Evidence map›Paper›PMID 41749005›Full record

ArticleJournal of general internal medicine2026

Reaching Veterans Most in Need: Evaluating Engagement in a National Telephone Lifestyle Coaching Program for Veterans.

Kimberly Clair, Bevanne Bean-Mayberry, Catherine Chanfreau, Sophia Hurley, Eric Pear, Michael G Goldstein, Jane Kim, Susan D Raffa, Tannaz Moin, Erin P Finley and 2 more

Erratum issuedAbstract read
PubMed Publisher
In one paragraph

Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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. "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 · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Kimberly ClairCenter for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA. k.clair@ucla.edu.ORCID http://orcid.org/0000-0002-4738-1766
Bevanne Bean-MayberryCenter for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Catherine ChanfreauCenter for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Sophia HurleyVeterans Health Administration National Center for Health Promotion and Disease Prevention, Durham, NC, USA.
Eric PearVeterans Health Administration National Center for Health Promotion and Disease Prevention, Durham, NC, USA.
Michael G GoldsteinVeterans Health Administration National Center for Health Promotion and Disease Prevention, Durham, NC, USA.
Jane KimVeterans Health Administration National Center for Health Promotion and Disease Prevention, Durham, NC, USA.
Susan D RaffaVeterans Health Administration National Center for Health Promotion and Disease Prevention, Durham, NC, USA.
Tannaz MoinCenter for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Erin P FinleyCenter for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Alison HamiltonCenter for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Melissa M FarmerCenter for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.

Funding

A Multi-Level Evaluation of California's New Medicaid Coverage for the Diabetes Prevention ProgramR18DK122372 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DURU, OBIDIUGWU KENRIK · 2020 to 2024
$3.2M
The Impact of Reflective Motivation on the Effect of a Shared Decision Making Intervention for Diabetes PreventionR01DK127733 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DURU, OBIDIUGWU KENRIK, MOIN, TANNAZ · 2021 to 2025
$3.0M
The UC DPP Study: Evaluating a Diabetes Prevention Initiative Across the University of California SystemR01DK124503 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MOIN, TANNAZ · 2020 to 2023
$2.0M
CDC HHS U18DP006535CDC HHS U18 DP006708Health Services Research and Development RCS 21-135NIDDK NIH HHS R01DK124503NIDDK NIH HHS R01DK127733NIDDK NIH HHS R18DK122372Quality Enhancement Research Initiative 20-028U.S. Department of Veterans Affairs CSP#2002U.S. Department of Veterans Affairs CSPNODES0017
6 · The paper itself

Abstract

backgroundParticipating in a comprehensive lifestyle intervention can reduce the risk of cardiovascular disease-the leading cause of death among Veterans.

objectiveWe assessed whether a national, virtual lifestyle change program (Telephone Lifestyle Coaching, TLC) promoted equal access to care across vulnerable Veteran subgroups (women, racial/ethnic minorities, rural Veterans).

designWe conducted a retrospective evaluation of reach (referrals) and engagement (enrollment) during TLC's implementation at 44 Veterans Health Administration (VA) sites (March 2019-September 2023). We used bivariate analyses to compare referred vs. non-referred and enrolled vs. not enrolled Veterans, and multivariate logistic regression-among all Veterans and stratified by sex-to assess factors associated with referral and enrollment.

participantsAll TLC-eligible Veterans at the 44 implementation sites (N = 2,333,586). MAIN MEASURES: We evaluated factors associated with referrals and enrollment in terms of sex, race, ethnicity, and urban/rural residence, controlling for age, prior VA lifestyle program participation, mental health diagnoses, trauma, and cardiovascular health in regression analyses adjusting for clustering by site. KEY

resultsTLC referral was associated with being female, prior lifestyle program participation, and diagnoses of depression, PTSD, military sexual trauma, overweight/obesity, and cardiovascular risk. Among men, the odds of referral were higher among Black/other race Veterans compared to White Veterans. Enrollment was associated with being female, prior lifestyle program participation, and overweight/obesity diagnosis. Among females, Hispanic/Latino ethnicity increased odds of enrollment while among males, rural residence increased odds of enrollment.

conclusionTLC demonstrated success in reach and engagement across a diverse Veteran population. Rurality and mental health conditions were not a barrier to TLC program referral, while prior participation in a VA lifestyle change intervention may facilitate subsequent engagement in lifestyle change programs. Providing a virtual option for lifestyle-focused counseling programs is essential for addressing persistent disparities in Veterans' cardiovascular health outcomes.

Indexed as

cardiovascular diseasehealth disparitieslifestyle changeveteran health

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.