接触最需要的退伍军人:评估退伍军人参与全国电话生活方式辅导计划的参与
Kimberly Clair1, Bevanne Bean-Mayberry2,3, Catherine Chanfreau2
1Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA. k.clair@ucla.edu.
Journal of general internal medicine
|February 26, 2026
概括
虚拟电话生活方式辅导 (TLC) 计划成功地覆盖了各种退伍军人,包括妇女和少数群体. 该计划对于减少退伍军人心血管健康差异至关重要.
科学领域:
- 心血管健康 心血管健康
- 健康差异 在健康上的差异
- 数字健康干预措施 数字健康干预措施
背景情况:
- 心血管疾病是退伍军人死亡的主要原因.
- 综合的生活方式干预可以减轻心血管疾病的风险.
- 在脆弱的退伍军人小组中,获得护理的机会可能不平等.
研究的目的:
- 评估国家,虚拟电话生活方式辅导 (TLC) 计划是否确保了弱势退伍军人群体的公平获取.
- 评估各种退伍军人子组的覆盖范围和参与度,包括妇女,种族/少数民族和农村退伍军人.
主要方法:
- 在44个退伍军人卫生管理局 (VA) 网站上对推和TLC计划的入学进行了回顾性评估.
- 使用双变量和多变量逻辑回归分析来比较推率和入学率.
- 分析的因素包括性别,种族,种族,城市/农村居住地,年龄,以前参与生活方式计划以及健康诊断.
主要成果:
- 该TLC计划在各种老兵群体中展示了广泛的覆盖范围和参与.
- 转诊与女性,以前参与生活方式计划和特定诊断 (例如抑郁症,PTSD,心血管风险) 有关.
- 招生与女性,先前参与和超重/肥胖有关. 具体的人口统计学因素影响了性别之间的入学情况.
结论:
- 虚拟的TLC计划成功地吸引了多元化的退伍军人群体,这表明了在覆盖和参与方面取得的成功.
- 农村和心理健康状况并没有妨碍TLC计划推.
- 虚拟生活方式干预对于解决退伍军人的心血管健康差异至关重要.
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