Outreach Intervention for OIF Veterans to Promote Use of Mental Health Services

对 OIF 退伍军人进行外展干预，以促进心理健康服务的使用

• 批准号: 7173927
• 负责人: TRACY A STECKER
• 金额: $ 23.05万
• 依托单位: UNIV OF ARKANSAS FOR MED SCIS
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-28 至 2009-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7173927
• 关键词: behavior prediction; behavioral /social science research tag; belief; clinical research; cognitive behavior therapy; early /brief intervention /therapy; health behavior; health care service availability; health care service utilization; health services research tag; human subject; interview; medical outreach /case finding; mental disorders; mental health services; questionnaires; therapy design /development; veterans; war /peace

DESCRIPTION (provided by applicant): Building on theory and previous empirical results, the short term goal of the proposed study will develop a patient-oriented intervention to promote entry into behavioral health treatments for newly returning soldiers deployed for Operation Iraqi Freedom (OIF) who screen positive for a behavioral health disorder. The long term goal of this research is to evaluate the effectiveness of an intervention to improve the likelihood that veterans with combat-related disorders will seek treatments in a timely manner. Using mixed qualitative and quantitative methods, specific aims are as follows: 1) Identify behavioral, normative and control beliefs among returning veterans with combat-related behavioral health disorders about treatment initiation. Beliefs about behavioral health treatments will be identified through qualitative, in-depth interviews. 2) Determine which behavioral, normative and control beliefs are predictive of treatment initiation. Using the beliefs identified in the qualitative interviews, a questionnaire will be developed according to the Theory of Planned Behavior (TpB). Veterans who screen positive for a behavioral health disorder will be administered this questionnaire and participate in a follow-up phone call to assess which veterans initiated treatment. Multivariate regression analysis will be used to determine which beliefs predict behavioral health treatment initiation controlling for other factors known to increase mental health treatment initiation. 3) Develop a brief, individualized intervention for veterans with combat-related behavioral health disorders and assess its acceptability and efficacy. CBT principles will be used to develop a brief structured intervention that targets each specific belief about behavioral health treatments. Only beliefs found to predict treatment attendance will be targeted. A pre-test to assess acceptability will be conducted. In addition, a preliminary assessment of efficacy will be conducted by comparing veterans' intention to initiate behavioral health care before and after the intervention. Treatment initiation rates among returning soldiers are alarmingly low, and research is urgently needed to develop and test interventions to improve treatment initiation. Results of the proposed research will be used as preliminary data for an application for an R01 multi-site study to evaluate the clinical-and cost-effectiveness of a brief intervention to promote entry into treatment for newly returning veterans with combat related disorders.

描述（由申请人提供）：基于理论和先前的经验结果的基础，拟议研究的短期目标将开发以患者为导向的干预措施，以促进针对新返回的士兵的行为健康治疗，这些士兵部署了为行为健康障碍筛选阳性的伊拉克自由（OIF）。这项研究的长期目标是评估干预措施的有效性，以提高与战斗有关的疾病的退伍军人及时寻求治疗的可能性。使用混合定性和定量方法，具体目的如下：1）在患有与战斗有关的行为健康障碍的返回退伍军人中确定行为，规范和控制信念。关于行为健康治疗的信念将通过定性，深入的访谈来确定。 2）确定哪种行为，规范和控制信念可以预测治疗起始。使用定性访谈中确定的信念，将根据计划行为理论（TPB）制定问卷。筛选行为健康障碍呈阳性的退伍军人将受到该问卷的管理，并参加后续电话，以评估哪些退伍军人开始治疗。多元回归分析将用于确定哪些信念可以预测控制心理健康治疗开始已知的其他因素的行为健康治疗启动。 3）为患有与战斗有关的行为健康障碍的退伍军人制定简短的个性化干预措施，并评估其可接受性和功效。 CBT原则将用于制定简短的结构化干预措施，该干预措施针对每个有关行为健康治疗的特定信念。只有发现预测治疗出勤的信念才是针对的。将进行评估可接受性的预测试。此外，将通过比较退伍军人在干预前后开始行为医疗保健的意图来进行疗效的初步评估。返回士兵之间的治疗启动率令人震惊，并且迫切需要进行研究以开发和测试干预措施以改善治疗启动。拟议研究的结果将用作R01多站点研究的应用程序的初步数据，以评估短暂干预的临床和成本效益，以促进与与战斗相关疾病的新返回退伍军人的治疗。