{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T14:45:01Z","timestamp":1790952301841,"version":"4.1.0"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100007181","name":"Quality Enhancement Research Initiative","doi-asserted-by":"publisher","award":["20-028"],"award-info":[{"award-number":["20-028"]}],"id":[{"id":"10.13039\/100007181","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007217","name":"Health Services Research and Development","doi-asserted-by":"publisher","award":["RCS 21-135"],"award-info":[{"award-number":["RCS 21-135"]}],"id":[{"id":"10.13039\/100007217","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R01DK124503"],"award-info":[{"award-number":["R01DK124503"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R01DK127733"],"award-info":[{"award-number":["R01DK127733"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R18DK122372"],"award-info":[{"award-number":["R18DK122372"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["U18DP006535"],"award-info":[{"award-number":["U18DP006535"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["U18 DP006708"],"award-info":[{"award-number":["U18 DP006708"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["CSP#2002"],"award-info":[{"award-number":["CSP#2002"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["CSPNODES0017"],"award-info":[{"award-number":["CSPNODES0017"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J GEN INTERN MED"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Participating in a comprehensive lifestyle intervention can reduce the risk of cardiovascular disease\u2014the leading cause of death among Veterans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We assessed whether a national, virtual lifestyle change program (Telephone Lifestyle Coaching, TLC) promoted equal access to care across vulnerable Veteran subgroups (women, racial\/ethnic minorities, rural Veterans).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>We conducted a retrospective evaluation of reach (referrals) and engagement (enrollment) during TLC\u2019s implementation at 44 Veterans Health Administration (VA) sites (March 2019\u2014September 2023). We used bivariate analyses to compare referred vs. non-referred and enrolled vs. not enrolled Veterans, and multivariate logistic regression\u2014among all Veterans and stratified by sex\u2014to assess factors associated with referral and enrollment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>All TLC-eligible Veterans at the 44 implementation sites (N\u2009=\u20092,333,586).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Measures<\/jats:title>\n                    <jats:p>We evaluated factors associated with referrals and enrollment in terms of sex, race, ethnicity, and urban\/rural residence, controlling for age, prior VA lifestyle program participation, mental health diagnoses, trauma, and cardiovascular health in regression analyses adjusting for clustering by site.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Results<\/jats:title>\n                    <jats:p>TLC referral was associated with being female, prior lifestyle program participation, and diagnoses of depression, PTSD, military sexual trauma, overweight\/obesity, and cardiovascular risk. Among men, the odds of referral were higher among Black\/other race Veterans compared to White Veterans. Enrollment was associated with being female, prior lifestyle program participation, and overweight\/obesity diagnosis. Among females, Hispanic\/Latino ethnicity increased odds of enrollment while among males, rural residence increased odds of enrollment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TLC demonstrated success in reach and engagement across a diverse Veteran population. Rurality and mental health conditions were not a barrier to TLC program referral, while prior participation in a VA lifestyle change intervention may facilitate subsequent engagement in lifestyle change programs. Providing a virtual option for lifestyle-focused counseling programs is essential for addressing persistent disparities in Veterans\u2019 cardiovascular health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11606-026-10299-5","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T21:59:39Z","timestamp":1772143179000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Reaching Veterans Most in Need: Evaluating Engagement in a National Telephone Lifestyle Coaching Program for Veterans"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4738-1766","authenticated-orcid":false,"given":"Kimberly","family":"Clair","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bevanne","family":"Bean-Mayberry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Chanfreau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Hurley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Pear","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael G.","family":"Goldstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan D.","family":"Raffa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tannaz","family":"Moin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin P.","family":"Finley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Hamilton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa M.","family":"Farmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,26]]},"reference":[{"issue":"2","key":"10299_CR1","doi-asserted-by":"publisher","first-page":"101533","DOI":"10.1016\/j.jacadv.2024.101533","volume":"4","author":"DE Le","year":"2025","unstructured":"Le DE, Arora BL, Kelly FR, et al. The Quality of Veterans Healthcare Administration Cardiovascular Care. JACC Adv. 2025;4(2):101533. https:\/\/doi.org\/10.1016\/j.jacadv.2024.101533.","journal-title":"JACC Adv."},{"issue":"11","key":"10299_CR2","doi-asserted-by":"publisher","first-page":"1163","DOI":"10.1001\/jama.2018.13022","volume":"320","author":"SJ Curry","year":"2018","unstructured":"US Preventive Services Task Force, Curry SJ, Krist AH, et al. Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults: US Preventive Services Task Force Recommendation Statement.\u00a0JAMA. 2018;320(11):1163-1171. https:\/\/doi.org\/10.1001\/jama.2018.13022","journal-title":"JAMA"},{"issue":"9","key":"10299_CR3","doi-asserted-by":"publisher","first-page":"1218","DOI":"10.1111\/obr.12889","volume":"20","author":"T Semlitsch","year":"2019","unstructured":"Semlitsch T, Stigler FL, Jeitler K, et al. Management of overweight and obesity in primary care-A systematic overview of international evidence-based guidelines.\u00a0Obes Rev. 2019;20(9):1218-1230. https:\/\/doi.org\/10.1111\/obr.12889","journal-title":"Obes Rev."},{"issue":"7","key":"10299_CR4","doi-asserted-by":"publisher","first-page":"1854","DOI":"10.1210\/clinem\/dgab091","volume":"106","author":"K Kheniser","year":"2021","unstructured":"Kheniser K, Saxon DR, Kashyap SR. Long-Term Weight Loss Strategies for Obesity.\u00a0J Clin Endocrinol Metab. 2021;106(7):1854-1866. https:\/\/doi.org\/10.1210\/clinem\/dgab091","journal-title":"J Clin Endocrinol Metab."},{"issue":"4","key":"10299_CR5","doi-asserted-by":"publisher","first-page":"551","DOI":"10.1007\/s13142-011-0077-4","volume":"1","author":"LC Kahwati","year":"2011","unstructured":"Kahwati LC, Lance TX, Jones KR, et al. RE-AIM evaluation of the Veterans Health Administration's MOVE! Weight Management Program.\u00a0Transl Behav Med. 2011;1(4):551-560. https:\/\/doi.org\/10.1007\/s13142-011-0077-4.","journal-title":"Weight Management Program. Transl Behav Med."},{"issue":"Suppl 1","key":"10299_CR6","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1007\/s11606-016-3948-z","volume":"32","author":"SD Raffa","year":"2017","unstructured":"Raffa SD, Maciejewski MI, Zimmerman LE, et al. A System-Level Approach to Overweight and Obesity in the Veterans Health Administration.\u00a0J GEN INTERN MED\u00a032\u00a0(Suppl 1), 79\u201382 (2017). https:\/\/doi.org\/10.1007\/s11606-016-3948-z","journal-title":"J GEN INTERN MED"},{"issue":"3","key":"10299_CR7","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1016\/j.orcp.2016.11.005","volume":"11","author":"T Rutledge","year":"2017","unstructured":"Rutledge T, Skoyen JA, Wiese JA, et al. A comparison of MOVE! versus TeleMOVE programs for weight loss in Veterans with obesity. Obesity Research & Clinical Practice (2017): 11(3): 344-351. https:\/\/doi.org\/10.1016\/j.orcp.2016.11.005","journal-title":"Obesity Research & Clinical Practice"},{"issue":"5","key":"10299_CR8","doi-asserted-by":"publisher","first-page":"583","DOI":"10.1016\/j.amepre.2018.06.028","volume":"55","author":"T Moin","year":"2018","unstructured":"Moin T, Damschroder LJ, AuYoung M, et al. Results From a Trial of an Online Diabetes Prevention Program Intervention.\u00a0Am J Prev Med. 2018;55(5):583-591. https:\/\/doi.org\/10.1016\/j.amepre.2018.06.028","journal-title":"Am J Prev Med."},{"issue":"7","key":"10299_CR9","doi-asserted-by":"publisher","first-page":"748","DOI":"10.1080\/03630242.2019.1710892","volume":"60","author":"KE Dyer","year":"2020","unstructured":"Dyer KE, Moreau JL, Finley EP, et al. Tailoring an evidence-based lifestyle intervention to meet the needs of women Veterans with prediabetes.\u00a0Women Health. 2020;60(7):748-762. https:\/\/doi.org\/10.1080\/03630242.2019.1710892","journal-title":"Women Health."},{"issue":"11\u201312","key":"10299_CR10","doi-asserted-by":"publisher","first-page":"e2150","DOI":"10.1093\/milmed\/usaa198","volume":"185","author":"WR Marchand","year":"2020","unstructured":"Marchand WR, Beckstrom J, Nazarenko E, et al. The Veterans Health Administration Whole Health Model of Care: Early Implementation and Utilization at a Large Healthcare System.\u00a0Mil Med. 2020;185(11-12):e2150-e2157. https:\/\/doi.org\/10.1093\/milmed\/usaa198","journal-title":"Mil Med."},{"issue":"6","key":"10299_CR11","doi-asserted-by":"publisher","first-page":"784","DOI":"10.1002\/osp4.622","volume":"8","author":"KM Robinson","year":"2022","unstructured":"Robinson KM, Vander Weg M, Laroche HH, et al. Obesity treatment initiation, retention, and outcomes in the Veterans Affairs MOVE! Program among rural and urban veterans.\u00a0Obes Sci Pract. 2022;8(6):784-793. https:\/\/doi.org\/10.1002\/osp4.622","journal-title":"Obes Sci Pract."},{"issue":"1","key":"10299_CR12","doi-asserted-by":"publisher","first-page":"1314","DOI":"10.1186\/s12889-021-11378-4","volume":"21","author":"I Golovaty","year":"2021","unstructured":"Golovaty I, Wadhwa S, Fisher L, et al. Reach, engagement and effectiveness of in-person and online lifestyle change programs to prevent diabetes. BMC Public Health. 2021;21(1):1314. https:\/\/doi.org\/10.1186\/s12889-021-11378-4.","journal-title":"BMC Public Health."},{"key":"10299_CR13","doi-asserted-by":"publisher","first-page":"1057586","DOI":"10.3389\/fpubh.2023.1057586","volume":"11","author":"K LeBeau","year":"2023","unstructured":"LeBeau K, Varma DS, Kreider CM, et al. Whole Health coaching to rural Veterans through telehealth: Advantages, gaps, and opportunities. Front Public Health. 2023;11:1057586. https:\/\/doi.org\/10.3389\/fpubh.2023.1057586.","journal-title":"Front Public Health."},{"key":"10299_CR14","doi-asserted-by":"publisher","unstructured":"Jolles MP, Fort MP & Glasgow RE. Aligning the planning, development, and implementation of complex interventions to local contexts with an equity focus: application of the PRISM\/RE-AIM Framework. Int J Equity Health. 2024;23(41). https:\/\/doi.org\/10.1186\/s12939-024-02130-6","DOI":"10.1186\/s12939-024-02130-6"},{"key":"10299_CR15","unstructured":"Department of Veterans Affairs. \u201cYour Health, Your Goals.\u201d Published January 2012. https:\/\/www.prevention.va.gov\/docs\/0574VANCPVetGuideSMARTGoalsF508.pdf. Accessed 3 Sept 2025."},{"issue":"2","key":"10299_CR16","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1007\/s13142-016-0424-6","volume":"7","author":"LJ Damschroder","year":"2017","unstructured":"Damschroder LJ, Reardon CM, Sperber N, et al. Implementation evaluation of the Telephone Lifestyle Coaching (TLC) program: organizational factors associated with successful implementation. Translational behavioral medicine. 2017;7(2):233-41.","journal-title":"Transl Behav Med."},{"issue":"12 Suppl 5","key":"10299_CR17","doi-asserted-by":"publisher","first-page":"S5","DOI":"10.1097\/MLR.0000000000000226","volume":"52","author":"LP Krejci","year":"2014","unstructured":"Krejci LP, Carter K, Gaudet T. Whole health: the vision and implementation of personalized, proactive, patient-driven health care for veterans.\u00a0Med Care. 2014;52(12 Suppl 5):S5-S8. https:\/\/doi.org\/10.1097\/MLR.0000000000000226","journal-title":"Med Care."},{"key":"10299_CR18","unstructured":"StataCorp. 2018. Stata Statistical Software: Release 18. College Station, TC: StataCorp LLC."},{"key":"10299_CR19","unstructured":"Washington DL (ed). National Veteran Health Equity Report 2021. Focus on Veterans Health Administration Patient Experience and Health Care Quality. Washington, DC: VHA Office of Health Equity. https:\/\/www.va.gov\/HEALTHEQUITY\/docs\/NVHER_2021_Report_508_Conformant.pdf Published September 2022. Accessed September 3, 2025."},{"issue":"8","key":"10299_CR20","doi-asserted-by":"publisher","first-page":"986","DOI":"10.1111\/dme.12206","volume":"30","author":"MLS Lie","year":"2013","unstructured":"Lie MLS, Hayes L, Lewis-Barned NJ, et al. Preventing type 2 diabetes after gestational diabetes: women\u2019s experiences and implications for diabetes prevention interventions. Diabet Med. 2013;30(8):986\u201393.","journal-title":"Diabet Med."},{"key":"10299_CR21","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1186\/1472-6874-14-49","volume":"14","author":"D McArthur","year":"2014","unstructured":"McArthur D, Dumas A, Woodend K, et al. Factors influencing adherence to regular exercise in middle-aged women: a qualitative study to inform clinical practice. BMC Womens Health. 2014;14:49. https:\/\/doi.org\/10.1186\/1472-6874-14-49","journal-title":"BMC Womens Health."},{"issue":"1","key":"10299_CR22","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1089\/whr.2019.0009","volume":"1","author":"BC Batch","year":"2020","unstructured":"Batch BC, Brown CS, Goldstein KM, et al. Women Veterans Experience with the VA MOVE! Weight Management Program.\u00a0Womens Health Rep (New Rochelle). 2020;1(1):65-72. https:\/\/doi.org\/10.1089\/whr.2019.0009","journal-title":"Womens Health Rep (New Rochelle)"},{"issue":"13_Supplement","key":"10299_CR23","doi-asserted-by":"publisher","first-page":"1701","DOI":"10.1016\/S0735-1097(24)03691-X","volume":"83","author":"W Tang","year":"2024","unstructured":"Tang W, Tisdale R, Beyene T, et al. Racial and ethnic differences in obesity treatment strategies in the Veterans Affairs Healthcare System.\u00a0JACC.\u00a02024;83(13_Supplement) 1701.https:\/\/doi.org\/10.1016\/S0735-1097(24)03691-X","journal-title":"JACC"},{"key":"10299_CR24","doi-asserted-by":"publisher","unstructured":"Breland JY, Tanksley L, Borowitz MA, et al.\u00a0Black Veterans Experiences with and Recommendations for Improving Weight-Related Health Care: A Photovoice Study.\u00a0J GEN INTERN MED. 2024;39(2033\u20132040). https:\/\/doi.org\/10.1007\/s11606-024-08628-7","DOI":"10.1007\/s11606-024-08628-7"},{"issue":"6","key":"10299_CR25","doi-asserted-by":"publisher","first-page":"784","DOI":"10.1002\/osp4.622","volume":"8","author":"KM Robinson","year":"2022","unstructured":"Robinson KM, Vander Weg M, Laroche HH, et al.\u00a0Obesity treatment initiation, retention, and outcomes in the Veterans Affairs MOVE! Program among rural and urban veterans.\u00a0Obes Sci Pract.\u00a02022;\u00a08(6):\u00a0784-793.\u00a0https:\/\/doi.org\/10.1002\/osp4.622","journal-title":"Obes Sci Pract."},{"issue":"5","key":"10299_CR26","doi-asserted-by":"publisher","first-page":"e70014","DOI":"10.1002\/osp4.70014","volume":"10","author":"V Kamalumpundi","year":"2024","unstructured":"Kamalumpundi V, Smith JK, Robinson KM, et al. Patient, facility, and environmental factors associated with obesity treatment in US Veterans.\u00a0Obes Sci Pract. 2024;10(5):e70014. https:\/\/doi.org\/10.1002\/osp4.70014","journal-title":"Obes Sci Pract."},{"key":"10299_CR27","doi-asserted-by":"publisher","unstructured":"Gray KE, Hoerster KD, Spohr SA, et al. National Veterans Health Administration MOVE! Weight Management Program Participation During the COVID-19 Pandemic. Prev Chronic Dis. 2022;19(E11). https:\/\/doi.org\/10.5888\/pcd19.210303.","DOI":"10.5888\/pcd19.210303"},{"key":"10299_CR28","doi-asserted-by":"publisher","first-page":"24","DOI":"10.21037\/mhealth.2020.03.02","volume":"7","author":"SC Day","year":"2021","unstructured":"Day SC, Day G, Keller M, et al. Personalized implementation of video telehealth for rural veterans (PIVOT-R).\u00a0Mhealth. 2021;7:24. https:\/\/doi.org\/10.21037\/mhealth.2020.03.02","journal-title":"Mhealth."},{"issue":"Suppl 1","key":"10299_CR29","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1007\/s11606-017-3992-3","volume":"32","author":"SH Chan","year":"2017","unstructured":"Chan SH, Raffa SD. Examining the Dose-Response Relationship in the Veterans Health Administration's MOVE!\u00ae\u00a0Weight Management Program: A Nationwide Observational Study.\u00a0J Gen Intern Med. 2017;32(Suppl 1):18-23. https:\/\/doi.org\/10.1007\/s11606-017-3992-3","journal-title":"J Gen Intern Med."},{"issue":"5","key":"10299_CR30","doi-asserted-by":"publisher","first-page":"704","DOI":"10.1016\/j.amepre.2018.01.029","volume":"54","author":"ML Maciejewski","year":"2018","unstructured":"Maciejewski ML, Shepherd-Banigan M, Raffa SD, et al. Systematic Review of Behavioral Weight Management Program MOVE! for Veterans.\u00a0Am J Prev Med. 2018;54(5):704-714. https:\/\/doi.org\/10.1016\/j.amepre.2018.01.029","journal-title":"Am J Prev Med."},{"issue":"3","key":"10299_CR31","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1037\/prj0000363","volume":"42","author":"TT Olmos-Ochoa","year":"2019","unstructured":"Olmos-Ochoa TT, Niv N, Hellemann G, et al. Barriers to participation in web-based and in-person weight management interventions for serious mental illness.\u00a0Psychiatr Rehabil J. 2019;42(3):220-228. https:\/\/doi.org\/10.1037\/prj0000363","journal-title":"Psychiatr Rehabil J."},{"key":"10299_CR32","doi-asserted-by":"publisher","first-page":"109849","DOI":"10.1016\/j.jpsychores.2019.109849","volume":"127","author":"JF Scherrer","year":"2019","unstructured":"Scherrer JF, Salas J, Chard KM, et al. PTSD symptom decrease and use of weight loss programs.\u00a0J Psychosom Res. 2019;127:109849. https:\/\/doi.org\/10.1016\/j.jpsychores.2019.109849","journal-title":"J Psychosom Res."}],"updated-by":[{"DOI":"10.1007\/s11606-026-10358-x","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000}},{"DOI":"10.1007\/s11606-026-10401-x","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000}}],"container-title":["Journal of General Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11606-026-10299-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11606-026-10299-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11606-026-10299-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T12:59:05Z","timestamp":1776171545000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11606-026-10299-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,26]]},"references-count":32,"alternative-id":["10299"],"URL":"https:\/\/doi.org\/10.1007\/s11606-026-10299-5","relation":{},"ISSN":["0884-8734","1525-1497"],"issn-type":[{"value":"0884-8734","type":"print"},{"value":"1525-1497","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,26]]},"assertion":[{"value":"25 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 April 2026","order":5,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Correction","order":6,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A Correction to this paper has been published:","order":7,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1007\/s11606-026-10401-x","URL":"https:\/\/doi.org\/10.1007\/s11606-026-10401-x","order":8,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 March 2026","order":9,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Correction","order":10,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A Correction to this paper has been published:","order":11,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1007\/s11606-026-10358-x","URL":"https:\/\/doi.org\/10.1007\/s11606-026-10358-x","order":12,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This proposal was funded through VA\u2019s Quality Enhancement Research Initiative (QUERI), which uses operational funds to support program improvement. QUERI projects are conducted as quality improvement for the purposes of program implementation and evaluation and are approved as such by the main VA operations partner, which was the VA Office of Women\u2019s Health for EMPOWER 2.0 (approval received 11\/26\/2019). This study was deemed to be non-research, therefore consent to participate and human ethics approval is not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human Ethics and Consent to Participate"}},{"value":"The authors have no conflicts of interest to declare.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}