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

描述（由申请人提供）：本项目的总体目标是制作一种多媒体教育干预，为最近从伊拉克自由行动（OIF）和持久自由行动（OEF）中归来的退伍军人及其关系伙伴（配偶、家人或朋友）提供在家认知和行为过程方面的指导，以促进个人的恢复能力和关系的重新整合。最终的产品将是一个集成的多媒体程序，在方便的情况下提供有效的支持，同时避免为这一人群提供服务的两个常见障碍——缺乏接近正式服务的机会，以及对使用正式服务的抵制。该计划的要素包括(1)心理教育部分，解决回归后退伍军人及其家庭成员的常见心理健康需求和脆弱性，(2)基于正念的减压和自我支持练习指导，(3)冥想练习指导，以促进与关系伙伴的人际联系，(4)指导简单的触摸和按摩技术，以促进减压和人际联系。第一阶段将通过焦点小组、经验研讨会和原型材料的可用性测试的结合，开发和完善项目的内容、过程和单个元素，并评估方法的可行性。具体目标：1；评估干预前焦点小组的定性数据。2. {制作多媒体组件原型，提供基于认知和触摸的健康促进实践指导，供参与者在家使用。} 3。{对40名退伍军人及其选定的伙伴进行为期12周的多媒体教育项目试验。} 4。评估随访焦点小组的定性数据。5. 评估干预措施的利用和感知帮助。6. 评估按摩对症状的影响。7. 评估干预的纵向主体内效应。8. 确定反应的预测因素。假设:1。在干预期间，与对照组相比，退伍军人和伴侣在抑郁、压力水平、生活质量、自我同情和对他人的同情方面都有显著改善。2. 干预技术的使用频率将预测退伍军人和伴侣的抑郁程度、压力水平、生活质量、自我同情和对他人的同情。设计：等候名单控制重复测量（AABB）设计，单受试者统计预处理，分层最优分类树分析（CTA）。可行性将通过评估(1)干预的利用率和感知有用性，以及(2)对退伍军人及其参与伙伴的福祉的潜在影响的证据来确定。影响：拟议的项目将提供一种方便的私人资源，可能会减少成千上万的OIF/OEF退伍军人及其家庭成员的痛苦，改善他们的生活质量，以及数百万仍然生活在战争创伤中的其他服役时期的退伍军人及其家庭成员。

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.