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

描述(由申请人提供)：迫切需要心理健康干预措施，支持老兵和老兵短期和长期重新融入他们的社区和重要的关系。需要采取创新的办法来支持退伍军人的福祉，这些退伍军人可能无法获得或无法获得正规服务。目标。这一第二阶段项目将完成自我指导、以家庭为基础的干预措施的开发和评估，以供OIF/OEF退伍军人及其亲人在重新适应过程中使用。《使命重联》是一个综合项目，包括(1)指导身心减压和放松练习，(2)冥想练习，以产生和支持对自己和亲人的欣赏、同理心和宽恕，(3)与伴侣使用简单的按摩技巧进行视频指导，以建立联系和减轻压力。在第一阶段确定了可行性，用户满意度很高，对压力、抑郁、创伤后应激障碍和自我同情的测量以及定性数据都有显著影响。在第二阶段，我们将在一项四臂随机对照试验中完成并评估完整的方案。具体目标：1.根据第一阶段定量和定性数据修改计划内容。2.拍摄10个接受和使用修订材料的不同的10个老兵/合作伙伴二人组；使用最终节目的视频片段。3.制作高质量的修订节目的音频和视频组件。4.建立一个多模式教学系统，利用基于网络和移动设备技术的创新，最大限度地提高访问、利用和数据收集的效率。5.对160名OIF/OEF退伍军人及其选定的合作伙伴进行随机对照研究。6.评估干预对压力、抑郁、创伤后应激障碍症状、睡眠质量、自我同情、社会支持和关系满意度的影响。7.评估修订后程序使用者的程序利用及满意度、按摩效果、自我效能及满意度。对赛场的影响。使命重联提供了一种方便、低成本的资源，帮助用户发展健康技能，以减少当前和未来的痛苦，增强同理心并提高生活质量。这种干预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、他们的合作伙伴和家人以及其他时代2000万在世退伍军人的潜在援助，他们的战争创伤如果得不到解决，可能会持续数十年。创新。该项目利用这种二元关系作为互惠和相互使用补充疗法促进退伍军人和合作伙伴健康的背景。项目技术利用最先进的移动应用程序设计、跨多个设备的无缝集成、自动后台数据收集和特定于设备的提醒警报。商业应用。该产品将面向军队所有部门、退伍军人制度和私营部门的家庭支持计划进行营销，包括非营利性退伍军人协会。产品。任务重新连接是一个集成的多媒体程序，可通过互联网和移动设备交付，并提供硬拷贝(DVD、CD、手册)。 与公共卫生有关：迫切需要采取干预措施，以支持部队退伍军人及其关系伙伴从部署返回后的长期调整和心理健康需要。该项目将完成由互联网和移动应用程序技术提供的自主使用的多媒体干预程序的制作，该程序向夫妇传授选定的心理/身体干预和按摩技术，以促进减压、同情心、弹性和关系重新融合。一项四臂随机试验将评估心理健康结果，作为一项独立的计划，并作为对当前护理标准结构化小组计划的补充。

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.