Developing a Measure for OEF/OIF Veterans' Family Reintegration

制定 OEF/OIF 退伍军人家庭重新融入措施

• 批准号: 8959940
• 负责人: Ramon Hinojosa
• 金额: --
• 依托单位: VETERANS HEALTH ADMINISTRATION
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-01 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8959940
• 关键词: Address; Affect; Area; Bed Occupancy; Caring; Categories; Clinical; Cognitive; Comprehension; Data; Data Analyses; Day Care; Detection; Development; Device or Instrument Development; Diagnosis; Early Diagnosis; Ensure; Family; Family Research; Family dynamics; Focus Groups; Foundations; Functional disorder; Goals; Health; Healthcare; Hospitalization; Individual; Intervention; Interview; K-Series Research Career Programs; Knowledge; Lead; Learning; Literature; Measures; Mental Health; Mentors; Mentorship; Methods; Modeling; Monitor; Outcome; Parent-Child Relations; Patients; Pattern; Phase; Physical Rehabilitation; Population; Post-Traumatic Stress Disorders; Prevention; Process; Psyche structure; Qualitative Methods; Qualitative Research; Quality of life; Rehabilitation therapy; Relative (related person); Research; Research Design; Research Methodology; Research Proposals; Resources; Review Literature; Role; Social support; Structure; System; Systems Theory; Tape Recording; Testing; Validation; Veterans; Work; Writing; base; cost; cost effective; design; disability; experience; health administration; instrument; memory retrieval; mild traumatic brain injury; physical conditioning; prevent; programs; research study; response; screening; skills; success; theories; tool

DESCRIPTION This CDA-2 research proposal aims to describe veteran specific family reintegration processes and identify facilitators and barriers to family reintegration. This foundational research will be used to develop an item bank and develop a preliminary screening tool to identify family strains specific to veterans and their families that need to be addressed to support rehabilitation interventions and veteran family quality of life. The work is grouped into two phases; the first is to conduct 80 in-depth, semi-structured interviews with OEF/OIF veteran- partner dyads, for 160 total interviews. A guiding conceptual framework views veteran family reintegration occurring in each of three family domains 1) individual identity; 2) partner relationship; and 3) parent-child relationship. There will be four distinct groups of veteran-partner dyads interviewed; 20 dyads in which the veteran has a confirmed diagnosis of mild TBI; 20 dyads comprised of veterans with a PTSD diagnosis but no TBI diagnosis; 20 dyads in which the veterans has a SCI; and 20 dyads in which the veteran has no disability. Interviews will be audio tape recorded, and transcribed verbatim for analysis using a Grounded Theory Method approach, and analyzed for thematic patterns. A review of available family function instruments for veteran- family relevant items will occur concurrently for items in the thematic categories of family identified above (i.e., identity, partner relationship, and parent-child relationship). Relevant items will be used to create a core item bank of questions. To ensure that the core item bank is veteran specific, items will be compared to thematic patterns from the interview data. Where appropriate, new items will be crafted, and extant items revised so that items are veteran family specific. The second phase will consist of testing, revising, and retesting pool items to establish content validity and relevance to the veteran population. This will be done by conducting two focus groups with OEF/OIF reintegration clinical experts to 1) present items from the item bank to identify conceptual gaps, and 2) identify newly emergent items relevant to veteran family reintegration. The data from focus groups will be used to revise questions in the item pool. These questions will then be presented to 15 veteran and 15 partners for individual cognitive interviews (for a total of 30 cognitive interviews). Cognitive interviews will test for 1) question comprehension; 2) question related memory retrieval; 3) the response decision process; and 4) the response process. Data from cognitive interviews will inform item revision. Following cognitive interviews and item content validation, an operational item bank will be created in which items have been revised and "winnowed," selectively reducing the item pool to only those questions that are most relevant and non- redundant. The operational item bank will provide items used in the creation of a veteran specific family reintegration instrument. This instrument will be a resource for supporting post-deployment rehabilitation and overall quality of life by identifying veteran specific family strain. The benefit of early family strain detection is the prevention of family dissolution and the loss of social supports needed to help veterans manage their physical, mental, and rehabilitative health care.

描述 该 CDA-2 研究提案旨在描述退伍军人特定的家庭重新融入过程，并确定家庭重新融入的促进因素和障碍。这项基础研究将用于开发项目库和初步筛选工具，以确定退伍军人及其家人特有的家庭压力，需要解决这些压力，以支持康复干预和退伍军人家庭生活质量。工作分为两个阶段；第一个是 对 OEF/OIF 资深合作伙伴进行 80 次深度、半结构化访谈，总计 160 次访谈。一个指导概念框架认为退伍军人家庭重新融入发生在三个家庭领域：1）个人身份； 2）合伙人关系； 3）亲子关系。将有四组不同的资深合伙人接受采访； 20 例退伍军人确诊患有轻度 TBI； 20 组由患有 PTSD 诊断但没有 TBI 诊断的退伍军人组成； 20对退伍军人有SCI；以及 20 个二人组，其中退伍军人没有残疾。访谈将被录音，并逐字转录以使用扎根理论方法进行分析，并分析主题模式。对退伍军人家庭相关项目的可用家庭功能工具的审查将 上述家庭主题类别中的项目同时发生（即身份、 伴侣关系、亲子关系）。相关项目将用于创建核心问题项目库。为了确保核心项目库是针对退伍军人的，项目将与访谈数据中的主题模式进行比较。在适当的情况下，将制作新物品，并对现有物品进行修改，以使物品适合退伍军人家庭。第二阶段将包括测试、修改和重新测试池项目，以确定内容的有效性和与退伍军人群体的相关性。这将通过与 OEF/OIF 重返社会临床专家进行两个焦点小组来完成，目的是 1) 展示项目库中的项目以找出概念差距，2) 确定与退伍军人家庭重返社会相关的新出现的项目。来自焦点小组的数据将用于修改项目库中的问题。然后，这些问题将提交给 15 名退伍军人和 15 名合伙人进行个人认知访谈（总共 30 次认知访谈）。认知访谈将测试 1) 问题理解力； 2） 与记忆检索相关的问题； 3）响应决策过程； 4）响应过程。认知访谈的数据将为项目修订提供信息。在认知访谈和项目内容验证之后，将创建一个可操作的项目库，其中的项目已被修改和“筛选”，有选择地将项目池减少到仅那些最相关且非冗余的问题。运营项目库将提供用于创建退伍军人特定家庭重返社会工具的项目。该工具将成为通过识别退伍军人特定家庭压力来支持部署后康复和整体生活质量的资源。早期家庭压力检测的好处是防止家庭解体和失去帮助退伍军人管理身体、心理和康复医疗保健所需的社会支持。