Online Program

327237
Improving health through mind-body practices: Veterans' experiences of yoga and qigong in VA


Wednesday, November 4, 2015 : 11:15 a.m. - 11:30 a.m.

Rendelle E. Bolton, MPH, MSW, MA, Center for Evaluating Patient-Centered Care in VA, Center for Healthcare Organization and Implementation Research, US Department of Veterans Affairs, Bedford, MA
Jeffrey Solomon, PhD, Center for Evaluating Patient-Centered Care in VA, Center for Healthcare Organization and Implementation Research, US Department of Veterans Affairs, Bedford, MA
Gemmae M. Fix, PhD, Center for Evaluating Patient-Centered Care in VA, Center for Healthcare Organization and Implementation Research, US Department of Veterans Affairs, Bedford, MA
A. Rani Elwy, PhD, Center for Evaluating Patient-Centered Care in VA, Center for Healthcare Organization and Implementation Research, US Department of Veterans Affairs, Boston, MA
Carol VanDeusen Lukas, EdD, Center for Evaluating Patient-Centered Care in VA, Center for Healthcare Organization and Implementation Research, US Department of Veterans Affairs, VA Boston Healthcare System, Boston, MA
Barbara G. Bokhour, PhD, Center for Evaluating Patient-Centered Care in VA, Center for Healthcare Organization and Implementation Research, US Department of Veterans Affairs, Bedford, MA
Chronic pain, polypharmacy, and mental health concerns are among many problems facing Veterans. Traditional therapies, including medication, are one approach, yet recently Veterans have been seeking complementary strategies to address health concerns. VA Medical Centers now offer Complementary and Integrative Health (CIH) programs to provide non-pharmaceutical options for improving health and well-being. Yet little is known about how Veterans experience these programs. This qualitative study examined Veterans’ perspectives of two mind-body CIH programs in VA.

Methods

Five focus groups were conducted with Veterans (n=31) enrolled in yoga and qigong classes at two VA Medical Centers. Participants discussed motivations for enrolling, expectations, perceived benefits, and areas for improvement. Focus groups were audio-recorded and transcribed verbatim. We conducted a grounded content analysis in which transcripts were coded line by line, with codes developed inductively from the data, and then organized into broader emergent categories utilizing constant comparison.

Results

As a result of these CIH programs, Veterans reported physical and mental health improvements, reductions in medication use, development of coping skills, and improvements in social relationships. In comparison to traditional therapies, Veterans reported greater satisfaction and health with yoga and qigong. No negative experiences were reported; only logistical issues were identified as areas needing improvement.

Conclusions

Health benefits from CIH programs touched many aspects of Veterans’ physical, emotional, and social lives.  Veterans were satisfied with the CIH programs and reported how their lives had been transformed as a result of participation. These programs should be considered worthwhile investments for healthcare systems to pursue.

Learning Areas:

Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs

Learning Objectives:
Describe the health benefits that Veterans derive from participating in yoga and qigong programs in VA. Discuss study implications for healthcare systems seeking to offer Complementary and Integrative Health programs for Veterans

Keyword(s): Veterans' Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a qualitative researcher on multiple federally funded grants and evaluation projects related to Veterans health concerns and healthcare delivery in the VA. My scientific interests include qualitative health research, patient-centered care, patient-provider communication, and Veterans health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.