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With the onset of the COVID-19 pandemic, one of the biggest changes in practice has been to the delivery of care. Telehealth technology has been an important mode to maintain the availability and continuity of care during these times for providers across the health care continuum—from physicians to nurses to therapists—in settings ranging from primary care to specialty care. The Veterans Health Administration (VHA) was uniquely adept at applying this change in delivery, as it has long utilized telehealth services to deliver care to Veterans across the country. This enabled the VHA to implement programs that were already in place to quickly provide Veterans with the necessary technology and to deliver care through telehealth. Currently, the VHA offers telehealth services and communication with providers via instant messaging on MyHealtheVet, telephone calls, and videoconferencing on VA Video Connect (VVC). Early in the pandemic, telephone appointments made up a significantly greater share of virtual care, likely due to their being less complex in nature and having fewer barriers to implementation. Implementation barriers for VVC include that both the patient and the provider need camera-enabled devices, access to adequate connectivity for streaming video, and a certain level of comfort navigating a telehealth platform.
Contents
- PREFACE
- ACKNOWLEDGMENTS
- EXECUTIVE SUMMARY
- INTRODUCTION
- METHODS
- RESULTS
- LITERATURE FLOW
- LITERATURE OVERVIEW
- KQ1. Among patients with chronic pain, what is the effect of videoconference-delivered psychologically informed interventions for nonpharmacological chronic pain on pain, functionality, quality of life, and patient engagement?
- KQ2. Among patients with chronic pain, what is the effect of videoconference-delivered therapeutic exercise and movement interventions for nonpharmacological chronic pain on pain, functionality, quality of life, and patient engagement?
- DISCUSSION
- REFERENCES
- APPENDIX A. SEARCH STRATEGIES
- APPENDIX B. EXCLUDED STUDIES
- APPENDIX C. OUTCOMES REPORTED IN IDENTIFIED LITERATURE
- APPENDIX D. PEER REVIEW DISPOSITION
Suggested citation:
Burke C, Salcedo Rossitch S, Bejarano G, et al. Videoconferencing of Movement-based and Psychologically Informed Interventions for Chronic Pain: A Systematic Review and Horizon Scan. Washington, DC: Evidence Synthesis Program, Health Services Research and Development Service, Office of Research and Development, Department of Veterans Affairs. VA ESP Project #09-101; 2022.
This report was prepared by the Evidence Synthesis Program Center located at the Durham VA Medical Center, Durham, NC, directed by Jennifer M. Gierisch, PhD, MPH and Karen M. Goldstein, MD, MSPH and funded by the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development.
The findings and conclusions in this document are those of the author(s) who are responsible for its contents and do not necessarily represent the views of the Department of Veterans Affairs or the United States government. Therefore, no statement in this article should be construed as an official position of the Department of Veterans Affairs. No investigators have any affiliations or financial involvement (eg, employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties) that conflict with material presented in the report.
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