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VA Whole Health coaching improves sleep quality in veterans with complex health needs

This pilot study found that VA Whole Health coaching significantly improved sleep quality among veterans with complex health concerns. Sleep quality was measured as a secondary outcome, and the improvement was statistically significant with corrected P-values ≤0.0045.

Last updated: Jul 9, 2026•0 RCTs•📖 Read as article →

Evidence Score

Evidence Score32/100
Human RCT☆☆☆☆☆
Meta-analysis☆☆☆☆☆
Mechanism★★★★★
Safety★★★★☆
Confidencelow

Study Evidence

Study 1. Assessing the Feasibility and Acceptability of VA Whole Health Coaching Among Veterans With Complex Health Care Needs-A Pilot Study.

observational

Breneman CB, Summers AC, McCullers R, Jachimowicz W, Allen N, Chester J, Tschida S, Proctor L, Bayley PJ, Barrett J, Reinhard MJ, Costanzo M · American journal of lifestyle medicine (2026)

Participants: N/A
Duration: 17 coaching sessions (duration not specified in abstract)
Intervention: VA Whole Health coaching consisting of 17 coaching sessions supporting behavioral change and clinical recommendations
Outcome: Sleep quality (measured as part of health-related quality of life assessment)
Effect Size: N/A
Population: Veterans with complex health care needs (final n=48, 72.9% retention)

Result:

PubMed: 42404660DOI: 10.1177/15598276261460841

Mechanism Graph

Behavioral and lifestyle changes are promoted through coaching sessions
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Participants receive comprehensive evaluations from an interdisciplinary team
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Coaching supports adherence to clinical recommendations and behavioral change
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Result: Improved sleep quality and other health outcomes

Limitations

  • ⚠Non-randomized, single-arm design limits causal inference
  • ⚠Pilot study with small sample size (n=48) and no control group
  • ⚠Sleep quality was a secondary outcome, not the primary focus

Frequently Asked Questions

What is VA Whole Health coaching?▼

It is a coaching program that supports behavioral and lifestyle changes to enhance veteran health and well-being, delivered over 17 sessions.

Did the study show significant improvement in sleep quality?▼

Yes, significant improvements in sleep quality were observed with corrected P-values ≤0.0045.

Who participated in this study?▼

Veterans with complex health care needs; 50 enrolled out of 103 approached, with 48 completing the study.

What were the main limitations of this study?▼

It was a non-randomized, single-arm pilot study with a small sample size, and sleep quality was a secondary outcome.

Products

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References

  1. 1.Breneman CB, Summers AC, McCullers R, Jachimowicz W, Allen N, Chester J, Tschida S, Proctor L, Bayley PJ, Barrett J, Reinhard MJ, Costanzo M. "Assessing the Feasibility and Acceptability of VA Whole Health Coaching Among Veterans With Complex Health Care Needs-A Pilot Study.." American journal of lifestyle medicine, 2026. PMID: 42404660 DOI: 10.1177/15598276261460841
Disclaimer: This content is for educational purposes only and is not medical advice. Evidence scores reflect the quality and quantity of available research, not clinical recommendations. Always consult a healthcare professional before starting any supplement or intervention.