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In response to the Veteran pain crisis and the national opioid epidemic, the TelePain-Empower Veterans Program (EVP) was developed as a non-pharmacological intervention to help Veterans manage chronic pain. This evaluation aimed to identify determinants of program implementation, user experiences, and benefits and challenges to participation. Qualitative descriptive evaluation using semi-structured telephone interviews, as part of a larger mixed-methods prospective study. A Veterans Health Administration facility in southeastern United States. Data were collected with program leaders (n=3), staff (n=10), and Veteran participants (n=15). TelePain-EVP is a 10-week synchronous virtual pain management training program incorporating complementary integrated health, acceptance and commitment therapy, and mindful movement. Interview questions aligned with the Consolidated Framework for Implementation Research (CFIR). Rapid analysis was used to generate themes for actionable feedback to inform implementation. CFIR domains and constructs emerged as relevant to program implementation, including innovation, inner and outer settings, individuals, and implementation processes. Identified determinants informed factors which were facilitators and barriers to implementation. Clinical care and administrative respondents reported on factors relevant to intervention characteristics, technology factors, team dynamics and organizational and structural characteristics, which impact implementation. Analysis of Veteran reports gleaned data about intervention experience, outcomes, and recommendations for improving the intervention from a patient-centered perspective. Remotely delivered pain management programs provide a nonpharmacological approach while improving access to care and benefitting participants with chronic pain. Data findings warrant electronic data collection for TelePain-EVP to improve accountability and real-time outcomes assessment. Data warrant consideration for using centralized staff and data management networks to address Staffing needs, training, and data management. Funding: Department of Veterans Affairs, Veterans Health Administration, Office of Rural Health (PEC-21-129) and Pain Management, Opioid Safety and Prescription Drug Monitoring Program (SP8E-PMTIA160). [ABSTRACT FROM AUTHOR]

There is a global trend in healthcare towards non-pharmacological and complementary and integrative approaches to health (CIH). The primary objective of this poster is to present the experience of veterans with chronic pain and PTSD and their partners with a remotely delivered CIH education program. A parent four year, mixed methods randomized control trial proposed to conduct telephone interviews with a subsample of veteran and partner intervention dyads. Transcripts were analyzed using a content analysis. Data in this poster represent preliminary findings from 13 dyads that have been interviewed to date. Three Veterans Administration Medical Centers recruited participants from surrounding areas, resulting in recruitment from 12 states. Veterans with chronic pain and PTSD, and their selected partners (e.g., spouse, child). The Mission Reconnect program is a partnered, self-directed intervention which teaches CIH skills (e.g., meditation, partnered massage) remotely using mobile and web-based mediums. Main outcomes are physical and mental, overall quality of life for veterans; and social relationship with partners. Participants reported improvements in physical, mental, overall quality of life for veterans; and social relationship with partners. Veterans reported improvements in sleep quality, pain management, and anxiety and PTSD symptoms. For veterans and partners, respondents reported improvements in quality of life, including feeling energized, refreshed, centered, and relaxed; and enhanced relationships, including increase in quality time spent together, and expression of affection. Veterans and their partners reported Mission Reconnect is an effective approach to "reconnecting with life." Online and mobile CIH approaches should be considered for other diverse patient populations and partners, who will benefit from ongoing self-care management. Future research should examine cost-effectiveness of such approaches and broadscale implementation. None disclosed. [ABSTRACT FROM AUTHOR]

Contact precautions in community living facilities (CLF) are used to reduce the transmission of multidrug-resistant organisms (MDRO). However, this policy does not address the contamination of shared spaces, devices (eg, wheelchairs), and interactions with other patients. Using a real-time surveillance system, this study examines the time MDRO-positive patients spend interacting with others in communal areas. The findings from this study may be used to tailor MDRO policies and practices to the specific needs of CLF. [Copyright &y& Elsevier]