Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

869
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
869

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The Effect of Rural Versus Urban Residence on Risk of Unplanned Readmission and Death in Older Veterans Discharged From VA Hospitals.

The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association·2026
Same author

Frailty Predicts Incident Osteoporotic Fractures in Veterans with Rheumatoid Arthritis.

Arthritis care & research·2026
Same author

Perspectives of Older Veterans on Aging in Permanent Supportive Housing.

Journal of health care for the poor and underserved·2026
Same author

Updating and validating the Figueroa Frailty Index: transitioning from ICD-9 to ICD-10.

The journals of gerontology. Series A, Biological sciences and medical sciences·2026
Same author

Statins and survival free of incident frailty among older US veterans.

European heart journal·2026
Same author

Building effective hybrid learning environments in medical education: tips for educators.

Academic medicine : journal of the Association of American Medical Colleges·2026

Related Experiment Video

Updated: May 29, 2025

Development of a Virtual Reality Assessment of Everyday Living Skills
10:32

Development of a Virtual Reality Assessment of Everyday Living Skills

Published on: April 23, 2014

18.3K

Study protocol: type II hybrid effectiveness-implementation study of routine functional status screening in VA

Francesca M Nicosia1,2, Kara Zamora3, LauraEllen Ashcraft4,5,6

  • 1Center for Data to Discovery to Delivery Innovation (3DI), San Francisco Veterans Affairs (VA) Healthcare System, San Francisco, CA, USA.

Implementation Science Communications
|January 31, 2025
PubMed
Summary

This study aims to improve functional status screening for older veterans in primary care. Implementing this low-burden intervention can enhance care, support independence, and reduce healthcare costs.

Keywords:
FrailtyFunctional statusGeriatricsImplementation SciencePrimary CareVeteransVeterans Health Administration

More Related Videos

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

1.2K
A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
07:31

A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills

Published on: February 13, 2020

6.7K

Related Experiment Videos

Last Updated: May 29, 2025

Development of a Virtual Reality Assessment of Everyday Living Skills
10:32

Development of a Virtual Reality Assessment of Everyday Living Skills

Published on: April 23, 2014

18.3K
The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

1.2K
A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
07:31

A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills

Published on: February 13, 2020

6.7K

Area of Science:

  • Gerontology
  • Health Services Research
  • Implementation Science

Background:

  • Maintaining functional status is crucial for older adults' independence and quality of life.
  • Current tools for measuring functional status in primary care are burdensome, leading to inconsistent adoption.
  • Identifying functional impairments is key for optimal clinical care and anticipating population-level service needs.

Purpose of the Study:

  • To implement and evaluate a patient-centered, low-burden intervention for functional status screening in older veterans.
  • To improve the identification and management of functional impairment within Veterans Health Administration (VHA) primary care settings.

Main Methods:

  • A hybrid type 2 implementation-effectiveness cluster-randomized adaptive trial will be conducted at 8 VHA sites.
  • The study utilizes the Practical, Robust Implementation and Sustainability Model (PRISM) for guidance.
  • Implementation strategies include coalition building, champions, technical assistance, and audit/feedback, with adaptive randomization for low-uptake sites.

Main Results:

  • Primary implementation outcome: reach (proportion of eligible patients screened).
  • Primary effectiveness outcome: appropriate management of impairment (proportion of patients receiving related referrals).
  • The trial is registered at ClinicalTrials.gov (NCT06404970).

Conclusions:

  • Routine functional status measurement in primary care can significantly improve identification and management of impairment in older veterans.
  • Improved management can increase access to services, reduce acute care utilization, and support veterans living independently.
  • Implementation data will inform proactive interventions to prevent functional decline and enhance quality of life.