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Updated: Jul 17, 2025

Validation of a Psychosocial Intervention on Body Image in Older People: An Experimental Design
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Older Veterans' Experiences of a Multicomponent Telehealth Program: Qualitative Program Evaluation Study.

Michelle R Rauzi1, Meredith L Mealer2,3, Lauren M Abbate4

  • 1Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO, United States.

JMIR Formative Research
|September 8, 2023
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Summary

Older veterans in a telehealth program reported positive experiences, leading to improvements in the intervention. This study informs future adaptations for similar health programs serving this population.

Keywords:
multimorbidityolder adultsphysical therapytelehealthveteran health

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Area of Science:

  • Gerontology
  • Health Services Research
  • Telehealth

Background:

  • Millions of older American veterans face health challenges, increasing risks of isolation and poor health outcomes.
  • Physical function and activity levels are often low in this demographic, presenting modifiable targets for intervention.
  • A novel, 4-component telehealth program was developed using biopsychosocial and social cognitive frameworks to address these complex needs.

Purpose of the Study:

  • To explore older veterans' experiences with a multicomponent telehealth program.
  • To identify areas for quality and process improvement within the program.
  • To understand the perceived impact of the program on participants' lives and well-being.

Main Methods:

  • Qualitative interviews were conducted with 15 veterans who completed at least 8 weeks of the 12-week program.
  • Participants had a mean age of 50+ years and at least three medical comorbidities.
  • Interviews were transcribed and analyzed using a directed content analysis approach.

Main Results:

  • Six key domains emerged: technology, social networks, therapeutic relationship, patient attributes, access, and feasibility.
  • Participant feedback guided adaptations to the biobehavioral intervention, group sessions, and technology support.
  • Themes highlighted participant experiences and provided actionable insights for program refinement.

Conclusions:

  • Program evaluation identified specific quality and process improvements prior to larger trials.
  • Findings can inform the adaptation of similar telehealth programs for diverse contexts.
  • Further research is needed to understand the long-term impact on social health and behavior change.