Exploring Deployment Stress and Reintegration in Army National Guard Chaplains

探索陆军国民警卫队牧师的部署压力和重返社会

• 批准号: 8086764
• 负责人: Karen Besterman-Dahan
• 金额: --
• 依托单位: JAMES A. HALEY VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-05-01 至 2013-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8086764
• 关键词: Address; Affect; Attention; Blast Injuries; Brain Injuries; Caregivers; Caring; Characteristics; Communities; Compassion; Cross-Sectional Studies; Data; Event; Exposure to; Fatigue; Foundations; Gunshot wound; Healed; Health; Hematoxylin and Eosin Staining Method; Human Resources; Individual; Intervention; Interview; Investigation; Leadership; Measures; Mental Health; Methods; Military Personnel; Online Systems; Participant; Pathway Analysis; Pilot Projects; Play; Post-Traumatic Stress Disorders; Prevention; Psyche structure; Qualitative Methods; Questionnaires; Religion and Spirituality; Reporting; Research; Research Personnel; Risk; Role; Services; Social Network; Social support; Spirituality; Stress; Suicide prevention; Survey Methodology; Surveys; Training; Trauma; Veterans; behavioral health; biological adaptation to stress; combat; community reintegration; design; experience; healing; high risk; innovation; instrument; intervention program; meetings; member; physical conditioning; programs; psychosocial; research and development; stressor

DESCRIPTION (provided by applicant): Background/ Rationale: In addition to spiritual and religious support, Military Chaplains play a key role in the behavioral health of deployed service-members, routinely participating in suicide prevention training, conducting critical event debriefing, and identifying service-members at risk for combat and operational stress reactions. A high risk group for the effects of direct trauma and secondary exposure to trauma, Military Chaplains suffered brain injuries, gunshot wounds and blast injuries in OEF/OIF Theater. In addition, many report combat related stress issues such as compassion fatigue, PTSD, and reintegration issues. While the traumatic experiences of OEF/OIF deployed troops have been well documented, the effects on military chaplains caring for these service-members have received little attention in the research. We are collaborating with the National Guard Chaplain Corps Leadership on this program of research. Objectives: The aims of this 2-year pilot cross-sectional study focus on describing and exploring deployment and its impact on psychosocial and health characteristics and the reintegration of ARNG chaplains using mixed method approach which includes surveys, in- depth interviews and social network analysis. Specifically the objectives are to: O1. Describe the characteristics of Army National Guard (ARNG) Chaplains O2. Assess the impact of deployment on physical and mental health, reintegration and perceived pastoral role of ARNG Chaplains O3. Refine and select appropriate measures for larger study of impact of deployment on health and reintegration of ARNG Chaplains Methods: This 2 year cross-sectional, exploratory pilot study will employ a concurrent mixed methods approach which includes quantitative methods (surveys, personal social network analysis questionnaires) as well as qualitative methods (in-depth interviews). Part 1 is a web- based survey completed by all participants. Characteristics of the ARNG Chaplains will be assessed by completion of the PCL, AUDIT, BRCOPE, VR-12, ISS, RSES, CES, PTGI, and DRRI (sections C, E, H, J and L). Part 2 will consist of qualitative interviews covering topics including religiosity and spirituality, health including as related to OEF/OIF experiences/deployments , pastoral role, and perceived facilitators and barriers to reintegration . Part 3 of the pilot study will involve Social Network Analysis; 15 OEF deployed and 15 non- deployed ARNG chaplains will complete a network questionnaire with the assistance of an investigator which focus on the relational ties that individuals have in their personal communities with respect to social support. This pilot study is the critical first step needed to describe and explore the most relevant issues and to refine and select sensitive measures for a larger, national study of multiple branches of Military Chaplains. This program of research will further refine methods of identifying post deployment difficulties, and promote interventions specific to the unique stressors and difficulties found in their functioning during deployment and when reintegrating to their civilian roles. Use of standardized instruments, refinement of newly constructed questionnaires, and information gained from in-depth interviews will ultimately allow the implementation of innovative, targeted programs designed to meet the needs found in systematic data on this unique group of OEF/OIF veterans, meeting the MHAT call for further research and development of prevention and/or intervention programs for assisting UMT personnel. PUBLIC HEALTH RELEVANCE: The reintegration of veterans into their communities is a priority of the VA and RR&D. This program of research 1) gathers empirical evidence that identifies the unique needs, stressors and, experiences of post-deployed military chaplains, 2) addresses the impact of deployment on the psychosocial and health characteristics and reintegration of military chaplains and 3) obtains results that will inform further research and the development of prevention and/or intervention programs for assisting UMT personnel with deployment stress and reintegration. This innovative pilot study is a critical first step to better understand the unique mental, physical and spiritual challenges faced by ARNG military chaplains related to deployment and reintegration and how we may better serve, preserve and heal our caregivers. Results of this innovative study provide needed data for specific programs and application for successful community reintegration and which may be further generalized in other military caregivers.

描述（由申请人提供）： 背景/依据：除了精神和宗教支持外，军事牧师在部署的服务人员的行为健康方面发挥着关键作用，定期参加自杀预防培训，进行关键事件汇报，并确定处于战斗和操作压力反应风险中的服务人员。军事牧师是直接创伤和二次创伤影响的高危群体，在OEF/OIF剧院遭受脑损伤、枪伤和爆炸伤。此外，许多人报告了与战斗有关的压力问题，如同情疲劳，创伤后应激障碍和重返社会问题。虽然“持久自由行动”/“法语国家国际组织”部署的部队的创伤经历已被详细记录，但在研究中很少注意到对照顾这些服役人员的随军牧师的影响。我们正在与国民警卫队牧师团领导合作进行这项研究计划。目的：这项为期两年的试点横断面研究的目的是描述和探索部署及其对心理社会和健康特征的影响，并使用混合方法方法，包括调查，深入访谈和社会网络分析，重新融入ARNG牧师。具体目标是：O 1。描述陆军国民警卫队（ARNG）牧师O2的特点。评估部署对ARNG牧师O3的身心健康、重返社会和感知的牧师作用的影响。调整和选择适当的措施，更大的研究部署对健康的影响和重新融入ARNG牧师方法：这2年的横断面，探索性试点研究将采用并行混合方法的方法，其中包括定量方法（调查，个人社会网络分析问卷）以及定性方法（深入访谈）。第一部分是由所有参与者完成的基于网络的调查。将通过完成PCL、AUDIT、BRCOPE、VR-12、ISS、RSES、CES、PTGI和DRRI（C、E、H、J和L节）评估ARNG牧师的特征。第二部分将包括定性访谈，涉及的主题包括宗教信仰和精神、健康，包括与持久自由行动/法语国家组织的经验/部署有关的健康、牧师作用以及被认为是重返社会的促进者和障碍。试点研究的第3部分将涉及社会网络分析; 15名OEF部署和15名非部署的ARNG牧师将在一名调查员的协助下完成一份网络问卷，重点是个人在其个人社区中与社会支持有关的关系。这项试点研究是关键的第一步，需要描述和探讨最相关的问题，并完善和选择敏感的措施，以进行更大的，全国性的研究多个分支的军事牧师。这项研究方案将进一步完善查明部署后困难的方法，并促进针对他们在部署期间和重新融入平民角色时的独特压力源和困难的干预措施。使用标准化的工具，完善新构建的问卷调查，并从深入访谈中获得的信息，最终将允许实施创新的，有针对性的方案，旨在满足OEF/OIF退伍军人这一独特群体的系统数据中发现的需求，满足MHAT呼吁进一步研究和开发预防和/或干预方案，以帮助城市交通工作人员。 公共卫生相关性： 退伍军人重返社区是退伍军人事务部和RR&D的优先事项。这项研究计划1）收集经验证据，确定部署后的军事牧师的独特需求，压力源和经验，（2）解决部署对随军牧师的心理社会和健康特点以及重返社会的影响，（3）取得的成果将为进一步研究和制定预防和/或治疗方案提供信息。或干预计划，以协助城市轨道交通人员部署压力和重新融入社会。这项创新的试点研究是关键的第一步，以更好地了解ARNG军事牧师面临的与部署和重返社会有关的独特的心理，身体和精神挑战，以及我们如何更好地服务，保护和治愈我们的照顾者。这项创新研究的结果提供了所需的数据，为成功的社区重返社会的具体方案和应用程序，并可能进一步推广到其他军事照顾者。