What Should Health Care Systems Consider When Implementing Complementary and Integrative Health: Lessons from Veterans Health Administration

Taylor, Stephanie L.; Bolton, Rendelle E.; Huynh, Alexis K.; Dvorin, Kelly; Elwy, A. Rani; Bokhour, Barbara G.; Whitehead, A W; Kligler, Benjamin

doi:10.1089/acm.2018.0445

Cited by 58 publications

(44 citation statements)

References 15 publications

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“…Yoga is being offered at >50% of VA facilities nationwide, 54 yet most programs are not well integrated into primary care services, may not be delivered with a systematic protocol, capacity may be limited, and awareness of the programs may be low. 55 By demonstrating that yoga is an evidence-based treatment for cLBP in military veterans, complementary and integrative health researchers and VA administrators are in a position to begin implementing yoga programs more formally.…”

Section: Discussionmentioning

confidence: 99%

Yoga for Military Veterans with Chronic Low Back Pain: A Randomized Clinical Trial

Groessl

Liu

Chang

et al. 2017

American Journal of Preventive Medicine

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Section: Discussionmentioning

confidence: 99%

Yoga for Military Veterans with Chronic Low Back Pain: A Randomized Clinical Trial

Groessl

Liu

Chang

et al. 2017

American Journal of Preventive Medicine

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“…Relaxation techniques and planning pleasant activities are mind-body practices that overlap with CBT. The VA system is advancing a Whole Health program [32,33] that endorses VA health care providers of any discipline teaching mind-body practices to their patients. In accordance with these guidelines, it would be acceptable for audiologists to teach deep breathing, imagery, and other mind-body approaches to coping.…”

Section: Audiologists and Cbtmentioning

confidence: 99%

Factors affecting the implementation of evidence-based Progressive Tinnitus Management in Department of Veterans Affairs Medical Centers

et al. 2020

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Purpose Progressive Tinnitus Management (PTM) is an evidence-based interdisciplinary stepped-care approach to improving quality of life for patients with tinnitus. PTM was endorsed by Department of Veterans Affairs (VA) Audiology leadership in 2009. Factors affecting implementation of PTM are unknown. We conducted a study to: 1) estimate levels of PTM program implementation in VA Audiology and Mental Health clinics across the country; and 2) identify barriers and facilitators to PTM implementation based on the experiences of VA audiologists and mental health providers. Method We conducted an anonymous, web-based survey targeting Audiology and Mental Health leaders at 144 major VA facilities. Quantitative analyses summarized respondents’ facility characteristics and levels of program implementation (full PTM, partial PTM, or no PTM). Qualitative analyses identified themes in factors influencing the implementation of PTM across VA sites. Results Surveys from 87 audiologists and 66 mental health clinicians revealed that few facilities offered full PTM; the majority offered partial or no PTM. Inductive analysis of the open-ended survey responses identified seven factors influencing implementation of PTM: 1) available resources, 2) service collaboration, 3) prioritization, 4) Veterans’ preferences and needs, 5) clinician training, 6) awareness of (evidence-based) options, and 7) perceptions of scope of practice. Conclusion Results suggest wide variation in services provided, a need for greater engagement of mental health providers in tinnitus care, and an interest among both audiologists and mental health providers in receiving tinnitus-related training. Future research should address barriers to PTM implementation, including methods to: 1) improve understanding among mental health providers of their potential role in tinnitus management; 2) enhance coordination of tinnitus-related care between health care disciplines; and 3) collect empirical data on Veterans’ need for and interest in PTM, including delivery by telehealth modalities.

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“…The Whole Health model of care has been described as transformational. 19 In the article, the authors identify several barriers and recommend several strategies for successfully implementing CIH modalities such as mindfulness in health systems that may or may not be receptive to the practice.…”

Section: Mindfulness In the Largest Integrated Health Care System Of mentioning

confidence: 99%

Employing Mindfulness in Lifestyle Medicine

Shurney

2019

American Journal of Lifestyle Medicine

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What Should Health Care Systems Consider When Implementing Complementary and Integrative Health: Lessons from Veterans Health Administration

Cited by 58 publications

References 15 publications

Yoga for Military Veterans with Chronic Low Back Pain: A Randomized Clinical Trial

Yoga for Military Veterans with Chronic Low Back Pain: A Randomized Clinical Trial

Factors affecting the implementation of evidence-based Progressive Tinnitus Management in Department of Veterans Affairs Medical Centers

Employing Mindfulness in Lifestyle Medicine

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