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Recently, the Whole Health Options and Pain Education (wHOPE) study implemented and evaluated a Whole Health Team (WHT) intervention at six VA medical centers across the USA. WHT is an interdisciplinary team composed of a medical provider, a complementary and integrative health (CIH) provider, and a health coach who together provide holistic, non-pharmacological pain care. In a randomized controlled clinical trial of 764 VA patients with chronic pain, WHT was more effective than comparators (group cognitive behavioral therapy and usual care) in reducing pain interference and improving other pain-related outcomes. Given WHT\u2019s effectiveness, it is important to examine the feasibility of widespread WHT implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Using qualitative methods, we examined barriers and facilitators to WHT implementation and factors affecting WHT sustainability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Approach<\/jats:title>\n                    <jats:p>Informed by the Practical Robust Implementation and Sustainability Model, we conducted semi-structured interviews with 43 clinicians and staff involved in wHOPE intervention implementation. We used template-based rapid analysis to identify interview themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Results<\/jats:title>\n                    <jats:p>Clinicians valued the WHT intervention and felt it enhanced their practice and improved patient care. Interviews highlighted key factors impacting WHT implementation and sustainability. Regarding team composition and collaboration, interviewees identified a need for consistent team membership, sufficient allocated clinician effort, clearly delineated clinician roles, and routine team huddles. Regarding organizational infrastructure and integration, interviewees identified a need to address existing gaps in pain care, collaborate closely with primary care, and establish referral pathways to complementary wellness and treatment modalities. Interviewees also emphasized the need for skilled administrative coordination to support implementation and ongoing operations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Implementing holistic, person-centered, interdisciplinary pain care is complex and comes with unique challenges, but our qualitative investigation identified promising strategies to promote successful implementation and sustainability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11606-026-10825-5","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:55:26Z","timestamp":1790621726000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementing Integrated Whole-Person Care for Chronic Pain: Lessons from VA\u2019s Multisite wHOPE Study"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0582-9235","authenticated-orcid":false,"given":"Natalie","family":"Purcell","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliana C.","family":"Moore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William C.","family":"Becker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen H.","family":"Seal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"10825_CR1","unstructured":"Department of Veterans Affairs, Department of Defense. VA\/DoD clinical practice guidelines for the diagnosis and treatment of low back pain. Published online 2022.\u00a0 https:\/\/www.healthquality.va.gov\/guidelines\/pain\/lbp\/index.asp.\u00a0Accessed Jul 17, 2025."},{"key":"10825_CR2","doi-asserted-by":"publisher","unstructured":"Leach MJ, Climstein M, Fryer G, Kumar S, Agnew T. Mapping guideline-informed care for chronic non-specific low back pain with the biopsychosocial approach: A rapid review. Pain Pract Off J World Inst Pain. 2023;23(5):543\u2013552. https:\/\/doi.org\/10.1111\/papr.13214.","DOI":"10.1111\/papr.13214"},{"key":"10825_CR3","doi-asserted-by":"publisher","unstructured":"Oliveira CB, Maher CG, Pinto RZ et al. Clinical practice guidelines for the management of non-specific low back pain in primary care: An updated overview. 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All participants either signed informed consent as clinician participants or were part of the study team and fell under a waiver of informed consent.","order":1,"name":"Ethics","label":"Ethics Approval and Consent to Participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The qualitative implementation evaluation portion of the wHOPE study, which is the focus of this manuscript, is not a clinical trial, and this paper does not report clinical trial results. However, the parent wHOPE study was a pragmatic clinical trial registered at clinicaltrials.gov under ID number NCT04330365.","order":2,"name":"Ethics","label":"Clinical Trial Number","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they do not have a conflict of interest.","order":3,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The views, perspectives, and opinions reflected in this paper belong to the authors alone and do not necessarily reflect the views of the US government, the Department of Veterans Affairs, the National Institutes of Health, NCCIH, OBSSR, NIAAA, ODP NINDS\/HEAL, and or any other institution with which the authors are affiliated.","order":4,"name":"Ethics","label":"Disclaimer","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The funder had no role in the design or conduct of the study; in the collection, analysis, and interpretation of the data; or in the preparation, review, or approval of the manuscript, or the decision to submit for publication.","order":5,"name":"Ethics","label":"Role of the Funder\/Sponsor","group":{"name":"EthicsHeading","label":"Declarations"}}]}}