Publications by authors named "Caitlin Hildebrand"

Background: The COVID-19 pandemic and shut down of in-person complementary and integrative (CIH) wellness services at the San Francisco Veterans' Affairs Healthcare System (SFVAHCS) required implementation of virtual program delivery. In May 2020, VA in-person group yoga classes pivoted to virtual classes for existing attendees. In October 2020, we partnered with SFVAHCS Integrative Health and the VA Office of Rural Health to formalize the TeleYoga Program to expand yoga access to Veterans in SFVAHCS' geographically dispersed area.

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Objective: The Integrative Health and Wellness Clinic (IHWC), established in 2019 at the San Francisco VA Health Care System, is an interdisciplinary clinic consisting of a medical provider, dietician, physical therapist, and psychologist trained in complementary and integrative health (CIH) following the VA Whole Health model of care. Veterans with complex chronic conditions seeking CIH and nonpharmacologic approaches are referred to the IHWC. This study evaluated the clinic's acceptability and feasibility among veteran patients and its preliminary impact on health and wellbeing, health-related goals, and use of CIH approaches.

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Phenomenon: Despite the importance of diet in the prevention and management of many common chronic diseases, nutrition training in medicine is largely inadequate in medical school and residency. The emerging field of culinary medicine offers an experiential nutrition learning approach with the potential to address the need for improved nutrition training of physicians. Exploring this innovative nutrition training strategy, this scoping review describes the nature of culinary medicine experiences for medical students and resident physicians, their impact on the medical trainees, and barriers and facilitators to their implementation.

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Article Synopsis
  • Nutrition counseling is crucial in primary care to address diet-related chronic diseases affecting public health.
  • The article showcases a brief dietary assessment tool and strategies to encourage dietary changes that enhance health outcomes while being easy and affordable.
  • It emphasizes the importance of collaboration with registered dietitians and addresses issues like eating disorders, food insecurity, and the use of dietary supplements.
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Purpose: Elder self-neglect is the most frequently reported form of elder abuse, and can increase risk of death by 16-fold. It is essential that providers understand overall risk factors for elder self-neglect, and how to best address the impact of factors that limit coping, such as cognitive and functional impairments.

Data Sources: While research on elder self-neglect is still limited, this systematic review summarizes current data overall and the specific impact of cognitive and functional impairments.

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