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. 2024 Oct 29;24:1306. doi: 10.1186/s12913-024-11733-2

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