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

描述(由申请人提供)：该项目的总体目标是制作一个多媒体教育干预，将支持最近归来的伊拉克自由行动(OIF)和持久自由行动(OEF)的退伍军人及其关系伙伴(配偶、家人或朋友)，在家里接受认知和行为过程方面的指导，以促进个人弹性和关系重新融合。最终的产品将是一个集成的多媒体计划，它将在方便的时候提供有效的支持，同时避免为这一群体提供服务的两个常见障碍--缺乏与正式服务的接近和对使用正式服务的抵制。该计划的内容包括(1)针对返乡后部署的退伍军人及其家人的常见心理健康需求和脆弱性的心理教育部分；(2)以正念为基础的减压和自我支持实践的指导；(3)促进与关系伙伴之间的人际联系的冥想实践的指导；以及(4)促进减压和人际联系的简单触摸和按摩技巧的指导。第一阶段将通过焦点小组、体验研讨会和原型材料的可用性测试相结合的方式来开发和细化计划的内容、流程和个别元素，并评估该方法的可行性。具体目标：1.评价干预前重点人群的定性数据。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方面的指导，供参与者在家使用。}3.{对40名退伍军人及其选定的合作伙伴进行为期12周的多媒体教育计划试验。}4.评估来自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程度。6.评估按摩对症状的影响。7.评估干预措施对受试者的纵向影响。8.找出反应的预测因素。研究假设：1.无论是退伍军人还是退伍军人，在干预期内，无论是退伍军人还是退伍军人，在抑郁、压力水平、生活质量、自我同情和对他人的同情方面都会有显著的改善。2.使用干预技术的频率将预测退伍军人和伴侣的抑郁水平、压力水平、生活质量、自我同情和对他人的同情。设计：等待名单控制重复测量(AABB)设计，单受试者统计前处理，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，以及(2)对退伍军人及其参与伙伴福祉的潜在影响的证据来确定。影响：拟议的计划将提供一个方便的私人资源，可能会减少数以万计的OIF/OEF退伍军人及其家人的痛苦，提高他们的生活质量，以及数百万仍生活在战争创伤中的来自其他服役时代的退伍军人和家人。

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.