Table 2.
Overview of hypotheses, variables & data sources
| Rationale | Hypothesis | Variables | Source | |
|---|---|---|---|---|
|
Patient Level |
The integration of a WH approach will result in increased use of WH services | Veterans with HIV who are who are rural or older, will be less likely to receive WH services. |
• Demographics: Age; Rurality (based on RUCA); Race/ethnicity; Gender; Marital status • HIV status [Combination Antiretroviral Therapy (cART); CD4; HIV Viremia Control, Viral load] • Comorbidities (e.g., chronic pain; diabetes; hypertension; cardiovascular disease; substance or opioid use disorder; mental health) • Social Risk Factors (e.g., employment/financial problems, housing instability, lack of access to transportation, legal issues, nonspecific psychosocial needs, and social/family problems) |
VHA Administrative Data |
|
Clinic Level |
Understand the setting where Veterans with HIV are receiving WH services | Veterans with HIV who receive care in HIV specialty care clinics providing primary care will be less likely to receive WH services. |
• HIV Clinic Model (Consolidated HIV & primary care clinic vs. HIV specialty care) • HIV Clinic Providers’ Whole Health Exposure |
Survey; VHA Employee Education Data |
|
Site Level |
Examine whether stage of WH transformation predicts receipt of WH | Veterans who receive care at sites lowest in WH implementation stage (“Preparation” or “Foundational” stages) will be less likely to receive WH services. |
Whole Health Implementation Stage • Designation Model Self-Assessment Preparation; Foundational; Developmental; Full) |
VHA Operations Data |