Mission Reconnect: Promoting Resilience and Reintegration of Post-Deployment Vete

任务重新连接：促进部署后退伍军人的复原力和重新融入

• 批准号: 8455262
• 负责人: WILLIAM B COLLINGE
• 金额: $ 45.38万
• 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 2014-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8455262
• 关键词: Address; Communities; Compassion; Complement; Complementary therapies; Couples; Data; Data Collection; Data Reporting; Development; Devices; Distress; Educational process of instructing; Educational workshop; Elements; Empathy; Evaluation; Family; Film; Future; Group Structure; Health Promotion; Health system; Home environment; Instruction; Internet; Intervention; Life; Manuals; Marketing; Massage; Measures; Mental Depression; Mental Health; Mental Health Services; Military Personnel; Mind-Body Intervention; Mission; Multimedia; Online Systems; Outcome; Participant; Personal Satisfaction; Phase; Post-Traumatic Stress Disorders; Printing; Private Sector; Process; Production; Quality of life; Randomized; Randomized Controlled Trials; Recruitment Activity; Relaxation; Resources; Sampling; Self Efficacy; Services; Sleep; Social support; Societies; Stress; Symptoms; System; Techniques; Technology; Testing; Veterans; Vietnam; War; arm; base; body-mind; commercial application; cost; design; experience; forgiveness; improved; innovation; intervention program; loved ones; programs; psychologic; randomized trial; resilience; satisfaction; skills; standard of care

DESCRIPTION (provided by applicant): There is an urgent and growing need for mental health interventions supporting both short- and long-term reintegration of veterans of OIF and OEF into their communities and significant relationships. Innovative approaches are needed to support the well-being of veterans who may not access or be reached by formal services. Objectives. This Phase II project will complete development and evaluation of a self-directed, home- based intervention to be used by OIF/OEF veterans and their loved ones to aid in the readjustment process. "Mission Reconnect" is an integrated program of (1) guided mind/body stress reduction and relaxation practices, (2) contemplative practices to engender and support appreciation, empathy and forgiveness for oneself and one's loved ones, and (3) video instruction in use of simple massage techniques with a partner for connection and stress reduction. Feasibility was established in Phase I with high user satisfaction and significant impact on measures of stress, depression, PTSD, and self-compassion, as well as qualitative data. In Phase II We will complete and evaluate the full program in a four-arm randomized controlled trial. Specific Aims: 1. Revise program content based on Phase I quantitative and qualitative data. 2. Film a diverse group of ten 10 veteran/partner dyads receiving and using revised material; use video footage for the final program. 3. Produce high quality audio and video components of the revised program. 4. Produce a multi-modal system for delivery of instructional components that leverages innovations in web-based and mobile device technologies to maximize access, utilization, and data collection. 5. Conduct an RCT with 160 dyads of OIF/OEF veterans and their chosen partners. 6. Evaluate impact of intervention on measures of stress, depression, PTSD symptoms, sleep quality, self-compassion, social support and relationship satisfaction. 7. Evaluate program utilization and satisfaction, massage effects, self-efficacy and satisfaction in users of the revised program. Impact on the field. Mission Reconnect offers a convenient, low cost resource helping users develop wellness skills to reduce current and future distress, enhance empathy and improve quality of life. The intervention can complement formal mental health services, or be used alone. This is a potential aid to the two million OIF/OEF veterans, their partners and families, as well as the 20 million living veterans of other eras, whose wounds of war can last for decades if unaddressed. Innovation. The project leverages the dyadic relationship as a context for reciprocal and mutual use of complementary therapies for health promotion in both the veteran and partner. Project technology utilizes state of the art mobile app design, seamless integration across multiple devices, automated background data collection, and device-specific reminder alerts. Commercial application. The product will be marketed to family support programs of all branches of the military, VA system, and the private sector, including non-profit veterans' associations. Product. Mission Reconnect is an integrated multimedia program deliverable over the Internet and mobile devices, and hard copy (DVD, CD, manual). PUBLIC HEALTH RELEVANCE: An urgent and growing need exists for interventions that support the long-term adjustment and mental health needs of OIF/OEF veterans and their relationship partners after the return from deployment. This project will complete production of a multimedia intervention program for autonomous use, delivered by Internet and mobile app technology, that teaches couples selected mind/body interventions and massage techniques to promote stress reduction, compassion, resiliency and relationship re-integration. A four-armed randomized trial will evaluate mental health outcomes as a free-standing program and as complementary to a current standard of care structured group program.

描述（由申请人提供）：对心理健康干预措施的迫切需求，支持OIF和OEF退伍军人的短期和长期重新融入其社区以及重大关系。需要创新的方法来支持可能无法获得正式服务或无法获得的退伍军人的福祉。目标。该第二阶段项目将完成和评估以自我指导的，基于家庭的干预措施，以供OIF/OEF退伍军人及其亲人使用，以帮助调整过程。 “任务重新连接”是（1）（1）指导思维/身体压力减轻和放松实践的集成计划，（2）沉思的实践，以引起和支持对自己和亲人的欣赏，同理心和宽恕，以及（3）视频指导将简单的按摩技术与合作伙伴一起进行连接和减轻压力。在第一阶段建立了可行性，对压力，抑郁症，PTSD和自我同情的度量以及定性数据，对压力，抑郁症，PTSD和自我同情的措施有重大影响。在第二阶段，我们将在四臂随机对照试验中完成并评估完整程序。具体目的：1。基于I阶段定量和定性数据修订程序内容。 2。拍摄一支由十个10名老将/合作伙伴二元组的多样化组，并使用经过修订的材料；将视频录像用于最终程序。 3。生成修订程序的高质量音频和视频组件。 4.生产一个多模式系统，用于传递教学组件，该组件利用基于Web的和移动设备技术中的创新来最大程度地利用访问，利用和数据收集。 5。与160个OIF/OEF退伍军人及其选择的合作伙伴进行RCT。 6。评估干预对压力，抑郁，PTSD症状，睡眠质量，自我同情，社会支持和关系满意度的影响。 7.评估程序利用率和满意度，按摩效应，自我效能感和修订程序用户的满意度。对场地的影响。 Mission Reconnect提供了方便，低成本的资源，可帮助用户发展健康技能，以减少当前和未来的困扰，增强同理心和改善生活质量。干预措施可以补充正式的心理健康服务，也可以单独使用。这是对200万OIF/OEF退伍军人，他们的伴侣和家庭的潜在帮助，以及其他时代的2000万活着的退伍军人，如果没有解决，他们的战争伤口可能会持续数十年。创新。该项目利用二元关系是在退伍军人和伴侣中促进健康促进的互补疗法的互补疗法的背景。 Project Technology利用最先进的移动应用程序设计，多个设备之间的无缝集成，自动化背景数据收集以及特定于设备的提醒警报。商业应用。该产品将销售为军事，VA系统和私营部门的所有分支机构的家庭支持计划，包括非营利的退伍军人协会。产品。 Mission Reconnect是通过Internet和移动设备可传递的集成多媒体程序，以及硬拷贝（DVD，CD，手册）。 公共卫生相关性：对支持OIF/OEF退伍军人的长期调整和心理健康需求的干预措施的紧急和日益增长的需求，在部署返回后及其关系伙伴。该项目将完成由Internet和移动应用技术提供的多媒体干预计划，用于自主使用计划，该计划教授夫妻精选的思维/身体干预和按摩技术，以促进减轻压力，同情，韧性和关系重新整合。四臂随机试验将评估心理健康成果作为独立计划，并与当前的护理标准结构组计划相辅相成。