Delivery of Telehealth Complementary and Integrated Health Interventions Improves Mental Health and Overall Wellness to Broaden Veterans' Access to Care.

Background: Complementary and integrative health (CIH) interventions show promise in improving overall wellness and engaging Veterans at risk of suicide. Methods: An intensive 4-week telehealth CIH intervention programming was delivered motivated by the COVID-19 pandemic, and outcomes were measured pre-post program completion. Results: With 93% program completion (121 Veterans), significant reduction in depression and post-traumatic stress disorder symptoms were observed pre-post telehealth CIH programing, but not in sleep quality. Improvements in pain symptoms, and stress management skills were observed in Veterans at risk of suicide. Discussion: Telehealth CIH interventions show promise in improving mental health symptoms among at-risk Veterans, with great potential to broaden access to care toward suicide prevention.

Assessment of H1N1 questions and answers posted on the Web.

BACKGROUND: A novel strain of human influenza A (H1N1) posed a serious pandemic threat worldwide during 2009. The public's fear of pandemic flu often raises awareness and discussion of such events. OBJECTIVES: The goal of this study was to characterize major topical matters of H1N1 questions and answers raised by the online question and answer community Yahoo! Answers during H1N1 outbreak. METHODS: The study used Text Mining for SPSS Clementine (v.12; SPSS Inc., Chicago, IL) to extract the major concepts of the collected Yahoo! questions and answers. The original collections were retrieved using "H1N1" in search, keyword and then filtered for only "resolved questions" in the "health" category submitted within the past 2 years. RESULTS: The most frequently formed categories were as follows: general health (health, disease, medicine, investigation, evidence, problem), flu-specific terms (H1N1, swine, shot, fever, cold, infective, throat), and nonmedical issues (feel, North American, people, child, nations, government, states, help, doubt, emotion). The study found that URL data are fairly predictable: those providing answers are divided between ones dedicated to giving trustworthy information-from news organizations and the government, for instance-and those looking to espouse a more biased point of view. CONCLUSION: Critical evaluation of online sources should be taught to select the quality of information and improve health literacy. The challenges of pandemic prevention and control, therefore, demand both e-surveillance and better informed "Netizens."