Feasibility and Desirability of Web-Based Mental Health Screening and Individualized Education for Female OEF/OIF Reserve and National Guard War Veterans

Authors

  • Anne G. Sadler,

    Corresponding author
    1. Department of Psychiatry, Carver College of Medicine University of Iowa, Iowa City, Iowa, USA
    • Comprehensive Access & Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, Iowa, USA
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  • Michelle A. Mengeling,

    1. Comprehensive Access & Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, Iowa, USA
    2. Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA
    3. VA Office of Rural Health (ORH), Veterans Rural Health Resource Center-Central Region (VRHRC-CR), Iowa City VA Health Care System, Iowa City, USA
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  • James C. Torner,

    1. Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa, USA
    2. Department of Neurosurgery, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA
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  • Jeffrey L. Smith,

    1. Mental Health QUERI, Central Arkansas VA Health Care System, Little Rock, Arkansas, USA
    2. Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
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  • Carrie L. Franciscus,

    1. Comprehensive Access & Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, Iowa, USA
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  • Holly J. Erschens,

    1. Comprehensive Access & Delivery Research and Evaluation (CADRE), Iowa City VA Health Care System, Iowa City, Iowa, USA
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  • Brenda M. Booth

    1. Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
    2. Central Arkansas VA Health Care System, Little Rock, Arkansas, USA
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  • This research was supported in part by Department of Veterans Affairs grant VA HSR&D QUERI RRP 09-115. Awarded to Anne G. Sadler.

Correspondence concerning this article should be addressed to Anne G. Sadler, CADRE, Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, Iowa 52246. E-mail: anne.sadler@va.gov

Abstract

Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Reserve and National Guard (RNG) service members have an increased risk for postdeployment mental health (MH) and readjustment problems, yet most do not access needed care. It is unknown if RNG servicewomen experiencing postdeployment readjustment symptoms are aware these may signify treatable MH concerns or if this knowledge activates care-seeking. The aims of this proof-of-concept study were to determine the feasibility of web-based MH screening for postdeployment MH symptoms to inform individualized psychoeducation, and to assess user perceptions about the online instrument and process, MH care access, and VA and other MH care. A midwestern sample (N = 131) of recently deployed (past 24 months) OEF/OIF RNG Army and Air Force servicewomen participated. High rates of combat experiences (95%) and military sexual trauma (50%) were reported. Positive screens for key symptoms of MH problems were prevalent. One third (31%) of satisfaction survey completers indicated online information reduced discomfort with seeking MH care; 42% reported they would subsequently seek MH assessment. Participants interviewed by telephone indicated that stigma and limited knowledge about women-specific services were key reasons servicewomen do not use MH care. This study demonstrated web-based screenings with individualized psychoeducation are implementable and favorable to RNG servicewomen.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:女性OEF/OIF後備及國民警衛軍退役人士中,使用網上精神健康篩選調查和個別教育計劃的可行性及可取性研究。

撮要:持續解放行動/伊拉克解放行動(OEF/OIF)後備及國民警衛軍(RNG)人員有更多風險出現退役後精神健康(MH)和重投社會的適應問題,但大多沒有接受相應的治療。RNG女性人員經歷退役後重投社會的適應症狀時,未知會否認識這些症狀可能是MH可治症狀,或知悉情況後主動求醫。本研究目的是測試網上MH篩選調查有關退役後MH症狀以構思個別心理教育計劃的可行性,和評核用家對網上工具及過程、MH治療路徑、VA及其他治療的感受。樣本是中西部(n=131)最近退役(即退役24個月內)OEF/OIF RNG軍隊及空軍女性人員。她們有高戰鬥經歷比率(95%)和戰鬥性創傷比率(50%),當中MH問題的主要症狀篩選常為確定。完成滿意度調查的人士中約三份之一(31%)認為網上資訊減低不安及加強尋求MH治療,42%則會尋求進一步MH評估。電話訪問則揭露女軍人不使用MH治療的主因是女性服務的被標籤,和缺乏對服務的認識。本文顯示網上篩選和個別心理教育對RNG女軍人而言,是可行和可取的。

标题:女性OEF/OIF后备及国民警卫军退役人士中,使用网上精神健康筛选调查和个别教育计划的可行性及可取性研究。

撮要:持续解放行动/伊拉克解放行动(OEF/OIF)后备及国民警卫军(RNG)人员有更大风险出现退役后精神健康(MH)和重投社会的适应问题,但大多没有接受相应的治疗。RNG女性人员经历退役后重投社会的适应症状时,未知会否认识这些症状可能是MH可治症状,或知悉情况后主动求医。本研究目的是测试网上MH筛选调查有关退役后MH症状以构思个别心理教育计划的可行性,和评核用家对网上工具及过程、MH治疗路径、VA及其他治疗的感受。样本是中西部(n=131)最近退役(即退役24个月内)OEF/OIF RNG军队及空军女性人员。她们有高战斗经历比率(95%)和战斗性创伤比率(50%),当中MH问题的主要症状筛选常为确定。完成满意度调查的人士中约三份之一(31%)认为网上信息减低不安及加强寻求MH治疗,42%则会寻求进一步MH评估。电话访问则揭露女军人不使用MH治疗的主因是女性服务的被标签,和缺乏对服务的认识。本文显示网上筛选和个别心理教育对RNG女军人而言,是可行和可取的。

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