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，支持法语国家组织和持久自由行动的退伍军人短期和长期重返社区和重要关系。需要采取创新办法，支持可能无法获得或无法获得正规服务的退伍军人的福祉。目标.该第二阶段项目将完成自我指导、家庭干预措施的开发和评估，供OIF/OEF退伍军人及其亲人使用，以帮助重新调整过程。“使命康复”是一个综合方案，包括：（1）有指导的身心减压和放松练习;（2）鼓励性练习，以产生和支持对自己和亲人的欣赏、同情和宽恕;（3）与伴侣一起使用简单按摩技术进行视频教学，以建立联系和减压。在第一阶段建立了可行性，用户满意度高，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有显著影响。在第二阶段，我们将在一项四组随机对照试验中完成并评估整个计划。具体目标：1。根据第一阶段的定量和定性数据修改项目内容。2.拍摄一个由10名老兵/10名合伙人组成的多元化小组，接受并使用修改后的材料;在最后的节目中使用视频片段。3.制作高质量的音频和视频组件的修订计划。4.开发一个多模式系统，用于提供教学组件，该系统利用基于Web和移动终端技术的创新，以最大限度地提高访问、利用和数据收集。5.对160对OIF/OEF退伍军人及其选择的伴侣进行随机对照试验。6.评估干预措施对压力、抑郁、PTSD症状、睡眠质量、自我同情、社会支持和关系满意度的影响。7.评估程序利用率和满意度，按摩效果，自我效能和满意度在修订后的程序的用户。对场地的影响。使命康复提供了一个方便，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，增强同情心，提高生活质量。干预措施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、他们的伴侣和家人以及其他时代的2 000万活着的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。创新该项目利用二元关系作为一个背景下，互惠和相互使用的补充疗法，促进健康的退伍军人和合作伙伴。Project技术采用最先进的移动的应用程序设计、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。该产品将销售给军队，退伍军人管理局系统和私营部门，包括非营利退伍军人协会的所有分支的家庭支持计划。产品使命侦察是一个集成的多媒体程序，可通过互联网和移动的设备，以及硬拷贝（DVD，CD，手册）交付。 公共卫生相关性：迫切需要采取干预措施，支持法语国家组织/持久自由行动退伍军人及其关系伙伴在从部署返回后的长期调整和心理健康需求。该项目将完成一个供自主使用的多媒体干预程序的制作，通过互联网和移动的应用程序技术提供，教授夫妇选择的身心干预和按摩技术，以促进减压、同情、恢复力和关系的重新整合。一项四臂随机试验将评估心理健康结果，作为一个独立的项目，并作为对当前标准护理结构化小组项目的补充。

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.