[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-427118-105":59,"doc-detail-427118-en":134},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":127,"head_meta":129,"extra_data":131,"updated_unix":133},105,"en","having-hard-conversations-leveraging-primary-care-social-workers-to-improve-take-up-of-va-home-health-aide-services-issue-2","Having Hard Conversations - Leveraging Primary Care Social Workers to Improve Take-Up of VA Home Health Aide Services - Issue 2","","The Veterans Health Administration home health aide benefit supports 180,000 Veterans annually, but coordinating it can be complex for both staff and Veterans. Semi-structured interviews (n=61) at five geographically diverse VHA medical centers identified best practices and modifiable intervention points. Inductive thematic analysis highlighted the central role of primary care social workers in helping Veterans make informed decisions about using HHA. Three themes emerged: social workers know Veterans’ needs, build rapport and align goals to encourage uptake, and value Veterans’ autonomy to foster trust and support.",{"@graph":69,"@context":126},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/having-hard-conversations-leveraging-primary-care-social-workers-to-improve-take-up-of-va-home-health-aide-services-issue-2/427118/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/having-hard-conversations-leveraging-primary-care-social-workers-to-improve-take-up-of-va-home-health-aide-services-issue-2/427118.png","ImageObject",300,407,{"name":92,"@type":93},"MrHarris58","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118,122],{"name":109,"@type":110,"acceptedAnswer":111},"Why does uptake of the VA home health aide service require support?","Question",{"text":112,"@type":113},"The benefit is widely used and fastest growing, yet navigation can be complex for VHA staff and Veterans. The study focuses on reducing barriers to take-up by identifying actionable improvements.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the evidence for best practices generated?",{"text":117,"@type":113},"Researchers conducted multi-perspective, semi-structured interviews at five VHA medical centers with key informants who connect Veterans to HHA services. Interviews were recorded, transcribed, and analyzed using inductive thematic analysis.",{"name":119,"@type":110,"acceptedAnswer":120},"What three themes supported Veterans’ use of HHA?",{"text":121,"@type":113},"First, social workers are often primary care team members who know the Veteran and needs best. Second, social workers use rapport-building, goal alignment, and priority setting to encourage uptake. Third, valuing Veterans’ autonomy helps establish trust and supports use of HHA.",{"name":123,"@type":110,"acceptedAnswer":124},"How can primary care social workers improve age-friendly care?",{"text":125,"@type":113},"By leveraging their relationships with older patients and recognizing Veterans’ autonomy and preferences, teams can better connect older adults with supports needed to live independently.","https://schema.org",{"og:url":83,"og:type":128,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":130,"canonical":83},"index,follow",{"doc_id":132,"site_id":62},427118,1790790461,{"code":4,"msg":5,"data":135},{"doc_id":132,"user_id":136,"nickname":92,"user_avatar":137,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":143,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":144,"faqs":145,"seo_title":146,"seo_description":67,"update_tm":147,"read_time":81},687212988360,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Innovation in Aging, 2025, Vol. 9, No. S2 519  \nThe Veterans Health Administration’s (VHA) home health aide benefit (HHA) serves 180,000 Veterans annually and is VHA’s fastest growing and most widely used home and community-based service. Like other payers, VHA purchases HHA care from community providers, which can make navigating the benefit a complex process for VHA staff and veterans. We conducted multi-perspective, semi-structured interviews at five geographically diverse VHA medical centers with key informants (n = 61) who connect veterans to HHA services, including primary care providers (geriatricians, social workers, nursing staff), HHA program managers, and home health agency administrators and aides to identify best practices and modifiable intervention points to improve take-up of VA HHA services. Interviews were recorded, transcribed, and analyzed using inductive thematic analysis. Findings across all participants emphasized the importance of primary care social workers in assisting veterans in making the most informed decisions about whether to use HHA. We identified 3 main themes that facilitated Veterans’ use of HHA: 1) social workers often are the primary care team members who know the veteran and their needs best;  \n2) social workers use rapport-building, goal alignment, and priority setting to persuade veterans to take up services, and 3) valuing veterans’ autonomy helps establish trust and support, encouraging veterans’ use of HHA. Leveraging the central role that social workers play in geriatric primary care teams, their relationships with older patients, and the recognition of veterans’autonomy and preferences can support age-friendly care and improve older adults’ connection to the supports they need to live independently.  \nAbstract citation ID: igaf122.1773  \nHAVING HARD CONVERSATIONS: LEVERAGING  \nPRIMARY CARE SOCIAL WORKERS TO IMPROVE  \nTAKE-UP OF VA HOME HEALTH AIDE SERVICES  \nLauren Hall1, Margaret Ding1, and Emily Franzosa2, 1. James J Peters VA Medical Center, New York, New York, United States, 2. Bronx VA, Bronx, New York, United States","cbCaiuVPRSQLDj57","https://ap.wps.com/l/cbCaiuVPRSQLDj57","pdf",490754,"English","# Study purpose and context\n## Interview methods and analysis approach\n# Key findings and themes\n## Social workers as primary care team knowledge holders\n## Persuasion through rapport, goal alignment, and priorities\n## Supporting autonomy to build trust","[{\"question\":\"Why does uptake of the VA home health aide service require support?\",\"answer\":\"The benefit is widely used and fastest growing, yet navigation can be complex for VHA staff and Veterans. The study focuses on reducing barriers to take-up by identifying actionable improvements.\"},{\"question\":\"How was the evidence for best practices generated?\",\"answer\":\"Researchers conducted multi-perspective, semi-structured interviews at five VHA medical centers with key informants who connect Veterans to HHA services. Interviews were recorded, transcribed, and analyzed using inductive thematic analysis.\"},{\"question\":\"What three themes supported Veterans’ use of HHA?\",\"answer\":\"First, social workers are often primary care team members who know the Veteran and needs best. Second, social workers use rapport-building, goal alignment, and priority setting to encourage uptake. Third, valuing Veterans’ autonomy helps establish trust and supports use of HHA.\"},{\"question\":\"How can primary care social workers improve age-friendly care?\",\"answer\":\"By leveraging their relationships with older patients and recognizing Veterans’ autonomy and preferences, teams can better connect older adults with supports needed to live independently.\"}]","Having Hard Conversations - Leveraging Primary Care Social Workers to Improve Take-Up of VA Home Health Aide Services - Issue 2 | PDF",1790642864]