TY - JOUR
AU - S. M. Hack
AU - A. Lucksted
AU - C. H. Brown
AU - S. Havrilla
AU - J. Castillo
AU - M. Bennett
A1 - 
AB - OBJECTIVES: This study aimed to develop a brief, Veteran-targeted intervention to educate and activate Veteran engagement in patient-centered mental health care and test its feasibility, acceptability, and preliminary efficacy. METHODS: Participatory action research methods were used with Veterans, VA clinicians, and VA researchers to develop a Veteran engagement intervention. Once developed, qualitative interviews were conducted with participants in a ten-person acceptability trial. This was followed by a pilot randomized controlled trial (n = 48) to test feasibility and explore preliminary efficacy. RESULTS: Omnis Salutis is a three session, individual intervention grounded in Motivational Interviewing, which aims to help Veterans identify their well-being goals and be an active leader in their mental health care. Acceptability was confirmed in qualitative interviews, with participants noting that Veterans are socialized to hierarchical provider relationships and Omnis Salutis was an effective method of activating Veterans. Feasibility of interventionist training and intervention delivery was demonstrated both in-person and on the telehealth platform with 41 Veterans completing three sessions of the experimental and control conditions and interventionists demonstrating over 90 % fidelity to the intervention. Though not statistically powered, at three months post-exposure, there were small effect size indicating that Omnis Salutis participants may have greater self-reported involvement in care and lower perceptions of their providers' patient-centeredness than the control. CONCLUSIONS: Omnis Salutis was developed to support recent Veterans preference for multi-faceted mental health care which supports their functional recovery, and VA's efforts to create a patient-centered, Whole Health system of care. PRACTICE IMPLICATIONS: Providers should be aware that Veterans have been socialized in a hierarchical health care system. Veterans may need additional time and education to understand the patient-centered approach and learn new ways of engaging in health care. Further research is needed to determine if Omnis Salutis increases patients' ability to effectively participate in health care encounters and self-care behaviors by increasing their ability to identify and communicate their health care goals and motivations.
AD - Rocky Mountain Mental Illness Research Education and Clinical Center (MIRECC), USA Department of Veterans Affairs, Aurora, USA. Electronic address: samantha.hack@va.gov.; VISN 5 Mental Illness Research Education and Clinical Center (MIRECC), USA Department of Veterans Affairs, Baltimore, USA; Department of Psychiatry, University of Maryland, Baltimore, USA.; VISN 5 Mental Illness Research Education and Clinical Center (MIRECC), USA Department of Veterans Affairs, Baltimore, USA; Department of Epidemiology and Public Health, University of Maryland, Baltimore, USA.; VISN 5 Mental Illness Research Education and Clinical Center (MIRECC), USA Department of Veterans Affairs, Baltimore, USA.; Rocky Mountain Mental Illness Research Education and Clinical Center (MIRECC), USA Department of Veterans Affairs, Aurora, USA.
AN - 41349194
BT - Patient Educ Couns
C5 - Healthcare Disparities
DA - Feb
DO - 10.1016/j.pec.2025.109427
DP - NLM
ET - 20251125
JF - Patient Educ Couns
LA - eng
N2 - OBJECTIVES: This study aimed to develop a brief, Veteran-targeted intervention to educate and activate Veteran engagement in patient-centered mental health care and test its feasibility, acceptability, and preliminary efficacy. METHODS: Participatory action research methods were used with Veterans, VA clinicians, and VA researchers to develop a Veteran engagement intervention. Once developed, qualitative interviews were conducted with participants in a ten-person acceptability trial. This was followed by a pilot randomized controlled trial (n = 48) to test feasibility and explore preliminary efficacy. RESULTS: Omnis Salutis is a three session, individual intervention grounded in Motivational Interviewing, which aims to help Veterans identify their well-being goals and be an active leader in their mental health care. Acceptability was confirmed in qualitative interviews, with participants noting that Veterans are socialized to hierarchical provider relationships and Omnis Salutis was an effective method of activating Veterans. Feasibility of interventionist training and intervention delivery was demonstrated both in-person and on the telehealth platform with 41 Veterans completing three sessions of the experimental and control conditions and interventionists demonstrating over 90 % fidelity to the intervention. Though not statistically powered, at three months post-exposure, there were small effect size indicating that Omnis Salutis participants may have greater self-reported involvement in care and lower perceptions of their providers' patient-centeredness than the control. CONCLUSIONS: Omnis Salutis was developed to support recent Veterans preference for multi-faceted mental health care which supports their functional recovery, and VA's efforts to create a patient-centered, Whole Health system of care. PRACTICE IMPLICATIONS: Providers should be aware that Veterans have been socialized in a hierarchical health care system. Veterans may need additional time and education to understand the patient-centered approach and learn new ways of engaging in health care. Further research is needed to determine if Omnis Salutis increases patients' ability to effectively participate in health care encounters and self-care behaviors by increasing their ability to identify and communicate their health care goals and motivations.
PY - 2026
SN - 0738-3991
SP - 109427
ST - Omnis Salutis: Participatory development of a VA Whole Health patient education and activation intervention
T1 - Omnis Salutis: Participatory development of a VA Whole Health patient education and activation intervention
T2 - Patient Educ Couns
TI - Omnis Salutis: Participatory development of a VA Whole Health patient education and activation intervention
U1 - Healthcare Disparities
U3 - 10.1016/j.pec.2025.109427
VL - 143
VO - 0738-3991
Y1 - 2026
ER -