United States Veteran Perceptions of the Veterans Health Administration Spinal Cord Injuries and Disorders Annual Evaluation.

IF 1.5 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Spinal Cord Medicine Pub Date : 2025-06-30 DOI:10.1080/10790268.2025.2517928

Jennifer L Sippel, Kevin T Stroupe, Gabriel Escudero, Zhiping Huo, Ibuola O Kale, Bella Etingen, Charlesnika T Evans, I Manosha Wickremasinghe, Bridget Bennett, Bridget M Smith

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引用次数: 0

Abstract

Context: Veterans Health Administration (VHA) offers Annual Evaluations (AEs) to Veterans with spinal cord injuries and disorders (SCI/D) for preventive services, managing common complications, psychosocial services, and addressing equipment needs.

Objective: Obtain Veteran perceptions of AE services and examine their association with Veteran characteristics and receipt of AEs.

Methods: Surveys were sent to n = 8,421 Veterans in the VHA SCI/D Registry electronically (n = 8,121) or through US mail (n = 300), with a 23.64% response rate. After excluding participants with missing data, n = 1,687 Veterans were included in descriptive and logistic regression analyses.

Results: Respondents were aged 60.7 years (SD=11.60) on average; most were male (91.2%), white (75.9%), and non-Hispanic (90.5%). 72.4% indicated receiving their most recent SCI/D AE about one year ago, 24.8% more than one year ago, and 3.4% had never had an AE. The most frequently reported reasons for not receiving an AE were COVID-19 related concerns (46.1%), and that AE was not offered (23.4%). Most (73.7%) indicated the AE was "Very Important" for their health and well-being. Veterans living more than 120 min from their VA had lower odds (0.51, 95% CI 0.32-0.80) of reporting recent AEs compared to Veterans who lived within 30 min.

Conclusions: Veterans expressed high levels of satisfaction with the AE and found many aspects to be valuable. Additional strategies are needed to address travel barriers and COVID-19 related access challenges to bolster AE receipt. Future research and efforts to leverage technology for reminders may improve AE uptake.

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美国退伍军人对退伍军人健康管理局脊髓损伤和疾病年度评估的看法。

背景：退伍军人健康管理局（VHA）为患有脊髓损伤和疾病（SCI/D）的退伍军人提供年度评估（ae），用于预防服务、管理常见并发症、社会心理服务和解决设备需求。目的：了解退伍军人对AE服务的看法，并探讨其与退伍军人特征和AE接收的关系。方法：通过电子方式（8121）或邮寄方式（300）对VHA SCI/D登记处的8421名退伍军人进行问卷调查，回复率为23.64%。在排除数据缺失的参与者后，将n = 1,687名退伍军人纳入描述性和逻辑回归分析。结果：受访者平均年龄60.7岁（SD=11.60）；大多数是男性（91.2%）、白人（75.9%）和非西班牙裔（90.5%）。72.4%的人表示最近一次SCI/D AE发生在一年前，24.8%的人表示最近一次SCI/D AE发生在一年前，3.4%的人表示从未发生过AE。未收到AE的最常见原因是与COVID-19相关的问题（46.1%），以及未提供AE（23.4%）。大多数人（73.7%）表示AE对他们的健康和幸福“非常重要”。与居住在退伍军人事务部30分钟以内的退伍军人相比，居住在离退伍军人事务部120分钟以上的退伍军人报告近期ae的几率（0.51,95% CI 0.32-0.80）较低。结论：退伍军人对AE表现出较高的满意度，并认为许多方面都是有价值的。需要采取其他战略来解决旅行障碍和与COVID-19相关的准入挑战，以加强AE的接收。未来的研究和努力利用技术来提醒可能会提高声发射的吸收。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Spinal Cord Medicine 医学-临床神经学

CiteScore

4.20

自引率

5.90%

发文量

101

审稿时长

6-12 weeks

期刊介绍： For more than three decades, The Journal of Spinal Cord Medicine has reflected the evolution of the field of spinal cord medicine. From its inception as a newsletter for physicians striving to provide the best of care, JSCM has matured into an international journal that serves professionals from all disciplines—medicine, nursing, therapy, engineering, psychology and social work.