# Advancing Decisions about Virtual Service Encounters (ADViSE)

> **NIH VA I01** · VETERANS HEALTH ADMINISTRATION · 2024 · —

## Abstract

Background: Expanded availability of virtual care options in Primary Care provides new opportunities to
improve Veterans’ outcomes by aligning encounter modalities with their needs and preferences. Yet, Veterans
and their Primary Care physicians (PCPs) currently lack the personalized information about the benefits and
costs of different Primary Care modalities that is needed to maximize the value of Primary Care encounters.
Significance: Our proposal is highly relevant to multiple VA operational and research priorities. First, this
proposal will directly inform multiple aspects of the VA Fiscal Year 2022 – 2028 Strategic Plan. Second, the
proposed research is closely aligned with key priorities outlined in the VHA Health Information Strategic Plan.
Third, our proposed study will directly inform national and local VHA operational efforts to tailor the use of
virtual care modalities to optimize Veterans’ healthcare outcomes and experiences. Fourth, our study will make
significant scientific contributions to 4 HSR&D research priority areas: Access to Care, Health Care Value,
Primary Care Practice and Complex Chronic Disease Management, and Virtual Care/Telehealth.
Innovation & Impact: The Advancing Decisions about Virtual Service Encounters (ADViSE) intervention will
be the first to deliver personalized, interactive information about the potential value of different Primary Care
encounter modalities to patients and PCPs. Our team will also be among the first to use the new VA Patient
Engagement, Tracking, and Long-term Support (PETALS) platform in patient-oriented research. Additionally,
our research will significantly advance the science of decision-making about healthcare options and thus will
have major impact in settings beyond VHA Primary Care.
Specific Aims: Aim 1: Assess the perceived benefits and optimal uses of different Primary Care encounter
modalities for Veterans with different needs and preferences. Aim 2: Optimize the usability and functionality of
the ADViSE intervention for delivering personalized, interactive information about the value of different Primary
Care encounter modalities to Veterans and clinicians. Aim 3: Test the impact of the optimized ADViSE
intervention on Veteran-centered outcomes, use of virtual care, and intermediate health outcomes.
Methodology: We will use surveys of Veterans, semi-structured interviews of Veterans, and chart-stimulated
recall interviews of VA Ann Arbor Healthcare System (VAAAHS) PCPs to assess perceived benefits and
optimal uses of different Primary Care visit modalities. This information will be used to develop Veteran-facing
and PCP-facing messages that will be tailored to Veterans’ modality preferences and target key determinants
of informed decision-making about Primary Care encounter modalities. These new messages will be combined
with our pilot-tested
system for generating and communicating personalized estimates of the copay, travel, and
time costs for different Primary Care encounter m...

## Key facts

- **NIH application ID:** 10854084
- **Project number:** 1I01HX003724-01A2
- **Recipient organization:** VETERANS HEALTH ADMINISTRATION
- **Principal Investigator:** JEFFREY KULLGREN
- **Activity code:** I01 (R01, R21, SBIR, etc.)
- **Funding institute:** VA
- **Fiscal year:** 2024
- **Award amount:** —
- **Award type:** 1
- **Project period:** 2024-07-01 → 2028-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10854084

## Citation

> US National Institutes of Health, RePORTER application 10854084, Advancing Decisions about Virtual Service Encounters (ADViSE) (1I01HX003724-01A2). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10854084. Licensed CC0.

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