@Article{info:doi/10.2196/26030,
author="Haun, Jolie N
and Paykel, Jacquelyn
and Melillo, Christine",
title="Transforming Health and Resiliency Through Integration of Values-based Experiences: Implementation of an Electronic Evidence-based Whole Health Clinical Program",
journal="JMIR Form Res",
year="2021",
month="Jun",
day="29",
volume="5",
number="6",
pages="e26030",
keywords="virtual care; group medical appointment; complementary and integrative health; veteran; implementation",
abstract="Background: Complementary and integrative health (CIH) 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 was to describe the systematic implementation of THRIVE using an electronic delivery model. Methods: The study involved an observational clinical program implementation project using the RE-AIM framework to contextualize the implementation strategies and results, and then the implementation of an electronically delivered CIH group medical appointment program (eTHRIVE). Results: Clinical staff transitioned to 100{\%} electronic delivery of the THRIVE curriculum using the new eTHRIVE delivery model. 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{\%} (5/87) since initiation. Conclusions: The current climate of the VA WH 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. ",
issn="2561-326X",
doi="10.2196/26030",
url="https://formative.jmir.org/2021/6/e26030",
url="https://doi.org/10.2196/26030",
url="http://www.ncbi.nlm.nih.gov/pubmed/34184996"
}