Enhancing Mental and Physical Health of Women Veterans 3.0

Summary

Women Veterans are the fastest growing segment of VA users, with most users in midlife. This dramatic growth has created challenges for VA to ensure that appropriate services are available to meet women Veterans' needs, and that they will want and be able to use those services. Furthermore, few VA improvement efforts have focused on women Veterans' health and health care in midlife. The EMPOWER QUERI 3.0 Program is a cluster randomized type 3 hybrid implementation-effectiveness trial testing two strategies designed to support implementation and sustainment of evidence-based practices for women Veterans in at least 18 VA facilities from 4 regions.

Conditions

• Cardiovascular Diseases
• Overweight
• Obesity
• Hypertension
• Cholesterol
• Diabetes Mellitus
• Prediabetic State
• Menopause
• Cognitive Behavioral Therapy
• Primary Health Care
• Stress Disorders, Post-Traumatic
• Prevention
• Implementation Science
• Quality Improvement

Interventions

BEHAVIORAL

EBQI Booster (EBQI/B)

EBQI is a systematic quality improvement method for engaging frontline practices in improvement that introduces "best science" and evidence in the service of operational goals. EBQI has been tested in several VA implementation trials and the VA Office of Women's Health (OWH) recently conducted a large-scale roll out of EBQI across VA women's health. Sites randomized to EBQI/B will receive a two-hour EBQI Booster delivered virtually to site-identified QI champions and local implementation teams for each EBP reviewing key EBQI components and providing examples grounded in the EBPs.

BEHAVIORAL

EBQI Booster + External Facilitation (EBQI/B+EF)

EBQI is a systematic quality improvement method for engaging frontline practices in improvement that introduces "best science" and evidence in the service of operational goals. EBQI has been tested in several VA implementation trials and the VA Office of Women's Health (OWH) recently conducted a large-scale roll out of EBQI across VA women's health. External facilitation (EF) delivered by an expert facilitator from outside of the local implementation site, offers a supportive coaching process in which facilitators encourage interactive problem-solving in improvement efforts. EF is one of the most-studied implementation strategies. Sites randomized to EBQI/B+EF will receive a two-hour EBQI Booster delivered virtually to site-identified QI champions and local implementation teams for each EBP reviewing key EBQI components and providing examples grounded in the EBPs, plus 12 months of EF.

Sponsors & Collaborators

• VA Office of Research and Development

  lead FED

Principal Investigators

• Alison B Hamilton, PhD MPH · VA Greater Los Angeles Healthcare System, West Los Angeles, CA

• Melissa M Farmer Coste, PhD MS · VA Greater Los Angeles Healthcare System, Sepulveda, CA

• Bevanne A Bean-Mayberry, MD MHS · VA Greater Los Angeles Healthcare System, West Los Angeles, CA

• Erin P Finley, PhD MPH · VA Greater Los Angeles Healthcare System, West Los Angeles, CA

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2026-10-01

Primary Completion

2030-09-30

Completion

2031-09-30

Countries

• United States

Study Locations