- The VISTS platform features four simulated conversations between VHA health care providers and virtual veteran patients, intended to provide health care providers, clinicians, and clinical instructors at VHA facilities practice in using effective veteran-centered patient-interviewing techniques in a safe, controlled, and measurable environment.
- VISTS is intended to supplement existing training in TEACH and MI techniques and provide the sustained and regular practice needed to acquire proficiency.
- In VISTS, you take on the role of a VHA Health Care Provider. The skills you practice will be relevant to all learners no matter the role.
- Scenarios 1 and 2 include discussions of medication and prescriptions, the playable character in those scenarios is a role that can prescribe medicine, a VA Nurse Practitioner. In Scenarios 3 and 4, you will assume the role of a RN Care Manager, a position with duties that include health promotion and disease prevention in support of chronic care.
- Generally, you will want to complete the basic version of a conversation before beginning the advanced version. Completing the advanced versions of conversations will require that you use more techniques and more advanced methods because the virtual patient will, at times, present greater resistance than they do in the basic versions.
- Each Scenario will begin with a text screen briefly introducing the details of the selected scenario and the patient you will be speaking with.
Scenario 1: Obesity
In this scenario, you will speak with a virtual patient named Kevin Robinson, a 52-year-old, White veteran of the Army. He is obese and was diagnosed with Type 2 diabetes and high blood pressure four years ago. He takes his medication as prescribed but has had difficulty lowering his weight and A1C levels.
Successful completions of the scenario could include Kevin accepting a referral to the MOVE! weight management program, agreeing to think about participation in the program, or deciding to make some changes on his own to his diet and physical activity.
Scenario 2: Cardiovascular Disease
In the second scenario, you will speak with Lisa Crane, a 45-year-old, White veteran of the Coast Guard. She has known she has had Type 2 Diabetes for 5 years. She is currently prescribed an oral medication of two tablets twice a day. She often forgets to take her medication, does not exercise, and no longer checks her blood sugar regularly or modifies her diet to follow diabetes dietary guidelines.
Successful completions of the scenario could include Laura agreeing to a specific plan to take her medication as often as prescribed, wanting to pay more attention to her diet, or wanting to better monitor her blood glucose levels.
Scenario 3: Diabetes
In scenario three, you will speak with Gregory Mitchell who is a 67-year-old, African-American veteran of the Air Force. He has cardiovascular disease and is being seen in follow-up three weeks after a discharge from the hospital for a myocardial infarction (heart attack). He has stopped smoking and drinking alcohol to excess, but he is unsure about resuming a cardiac rehabilitation program and is not confident he can change his diet and exercise.
Successful completions of the scenario could include Gregory expressing a clear interest in resuming his participation in a cardiac rehabilitation program, wanting to increase his physical activity, change his diet, or remaining smoke-free.
Scenario 4: Smoking Cessation
In scenario four, you will speak with Janet Lopez who is a 56-year-old, Hispanic veteran of the Navy. She has been recently diagnosed with coronary heart disease and experiences episodes of chest pain (angina pectoris) usually triggered by emotional stress or smoking. She continues to smoke almost twenty cigarettes a day as she has for most of the past thirty years. Successful completions of the scenario could include Janet accepting a referral to a smoking cessation clinic or deciding to try on her own to reduce how much she smokes.