Complex Health Concerns
Conditions
Keywords
Health coaching, chronic multisymptom illness
Brief summary
This study examines the impact of a VA Whole Health coaching program aimed at improving Veteran's health and well-being by increasing healthy lifestyle behaviors in treatment-seeking Veterans receiving care at the DC and CA War Related Illness and Injury Study Centers.
Interventions
OTHERVA Whole Health coaching
The VA Whole Health coaching intervention will consist of seventeen, 30 to 60-minute telehealth sessions that were dispersed over seven to nine months. Participants will work closely with a health coach to create a plan for making appropriate lifestyle changes.
Sponsors
War Related Illness and Injury Study Center
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
•Veterans receiving a clinical evaluation at the War Related Illness and Injury Study Centers in Washington, DC or Palo Alto, California.
Exclusion criteria
* Current active suicidal or homicidal ideation * Current or lifetime history of a psychiatric disorder with primary psychotic features * Current or lifetime bipolar disorder * Acute or unstable psychiatric condition(s) and/or chronic illnesses that would benefit from immediate referral for treatment * Neurological disorders such as Alzheimer's disease, advanced Parkinson's disease, and unstable epilepsy * Pregnancy * Current exposure to trauma, or exposure to trauma in the past 3 months * Current or within the past 30 days substance abuse or dependence (except nicotine) * Excessive alcohol intake defined as an AUDIT score ≥ 4 for men and an AUDIT score ≥ 3 for women.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility (recruitment rate) | Through study completion, an average of 7 months | Calculated as the number of participants who consented into the study divided by the number of participants who were approached for study participation. |
| Feasibility (retention rate) | Through study completion, an average of 7 months | Calculated as a percentage for each time point (3 months and 6 months). |
| Feasibility (adherence rate) | Through study completion, an average of 7 months | Calculated as the number of health coaching sessions completed out of 17 total sessions. |
| Safety of Whole Health coaching intervention | Through study completion, an average of 7 months | Reported as the number of adverse events self-reported by participants during the intervention |
| Acceptability | Through study completion, an average of 7 months | Acceptability was evaluated qualitatively using feedback captured during health coaching sessions. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| RAND 36-Item Short Form Health Survey (SF-36) | Baseline to mid-intervention and baseline to post-intervention | To measure physical and mental health-related quality of life. |
| Pittsburgh Sleep Quality Index (PSQI) | Baseline to post-intervention | To assess sleep quality and sleep disturbances |
| Generalized Anxiety Disorder scale (GAD-7) | Baseline to post-intervention | To assess the level of anxiety symptoms |
| Five Facet Mindfulness Questionnaire (FFMQ) | Baseline to post-intervention | To evaluate mindfulness |
| Patient Health Questionnaire-8 (PHQ8) | Baseline to post-intervention | To assess the level of depression symptoms |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORRebecca McCullers, RN, NBC-HWC
War Related Illness and Injury Study Center
Outcome results
None listed