Accepted for/Published in: JMIR Formative Research
Date Submitted: Dec 1, 2020
Date Accepted: May 16, 2021
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Implementation of an Electronic Evidence-based Whole Health Clinical Program: Transforming Health and Resiliency through Integration of Values-based Experiences
ABSTRACT
Background:
Complementary and integrative health is the foundation of the Department of Veterans Affairs (VA) Whole Health System program (WH) including, Transforming Health and Resiliency through Integration of Values-based Experiences (THRIVE). The global COVID-19 pandemic prompted an urgent need to provide services such as THRIVE while following guidelines for social distancing.
Objective:
The objective of this paper is to describe the systematic implementation of THRIVE using an electronic delivery model.
Methods:
Observational clinical program implementation project using the RE-AIM framework to contextualize the implementation strategies and results. Implementation of an electronically delivered complementary and integrative health group medical appointment program, eTHRIVE.
Results:
Clinical staff transitioned to 100% electronic delivery of the THRIVE curriculum using the new eTHRIVE delivery model. In the current electronic delivery model, eTHRIVE, has effectively enrolled 10-12 Veterans per cohort, with 8 cohorts, totaling 87 Veterans to date. eTHRIVE attrition has been 6% since initiation.
Conclusions:
The current climate of the VA Whole Health programmatic initiative combined with the public health needs during a global pandemic prompted the move of THRIVE program into an electronic format to broaden scalability and reach.
Citation
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