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

描述（由申请人提供）：对支持OIF和OEF退伍军人短期和长期重新融入社区和重要关系的心理健康干预措施的需求日益迫切和增长。需要创新的方法来支持可能无法获得或无法获得正式服务的退伍军人的福祉。目标。这个第二阶段的项目将完成一项自我指导的、基于家庭的干预措施的开发和评估，以帮助OIF/OEF退伍军人和他们的亲人在重新适应过程中使用。“Mission Reconnect”是一个综合项目(1)指导身心减压和放松练习，(2)沉思练习，以产生和支持对自己和亲人的欣赏，同情和宽恕，以及(3)视频指导，使用简单的按摩技术与伴侣建立联系并减轻压力。在第一阶段确立了可行性，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有显著影响，以及定性数据。在II期，我们将在一项四组随机对照试验中完成并评估整个方案。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个老兵/合伙人组成的不同群体，他们接受并使用修改过的材料；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程序。4. 创建一个多模式系统，用于教学组件的交付，该系统利用基于网络和移动设备技术的创新来最大化访问、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. 评估程序的使用和满意度、按摩效果、自我效能和用户满意度。对现场的影响。Mission Reconnect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，提高生活质量。干预措施可作为正式精神卫生服务的补充，或单独使用。这是对200万OIF/OEF退伍军人、他们的伴侣和家属以及2000万在世的其他时代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互惠和相互使用补充疗法的背景，促进退伍军人和伴侣的健康。项目技术利用了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设备特定的提醒警报。商业应用程序。该产品将销售给所有军种、VA系统和私营部门的家庭支持项目，包括非营利性退伍军人协会。产品。Mission Reconnect是一个集成的多媒体程序，可通过互联网和移动设备以及硬拷贝（DVD， CD，手册）交付。

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).