Publications by authors named "Rachel E Golden"

Introduction: Application of the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to evaluate workforce education and training programs targeting clinical health care staff has received relatively little attention. This paper aims to contribute to this area with RE-AIM findings from a women's health-focused workforce training program implemented by the U.S.

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Introduction: The increasing number of women Veterans receiving health care from the Veterans Health Administration (VHA) has spurred the need for more women's health primary care providers (PCPs) and nurses, including in rural areas nationwide. Here we report on the implementation of a women's health rural workforce training program, demonstrate initial evidence of its effectiveness within VHA as a Learning Health System, and present lessons learned and implications for other workforce training programs.

Methods: The Women's Health Primary Care Mini-Residency for Rural Providers and Nurses (Rural WH-MR) is a mobile VHA training initiative adapted from a national training model.

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Purpose: In 2017, Veterans Health Administration (VA) launched a social marketing and training campaign to address harassment of women veterans at VA health care facilities. We assessed women veterans' experiences of harassment, reported perpetrators of harassment, and perceptions of VA in 2017 (before campaign launch) and 2018 (1 year after campaign implementation).

Methods: We administered surveys to women veterans attending primary care appointments (2017, n = 1,300; 2018, n = 1,711).

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Article Synopsis
  • The study tested the VA Women's Health Practice-Based Research Network's ability to gather and share women Veterans' views on Complementary and Integrative Health (CIH) swiftly within a Learning Health System framework.
  • Anonymous surveys were distributed at clinics to collect data from women Veterans, assessing the project's feasibility and impact through various tracking systems and feedback.
  • The initiative involved 20 VA Medical Centers and saw 1,191 responses, with findings rapidly returned to participating sites and national stakeholders, demonstrating the PBRN's effectiveness in fostering timely health improvements.
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Key insights: A: Addressing a complex problem like harassment in VA medical facilities requires committed, engaged collaboration at multiple levels of the organization. B: Timely feedback of initial research findings to operations partners enabled rapid and more responsive development of new programs and policies. C: Our research-clinical partnership has enabled us to pursue targeted change from the outset, while incorporating real-time findings from embedded researchers working to develop a comprehensive understanding of the problem.

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Purpose: Women veterans are a rapidly increasing subset of the Veterans Affairs (VA) patient population but remain a numerical minority. Men veteran-dominated health care settings pose unique considerations for providing care to women veterans in a comfortable and welcoming environment. We analyzed patient suggestions on how to make the VA more welcoming to women.

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This paper describes the development, content, and capabilities of the online Global HIV Archive (GHA). With the goal of facilitating widespread adaptation and appropriate use of efficacious HIV prevention programs throughout the globe, GHA has: , expanded and updated the search for HIV prevention programs originating in low-resource countries; , identified those meritorious HIV prevention programs meeting established efficacy criteria of technical merit, replicability, and positive outcomes; , prepared both implementation and evaluation materials from the efficacious programs for public use; , developed interactive wizards or capacity-building tools to facilitate appropriate program selection, implementation, and adaptation; and, , made the efficacious programs and accompanying wizards available to health practitioners throughout the globe in both printed and online formats.

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Established in 1996 with funding from CDC and NIH, the HIV/AIDS Prevention Program Archive (HAPPA) is now the biggest private sector collection of HIV-related evidence-based behavioral interventions (EBIs). Each EBI in HAPPA has been determined by a distinguished Scientist Expert Panel to have demonstrated efficacy in preventing HIV or its risk-related behaviors in the United States. The multimedia replications kits contain everything that a new site would need to implement an EBI such as a user guide that gives an overview of the program and the evidence of its effectiveness; a facilitator's manual that gives step-by-step implementation protocols for each session; and session implementation materials referenced in the facilitator's manual such as slides, video clips, participant handouts, activity masters, checklists, and homework assignments for the next session.

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