Whitehead Alison M, Mullur Rashmi, Sullivan Marlysa B, Nicosia Francesca M
Office of Patient Centered Care and Cultural Transformation, Veterans Health Administration, Washington, DC, USA.
Greater Los Angles Veterans Affairs Health Care System, Los Angeles, CA, USA.
Glob Adv Integr Med Health. 2024 Mar 17;13:27536130241235908. doi: 10.1177/27536130241235908. eCollection 2024 Jan-Dec.
Mindful Movement approaches have been a growing part of the Veterans Health Administration (VA). Innovations in tele-health technology had been an important initiative before the public health emergency to meet the needs of rural veterans as well as challenges in getting to a physical location for care. The onset of the COVID-19 pandemic accelerated this transition to tele-delivery of many practices including mindful movement. This paper aims to share lessons learned from virtual delivery of mindful movement as part of clinical and well-being programs in VA. Benefits of virtual care discussed include the convenience and decreased travel burden; accessibility for adaptive movement options; translation to home practice; and shifting the emphasis to interoceptive skills-building supportive of self-efficacy for exploring and identifying safe movement. Important challenges are also identified such as technology related barriers; teachers trained to meet the need of offering adaptations for a heterogenous population and supporting interoceptive skill-building; and supporting both physical and psychological safety. Examples are provided of medical groups incorporating virtual mindful movement within programs for diabetes and pain care to further explore the potential benefit of these practices being integrated within the care itself, rather than as a separate practice. It is hoped that the lessons learned will provide support for Veterans and staff, and the wider health care community, in what they need to participate in virtual care that is high quality, accessible, and meets the needs for greater health and well-being.
正念运动方法在退伍军人健康管理局（VA）中所占的比重日益增加。在公共卫生紧急情况发生之前，远程医疗技术创新一直是一项重要举措，旨在满足农村退伍军人的需求以及解决前往医疗机构就诊所面临的挑战。COVID-19大流行的爆发加速了向包括正念运动在内的许多医疗服务远程提供的转变。本文旨在分享作为VA临床和健康项目一部分的正念运动虚拟提供过程中的经验教训。所讨论的虚拟护理的益处包括便利性和减轻出行负担；适应性运动选项的可及性；转化为家庭练习；以及将重点转向支持自我效能感的内感受技能培养，以探索和识别安全的运动。同时也确定了一些重要挑战，如技术相关障碍；培训教师以满足为异质人群提供适应性调整并支持内感受技能培养的需求；以及保障身体和心理安全。文中提供了一些医疗团队的例子，这些团队在糖尿病和疼痛护理项目中纳入了虚拟正念运动，以进一步探索这些做法融入护理本身而非作为单独一项做法的潜在益处。希望所吸取的经验教训能为退伍军人、工作人员以及更广泛的医疗保健社区提供支持，帮助他们参与高质量、可及且能满足增进健康和福祉需求的虚拟护理。
