scholarly journals Implementation of an Electronic Evidence-based Whole Health Clinical Program: Transforming Health and Resiliency through Integration of Values-based Experiences (Preprint)

10.2196/26030 ◽  
2020 ◽  
Author(s):  
Jolie Haun ◽  
Jacquelyn Paykel ◽  
Christine Melillo
2020 ◽  
Author(s):  
Jolie Haun ◽  
Jacquelyn Paykel ◽  
Christine Melillo

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.


2010 ◽  
Vol 143 (1_suppl) ◽  
pp. 79-80
Author(s):  
Airton Tetelbom Stein ◽  
André Wajner ◽  
Fernando Waldemar ◽  
Fernanda Fuzinatto ◽  
Grasiele Bess ◽  
...  

Author(s):  
Artem Kolichenko

The presence of terminological disunity in the doctrine of criminal procedure in the definition of the term “electronic evidence” leads to misunderstanding or even misunderstanding of the essence and purpose of the designated phenomenon. Thus, the purpose of the article is to develop the term «electronic evidence» based on the existing doctrinal provisions. In addition, this article attempts to consolidate the existing knowledge about the term “electronic evidence”, its future and present for the modern criminal process. The author emphasizes the impossibility of formulating a legal norm related to electronic evidence without a specific and clear concept.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 50-50
Author(s):  
Jaime Hughes

Abstract Translation of effective evidence-based programs into practice is critical to promoting and preserving older adults’ function and independence. This presentation will provide an introduction to implementation strategies, defined as the “methods or techniques used to enhance the adoption, implementation, and sustainability of a clinical program or practice.” Some examples of implementation strategies include education and training, stakeholder engagement, patient and/or consumer involvement, adaptation, and technical assistance. Application of these implementation strategies will be illustrated using examples from local and national scale out of evidence-based health promotion programs for older adults within the VA Healthcare System. This presentation will close with guidance on how to select, track, and evaluate implementation strategies.


2012 ◽  
Vol 1 (1) ◽  
pp. 13-20 ◽  
Author(s):  
Kathleen Abrahamson ◽  
Priscilla A. Arling ◽  
Bonnie Wesorick ◽  
James G. Anderson

Implementation of electronic evidence into the practice environments of clinical staff is an ongoing challenge in health care organizations. Despite localized efforts to integrate point-of-care technology with clinical practice, system-wide transformation across multiple clinical settings has not commonly occurred. This paper examines a framework designed to guide the implementation of evidence-based practice using technology in health care settings from the theoretical lens of the Socio-Technical Systems (STS) approach. The framework under study is called the CPM Framework™, developed by the Clinical Practice Model Resource Center (CPMRC). The CPMRC is a collaborative consortium of health care providers representing over 300 rural, community, and university settings. The CPMRC developed the Clinical Practice Model (CPM) Framework™ to guide the integration of evidence based CPG’s into the work worlds of clinicians. The authors propose that the CPM Framework is consistent with STS approach concepts, and can serve as an exemplar for other health care organizations seeking to implement technology in a manner that is consistent with established theoretical foundations.


2020 ◽  
Vol 43 ◽  
Author(s):  
Valerie F. Reyna ◽  
David A. Broniatowski

Abstract Gilead et al. offer a thoughtful and much-needed treatment of abstraction. However, it fails to build on an extensive literature on abstraction, representational diversity, neurocognition, and psychopathology that provides important constraints and alternative evidence-based conceptions. We draw on conceptions in software engineering, socio-technical systems engineering, and a neurocognitive theory with abstract representations of gist at its core, fuzzy-trace theory.


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