Category: Cross-Cutting; Complementary Integrative Rehabilitation Medicine; Health Services Research
Objective : Transforming Health and Resiliency through Integration of Values-based Experiences (THRIVE) is an evidence-based 14-week curriculum-based group medical appointment clinical program. THRIVE is based on principles of Integrative Medicine, Positive Psychology, and Acceptance and Commitment Therapy. This poster reviews findings from a local THRIVE program implementation piloted in the Women's Health Clinic on mental and physical health indicators.
A descriptive project involving assessments that were conducted as part of the THRIVE program, pre-, mid-, and post- delivery.
THRIVE participants were recruited from a VA medical center Women's Health Clinic during a one-year period between 2016 and 2017.
Participants (or Animals, Specimens, Cadavers) : 149 female Veterans participated in one of ten cohorts with an average size of 15 (range of 11-19) Veterans per cohort
THRIVE used a multi-pronged approach leveraging integrative medicine, group medical appointments, positive psychology, and acceptance commitment therapy to deliver proactive patient-centered whole health care to Veterans.
Main Outcome Measure(s) : Mental health [Patient Health Questionnaire (PHQ)-9; Generalized Anxiety Disorder (GAD)-7; Acceptance and Action Questionnaire (AAQ)-II; Life Satisfaction Scale (LSS); SF-12 component scores for mental (MCS-12)] and physical fuctioning (SF-12 component scores PCS-12).
We found significant improvement on self-reported mental health scales (PHQ-9, GAD-7, AAQ-II, LSS, and on the mental component of the SF-12), as well as improvement in how much pain interferes with work in a pilot sample of women Veterans over the 14-week program.
These results provide preliminary evidence that a Whole Health approach has the potential to make significant improvements in reducing chronic pain and depression among US Veterans.
Christine Melillo– Health Science Specialist, James A. Haley VA, Tampa, Florida
Amy Alman– Associate Professor of Epidemiology, University of South Florida, Tampa, Florida
Jolie Haun– Director of Implementation & Dissemination, James A. Haley Veterans Hospital, Tampa, Florida
Jacquelyn Paykel– Whole Health Service, Director, James A Haley Veterans Hospital, Tampa, Florida
Nitin R. Patel– Program Analyst, Veteran's Health Administration, Tampa, Florida