Clinical trial

Enhancing Mental and Physical Health of Women Veterans 3.0

Opening soon · Not applicable · 1 countries · Registry ID NCT07356479

Opening soonNot applicableInterventional

What this study is about

Women Veterans are the fastest growing segment of VA users, with most users in midlife. This dramatic growth has created challenges for VA to ensure that appropriate services are available to meet women Veterans' needs, and that they will want and be able to use those services. Furthermore, few VA improvement efforts have focused on women Veterans' health and health care in midlife. The EMPOWER QUERI 3.0 Program is a cluster randomized type 3 hybrid implementation-effectiveness trial testing two strategies designed to support implementation and sustainment of evidence-based practices for women Veterans in at least 18 VA facilities from 4 regions.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

AgeNot listed to Not listed
SexAll
Healthy volunteersNot accepted
ConditionCardiovascular Diseases, Overweight, Obesity, Hypertension, Cholesterol, Diabetes Mellitus, Prediabetic State, Menopause, Cognitive Behavioral Therapy, Primary Health Care, Stress Disorders, Post-Traumatic, Prevention, Implementation Science, Quality Improvement

Full registry criteria

Inclusion Criteria: * This study is recruiting VA sites - not individual patients. * Prior to randomization, the study team will work with sites to ensure they have met the preconditions necessary to enroll in the study, which includes VISN, regional and/or facility level leadership support for participation. Exclusion Criteria: * N/A

Treatments and study arms

EBQI Booster (EBQI/B)

Behavioral

EBQI is a systematic quality improvement method for engaging frontline practices in improvement that introduces "best science" and evidence in the service of operational goals. EBQI has been tested in several VA implementation trials and the VA Office of Women's Health (OWH) recently conducted a large-scale roll out of EBQI across VA women's health. Sites randomized to EBQI/B will receive a two-hour EBQI Booster delivered virtually to site-identified QI champions and local implementation teams for each EBP reviewing key EBQI components and providing examples grounded in the EBPs.

EBQI Booster + External Facilitation (EBQI/B+EF)

Behavioral

EBQI is a systematic quality improvement method for engaging frontline practices in improvement that introduces "best science" and evidence in the service of operational goals. EBQI has been tested in several VA implementation trials and the VA Office of Women's Health (OWH) recently conducted a large-scale roll out of EBQI across VA women's health. External facilitation (EF) delivered by an expert facilitator from outside of the local implementation site, offers a supportive coaching process in which facilitators encourage interactive problem-solving in improvement efforts. EF is one of the most-studied implementation strategies. Sites randomized to EBQI/B+EF will receive a two-hour EBQI Booster delivered virtually to site-identified QI champions and local implementation teams for each EBP reviewing key EBQI components and providing examples grounded in the EBPs, plus 12 months of EF.

Primary outcomes

Engagement: TIC12 months

\# of women with shared decision-making treatment planning marker (1=WBS completed in EHR)

Engagement: CBT-SM12 months

\# women participating in CBT-SM (1=yes for one or more sessions)

Engagement: Women's MOVE!12 months

\# of women enrolled in Women's MOVE! (1=yes for one or more sessions)

Study locations

1 locations were listed when this page was built. The first 40 are shown.

VA Greater Los Angeles Healthcare System, West Los Angeles, CA🇺🇸 West Los Angeles, California, United States
Alison B Hamilton, PhD MPHContact
Bevanne A Bean-Mayberry, MD MHSContact
Alison B Hamilton, PhD MPHPrincipal Investigator