Pham Catherine, Hildebrand Caitlin, Tarasovsky Gary, Purcell Natalie, Seal Karen, Nicosia Francesca
Integrative Health, San Francisco VA Health Care System, San Francisco, CA, USA.
School of Medicine, University of California, Irvine, CA, USA.
Glob Adv Integr Med Health. 2024 Oct 15;13:27536130241268107. doi: 10.1177/27536130241268107. eCollection 2024 Jan-Dec.
The COVID-19 pandemic and shut down of in-person complementary and integrative (CIH) wellness services at the San Francisco Veterans' Affairs Healthcare System (SFVAHCS) required implementation of virtual program delivery. In May 2020, VA in-person group yoga classes pivoted to virtual classes for existing attendees. In October 2020, we partnered with SFVAHCS Integrative Health and the VA Office of Rural Health to formalize the TeleYoga Program to expand yoga access to Veterans in SFVAHCS' geographically dispersed area.
This pilot study evaluated Veterans' experiences and self-reported health outcomes after participating in at-home tele-yoga groups during the COVID-19 pandemic.
The RE-AIM framework guided program delivery evaluation. Reach was assessed with medical record data. Adoption was assessed by the number of new facilities providing referrals to tele-yoga. Implementation, satisfaction, and patient-reported outcomes, were evaluated through structured interviews with Likert scale and open-ended responses.
We offered 4-6 weekly livestreamed classes between October 2020-September 2021. The program reached 70 Veterans, including 40 new participants, with 1208 total unique encounters. Referrals increased from 2 to 6 SFVAHCS facilities. Fourteen participants completed structured interviews. Over half rated highly the convenience and overall experience of tele-yoga classes and reported improvement with pain, stress management, exercise, and flexibility. Open-ended responses indicated opportunities for social connection, maintaining mental health, cultivating resilience, improving function, and managing pain. Suggestions for improvement focused on technological aspects, including audiovisual quality.
During the COVID-19 pandemic, we successfully transitioned and expanded virtual group yoga delivery to Veterans from all geographic locations within SFVAHCS. We attribute this success to existing infrastructure for telehealth and CIH services and a virtual program orientation for new participants. The results of this pilot study suggest in-person group yoga may be successfully implemented virtually, serving as a viable modality that contributes to holistic wellbeing for Veterans.
新冠疫情以及旧金山退伍军人事务医疗系统（SFVAHCS）面对面的补充与综合（CIH）健康服务的关闭，要求实施虚拟项目交付。2020年5月，退伍军人事务部的面对面团体瑜伽课程转向为现有参与者提供虚拟课程。2020年10月，我们与SFVAHCS综合健康部和退伍军人事务部农村健康办公室合作，将远程瑜伽项目正式化，以扩大瑜伽服务范围，让SFVAHCS地理分布分散地区的退伍军人也能参与。
这项试点研究评估了退伍军人在新冠疫情期间参加居家远程瑜伽团体课程后的体验和自我报告的健康结果。
RE-AIM框架指导项目交付评估。通过病历数据评估覆盖范围。通过提供远程瑜伽转介服务的新机构数量评估采用情况。通过李克特量表和开放式回答的结构化访谈评估实施情况、满意度和患者报告的结果。
在2020年10月至2021年9月期间，我们每周提供4至6次直播课程。该项目覆盖了70名退伍军人，包括40名新参与者，总共有1208次独特的参与。转介机构从2个增加到6个SFVAHCS设施。14名参与者完成了结构化访谈。超过一半的人对远程瑜伽课程的便利性和整体体验给予高度评价，并报告在疼痛、压力管理、锻炼和灵活性方面有所改善。开放式回答表明存在社交联系、保持心理健康、培养恢复力、改善功能和管理疼痛的机会。改进建议集中在技术方面，包括视听质量。
在新冠疫情期间，我们成功地将虚拟团体瑜伽服务过渡并扩展到SFVAHCS内所有地理位置的退伍军人。我们将这一成功归因于现有的远程医疗和CIH服务基础设施以及针对新参与者的虚拟项目导向。这项试点研究的结果表明，面对面团体瑜伽可以成功地以虚拟方式实施，作为一种可行的方式，为退伍军人的整体健康做出贡献。
