, Correlates, and Functioning.Journal of general internal medicine · 2024Article
- Enhancing data practices for Whole Health: Strategies for a transformative future.Learning health systems · 2024Article
- Nonpharmacologic Back Pain Treatment Use and Associated Patient Reported Outcomes in US-Based Integrative Medicine Clinics.Global advances in integrative medicine and healthArticle
- Evaluation of a New Integrative Health and Wellness Clinic for Veterans at the San Francisco VA Health Care System: A Mixed-Methods Pilot Study.Global advances in integrative medicine and healthArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundWhole Health (WH) is a patient-centered model of care being implemented by the Veterans Health Administration. Little is known about how use of WH services impacts patients' health and well-being.
objectiveWe sought to assess the association of WH utilization with pain and other patient-reported outcomes (PRO) over 6 months.
designA longitudinal observational cohort evaluation, comparing changes in PRO surveys for WH users and Conventional Care (CC) users. Inverse probability of treatment weighting was used to balance the two groups on observed demographic and clinical characteristics.
participantsA total of 9689 veterans receiving outpatient care at 18 VA medical centers piloting WH.
interventionsWH services included goal-setting clinical encounters, Whole Health coaching, personal health planning, and well-being services.
main outcome measuresThe primary outcome was change in pain intensity and interference at 6 months using the 3-item PEG. Secondary outcomes included satisfaction, experiences of care, patient engagement in healthcare, and well-being. KEY
resultsBy 6 months,1053 veterans had utilized WH and 3139 utilized only CC. Baseline pain PEG scores were 6.2 (2.5) for WH users and 6.4 (2.3) for CC users (difference p = 0.028), improving by - 2.4% (p = 0.006) and - 2.3% (p < 0.001), respectively. In adjusted analyses, WH use was unassociated with greater improvement in PEG scores compared to CC - 1.0% (- 2.9%, 1.2%). Positive trends were observed for 8 of 15 exploratory outcomes for WH compared to CC. WH use was associated with greater improvements at 6 months in likelihood to recommend VA 2.0% (0.9%, 3.3%); discussions of goals 11.8% (8.2%, 15.5%); perceptions of healthcare interactions 2.5% (0.4%, 4.6%); and engagement in health behaviors 2.2% (0.3%, 3.9%).
conclusionThis study provides early evidence supporting the delivery of WH patient-centered care services to improve veterans' experiences of and engagement in care. These are important first-line impacts towards the goals of better overall health and well-being outcomes for Veterans.
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