Mission Reconnect: Promoting Resilience and Re-Integration of Post-Deployment Vet

任务重新连接：促进部署后兽医的复原力和重新融入

• 批准号: 7909845
• 负责人: WILLIAM B COLLINGE
• 金额: $ 24.97万
• 依托单位: COLLINGE AND ASSOCIATES
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-04-01 至 2012-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7909845
• 关键词: Address; Anxiety; Area; Attitude; Behavioral; Biological Preservation; Classification; Cognitive; Communities; Compassion; Complement; Complementary therapies; Data; Dependence; Development; Educational Intervention; Educational workshop; Elements; Esthesia; Family; Family member; Focus Groups; Fostering; Freedom; Frequencies; Friends; Future; Goals; Health Promotion; Home environment; Human Resources; Individual; Instruction; Intervention; Life; Manuals; Massage; Measures; Mental Depression; Mental Health; Mission; Multimedia; Pain; Participant; Personal Satisfaction; Phase; Phase II Clinical Trials; Population; Process; Program Evaluation; Public Health; Published Comment; Quality of life; Recommendation; Research Design; Resistance; Resources; Sampling; Services; Social Environment; Spouses; Stress; Subgroup; Symptoms; Target Populations; Techniques; Testing; Touch sensation; Trees; Trust; Veterans; Waiting Lists; War; base; beneficiary; cohesion; design; evidence base; experience; follow-up; improved; innovation; intervention effect; loved ones; mindfulness; operation; positive emotional state; programs; prototype; public health relevance; resilience; response; social; usability; week trial

DESCRIPTION (provided by applicant): The overall goal of this project is to produce a multimedia educational intervention that will support recently returned veterans of Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) and their relationship partners (spouse, family or friend) with instruction in cognitive and behavioral processes at home that promote personal resiliency and relationship re-integration. The final product will be an integrated multimedia program that delivers effective support at their convenience while avoiding two common obstacles to serving this population--lack of proximity to formal services, and resistance to using formal services. The elements of the program include (1) a psycho-educational component addressing common mental health needs and vulnerabilities of returning post-deployed veterans and their family members, (2) instruction in mindfulness-based practices for stress reduction and self-support, (3) instruction in a contemplative practice to promote interpersonal connectedness with a relationship partner, and (4) instruction in simple touch and massage techniques to promote both stress reduction and interpersonal connectedness. Phase I will develop and refine the content, processes, and individual elements of the program through a combination of focus groups, experiential workshops, and usability testing of prototype materials, and evaluate feasibility of the approach. Specific aims: 1. Evaluate qualitative data from pre-intervention focus groups. 2. {Produce prototype multimedia components that deliver instruction in cognitive and touch-based health promotion practices for participants to use at home.} 3. {Conduct a 12-week trial of the multimedia educational program with 40 veterans and their chosen partners.} 4. Evaluate qualitative data from follow-up focus groups. 5. Evaluate utilization and perceived helpfulness of the intervention. 6. Evaluate impact of massage on symptoms. 7. Assess longitudinal within-subject effects of the intervention. 8. Identify predictors of response. Hypotheses: 1. There will be significant improvements in depression, stress levels, quality of life, selfcompassion and compassion for others during the intervention period compared to the control period, for both veterans and partners. 2. The frequency of use of the intervention techniques will predict levels of depression, stress levels, quality of life, self-compassion and compassion for others in both the veteran and the partner. Design: Waiting-list controlled repeated measures (AABB) design, single-subject statistical pre-processing, and hierarchically optimal classification tree analysis (CTA). Feasibility will be determined by assessing (1) utilization and perceived helpfulness of the intervention, and (2) evidence of potential impact on well-being in veterans and their participating partners. Impact: The proposed program will offer a convenient, private resource that may reduce suffering and improve quality of life of potentially tens of thousands of OIF/OEF veterans and their family members, as well as millions of veterans and family members from other service eras still living with the wounds of war.

描述（由申请人提供）：该项目的总体目标是制作多媒体教育干预措施，为最近返回的伊拉克自由行动 (OIF) 和持久自由行动 (OEF) 退伍军人及其关系伙伴（配偶、家人或朋友）提供支持）在家里进行认知和行为过程的指导，以促进个人弹性和关系重新整合。最终产品将是一个集成的多媒体程序，可以在方便时提供有效的支持，同时避免为这一人群提供服务的两个常见障碍——缺乏接近正式服务和抵制使用正式服务。该计划的要素包括（1）心理教育部分，解决部署后返回的退伍军人及其家人的常见心理健康需求和脆弱性，（2）基于正念的减压和自我支持实践指导，（ 3）指导冥想练习，以促进与伴侣的人际联系，以及（4）指导简单的触摸和按摩技巧，以促进减轻压力和人际联系。第一阶段将通过焦点小组、体验式研讨会和原型材料可用性测试的结合来开发和完善该计划的内容、流程和各个元素，并评估该方法的可行性。具体目标： 1. 评估干预前焦点小组的定性数据。 2. {制作原型多媒体组件，提供认知和基于触摸的健康促进实践指导，供参与者在家中使用。} 3. {与 40 名退伍军人及其选择的合作伙伴一起进行为期 12 周的多媒体教育计划试验。} 4. 评估后续焦点小组的定性数据。 5. 评估干预措施的利用率和感知的帮助性。 6. 评估按摩对症状的影响。 7. 评估干预措施的纵向受试者内效应。 8. 确定响应的预测因素。假设： 1. 与对照期相比，退伍军人及其伴侣在干预期的抑郁、压力水平、生活质量、自我同情和对他人的同情心方面都会有显着改善。 2. 使用干预技术的频率将预测退伍军人及其伴侣的抑郁程度、压力水平、生活质量、自我同情心和对他人的同情心。设计：等待名单控制重复测量（AABB）设计、单受试者统计预处理和分层最优分类树分析（CTA）。可行性将通过评估（1）干预措施的利用率和感知的帮助性，以及（2）对退伍军人及其参与伙伴的福祉潜在影响的证据来确定。影响：拟议的计划将提供方便的私人资源，可以减少潜在的数万名 OIF/OEF 退伍军人及其家人，以及数百万来自其他服役时代的退伍军人和家人的痛苦并提高生活质量带着战争的创伤生活。