TY  - JOUR
AU  - Haun, Jolie N
AU  - Paykel, Jacquelyn
AU  - Melillo, Christine
PY  - 2021
DA  - 2021/6/29
TI  - Transforming Health and Resiliency Through Integration of Values-based Experiences: Implementation of an Electronic Evidence-based Whole Health Clinical Program
JO  - JMIR Form Res
SP  - e26030
VL  - 5
IS  - 6
KW  - virtual care
KW  - group medical appointment
KW  - complementary and integrative health
KW  - veteran
KW  - implementation
AB  - 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. 
SN  - 2561-326X
UR  - https://formative.jmir.org/2021/6/e26030
UR  - https://doi.org/10.2196/26030
UR  - http://www.ncbi.nlm.nih.gov/pubmed/34184996
DO  - 10.2196/26030
ID  - info:doi/10.2196/26030
ER  -