18 results on '"Jason L. Judkins"'
Search Results
2. Psychological Hardiness and Grit Are Associated with Musculoskeletal Injury in U.S. Army Trainees
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Kristin J. Heaton, Jason L. Judkins, Bruce Cohen, Vy T. Nguyen, Leila Walker, Katelyn I. Guerriere, Matthew Bartlett, Stephen Foulis, and Julie Hughes
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General Psychology ,Social Sciences (miscellaneous) - Published
- 2022
3. Mediating Effects of Pain Catastrophizing on Sleep and Pain Intensity in Army Basic Trainees
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Jason L. Judkins, Shannon Merkle, Kathryn Taylor, Brandon M. Roberts, Bradley M. Ritland, Stephen A. Foulis, Julie Hughes, and Kristin J. Heaton
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General Psychology ,Social Sciences (miscellaneous) - Published
- 2022
4. Alcohol use disorder in active duty service members: Incidence rates over a 19-year period
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Jason L. Judkins, Sandra B. Morissette, Kendra Smith, and Brain A Moore
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Adult ,Male ,Active duty ,Alcohol Drinking ,Population ,Psychological intervention ,Medicine (miscellaneous) ,Alcohol abuse ,Alcohol use disorder ,Young Adult ,Humans ,Medicine ,education ,education.field_of_study ,Marital Status ,business.industry ,Incidence ,Incidence (epidemiology) ,Alcohol dependence ,medicine.disease ,United States ,Alcoholism ,Psychiatry and Mental health ,Military Personnel ,Marital status ,business ,Demography - Abstract
Background: Alcohol use is a concerning issue for the military given its potential negative impact on human performance. Limited data are available regarding the incidence of alcohol use disorder in the military, which is critical to understand to evaluate force readiness, as well as for preventative initiatives and treatment planning. The aim was to examine the alcohol use disorder incidence rates (overall and across demographics) among active duty service members from 2001 to 2018. Methods: Data on 208,870 active duty service members between 2001 and 2018 from the Defense Medical Epidemiology Database was examined. Incidence rates were analyzed to determine the diagnostic rates of AUD (including both alcohol abuse and dependence), which were then examined by sex, age, service branch, military pay grade, marital status, and race. Results: Incidence rates of AUD in active duty service members (per 1,000 service members) ranged from 6.45 to 10.50 for alcohol abuse and 5.21 to 7.11 for alcohol dependence. Initial diagnoses of new-onset AUD occurred most frequently within 20-24 year-old, white, male, and non-married U.S. Army service members in the enlisted pay grades of E-1 to E-4. Statistically significant differences (p
- Published
- 2021
5. Development and psychometric validation of the Dispositional Recovery and Dysfunction Inventory: a tool to assess for positive and negative cognitions following trauma exposure
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Willie J. Hale, Jason L. Judkins, Alan L. Peterson, and Brian A Moore
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Psychometrics ,media_common.quotation_subject ,Reproducibility of Results ,Cognition ,Dysfunctional family ,General Medicine ,Confirmatory factor analysis ,Exploratory factor analysis ,Stress Disorders, Post-Traumatic ,Clinical Psychology ,Hardiness (psychological) ,Humans ,Measurement invariance ,Psychological resilience ,Factor Analysis, Statistical ,Psychology ,Depression (differential diagnoses) ,media_common ,Clinical psychology - Abstract
Background:Recovery from trauma can be naturally occurring or facilitated through psychotherapy. Few brief measures exist to provide clinicians with dispositional, empirical assessments of patient’s sentiments during psychotherapy.Aims:This manuscript presents the Dispositional Recovery and Dysfunction Inventory (DRDI), a measure created to assist clinicians in evaluating patient’s treatment progress during psychotherapy, as well as evaluate its factor structure, reliability estimates, measurement invariance, and correlates.Method:The DRDI was created based on feedback from experts with experience treating posttraumatic stress disorder (PTSD) and was structurally validated in two distinct populations. Exploratory factor analysis was conducted in sample 1 consisting of (n=401) university students. Confirmatory factor analysis, measure validity and structure validation were then conducted in sample 2 (n=249) composed of 49% individuals with clinically significant PTSD symptoms.Results:Exploratory and confirmatory factor analysis revealed that the DRDI was best represented by a two-factor correlated traits model representing sentiments related to dispositional recovery and dysfunctional cognitions. The recovery subscale exhibited relationships with convergent measures including authenticity and psychological hardiness (r values of .30 to .60). The dysfunctional beliefs subscale exhibited relationships with convergent measures: PTSD, depression, suicidality and stress (r values of .55 to 80). Measurement invariance across gender and PTSD status was observed.Conclusion:Initial findings indicate that the DRDI has the potential to be a useful tool to assess individuals’ beliefs about their propensity to recover from and thrive through adversity.
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- 2021
6. Identity Dissonance in Recently Separated Military Veterans
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Brian A. Moore, Tyler Collette, and Jason L. Judkins
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- 2022
7. Limiting Freedom: The Role of Reactance in Social Change
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Tyler Collette, Brian A. Moore, and Jason L. Judkins
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- 2022
8. Psychological Hardiness
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Jason L. Judkins, Brian A. Moore, and Tyler Collette
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- 2022
9. Examining student well-being: Development and initial validation of the perceived vulnerability and hardiness scale
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Jason L. Judkins, Tyler Collette, Kimberly Gomes, student, and Brian A. Moore
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Public Health, Environmental and Occupational Health - Abstract
The primary aim was to assess the factor structure and establish measurement invariance across sex for the Perceived Vulnerability and Hardiness Scale.Sample 1 (Iterative and collaborative survey-based focus groups were used to create the final version of the PVHS.A two-factor model was identified through exploratory and confirmatory factor analyses. The psychological hardiness subscale was found to positively correlate with hardiness and resilience, and negatively correlate with psychosocial functioning, depression, and anxiety. The vulnerability subscale was found to positively, strongly correlate with the anxiety, psychological vulnerability, and psychosocial functioning, and negatively correlate with the hardiness and resilience. Men and women interpreted the PVHS in an equivalent manner.This brief measure provides researchers, counselors, and administrations a method for general assessment, intervention effectiveness, and evaluation of campus climates.
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- 2022
10. A Retrospective, Epidemiological Review of Type 2 Diabetes Mellitus in a Military Population
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Tyler L, Collette, Jason L, Judkins, Morgan, Gettle, Brian A, Moore, Michelle, Lee, Darrick, Beckman, Mari-Amanda, Dyal, Ashton, Rouskais, Joshua, Tate, and Jana L, Wardian
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Chi-Square Distribution ,Military Personnel ,Diabetes Mellitus, Type 2 ,Incidence ,Humans ,Aged ,Retrospective Studies - Abstract
Examine incidence rates of Type 2 Diabetes Mellitus (T2DM) in a military population over a tenyear period and whether demographic characteristics differ within the same population.Diagnostic data and demographic variables from 23,821 active duty service members between 2006 and 2015 were analyzed from the Defense Medical Epidemiological Database.The incidence rates of new onset cases ranged from .22 (per 1,000 service members) in 2015 to a high of 1.46 (per 1,000 service members) in 2006 for T2DM without complications and .00 (per 1,000 service members) in 2007 to a high of .29 (per 1,000 service members) in 2015 for T2DM with complications. The one-sample chi-square test showed the observed, and expected frequencies differed significantly for all demographic variables tested.Although there was a significant increase in the diagnosis of T2DM with complications in 2015, the overall downtrend is similar to that of the general US population. Older age and higher rank were more likely to be associated with the diagnosis of T2DM with and without complications, again suggestive of similar trends with the general US population. Continued efforts towards early diagnosis and treatment of these service members are needed to address this problem regarding military readiness.
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- 2021
11. Incidences of anxiety disorders among active duty service members between 1999 and 2018
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Patricia D. Russell, Jason L. Judkins, Alexis Blessing, Brian Moore, and Sandra B. Morissette
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Obsessive-Compulsive Disorder ,Psychiatry and Mental health ,Clinical Psychology ,Incidence ,Humans ,Panic Disorder ,Agoraphobia ,Anxiety Disorders - Abstract
Anxiety disorders can impact the health, performance, and retention of military service members. To inform prevention initiatives and long-term treatment planning, incidence rates across anxiety disorders were evaluated among U.S. active-duty service members over a 20-year period.Data were extracted from the Defense Medical Epidemiological Database to examine incidence rates of generalized anxiety disorder (GAD), panic disorder (PD), agoraphobia (AG), social anxiety disorder (SAD), obsessive compulsive disorder (OCD), agoraphobia with panic disorder (AWPD), agoraphobia without history of panic disorder (AWOPD), and unspecified anxiety disorder (UAD) among 151,844 service members between 1999 and 2018 in relation to sex, age, race, marital status, military pay grade, service branch.Incidence rates of anxiety disorders increased significantly over the 20-year period. Anxiety disorder incidence rates ranged widely from 0.01 to 23.70 (per 1000 service members). There were significant differences in observed versus expected diagnostic rates across all demographic variables examined (p 0.001).Incidence rates varied considerably across the anxiety disorders, with UAD being the highest. These data highlight the importance of health care professionals attending to anxiety disorders, in order to plan for service member needs, develop preventative interventions, address early detection, and deliver treatments to improve combat readiness.
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- 2022
12. Post-9/11 service members: Associations between gender, marital status, and psychiatric aeromedical evacuations from combat zones
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Brian A Moore, Jeffery A. Cigrang, Monty T. Baker, Willie J. Hale, Alan L. Peterson, Ashton Rouska, Jason L. Judkins, Jose Lara-Ruiz, Jim Mintz, Cubby L. Gardner, Casey L Straud, Chelsea McMahon, Antoinette M. Shinn, Shelia W. Savell, and Stacey Young-McCaughan
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medicine.medical_specialty ,medicine ,Marital status ,Experimental and Cognitive Psychology ,Service member ,Psychiatry ,Psychology ,General Psychology ,Social Sciences (miscellaneous) ,Research Article - Abstract
Psychiatric aeromedical evacuations are one of the leading causes of medical related evacuations of US military personnel from combat. Currently, no studies have examined gender and marital status of individuals who were evacuated from combat for a psychiatric diagnosis. Psychiatric aeromedical evacuation data from 5,957 United States military personnel deployed to Iraq or Afghanistan between 2001 and 2013 were analyzed using chi-square tests of independence, odds ratios (OR), and standardized residuals. Analyses showed that female service members were evacuated at higher rates (178 per 100,000) than males (115 per 100,000). When compared to nonmarried females, married females did not present with increased risk of psychiatric aeromedical evacuation on any diagnosis. Married males, however, were more likely to be evacuated than married females for PTSD (OR = 1.98) and TBI (OR = 1.14). Likewise, married males, compared to nonmarried males, were more likely to be evacuated for PTSD (OR = 1.66) and anxiety (OR = 1.38). Although deployments can be extremely stressful experiences for some military service members, they may be especially so among unmarried females and married males. This study provides a unique contribution to enhancing the understanding of risk factors related to psychiatric aeromedical evacuation for deployed service members.
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- 2021
13. Behavioral and Occupational Health in Military Firefighters: An Understudied Population
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Casey L Straud, Vincent Mysliwiec, Eric C. Meyer, Michael Schlenk, Alan L. Peterson, Mari-Amanda Dyal, Monty T. Baker, Jason L. Judkins, and Brian A Moore
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medicine.medical_specialty ,Generalized anxiety disorder ,Population ,Occupational safety and health ,Stress Disorders, Post-Traumatic ,03 medical and health sciences ,First responder ,0302 clinical medicine ,Arts and Humanities (miscellaneous) ,Sleep Initiation and Maintenance Disorders ,Developmental and Educational Psychology ,medicine ,Humans ,030212 general & internal medicine ,Psychiatry ,education ,Occupational Health ,education.field_of_study ,Panic disorder ,Alcohol dependence ,medicine.disease ,030210 environmental & occupational health ,Clinical Psychology ,Military personnel ,Military Personnel ,Firefighters ,Quality of Life ,Anxiety ,medicine.symptom ,Psychology - Abstract
To our knowledge, no studies on health conditions in U.S. military firefighters exist. Data and demographics from the Defense Medical Epidemiology Database were analyzed on several shared medical issues among military personnel and civilian firefighters. Descriptive statistics and Chi-Square goodness of fit tests were conducted to support study aims. Between 2001 and 2015, substantial incidence rate increases (per 10,000) of tinnitus, PTSD, insomnia, and OSA (2005–2015) were observed. Modest to large increases in depressive disorders, adjustment reaction, generalized anxiety disorder, and panic disorder were observed. Decreasing rates were observed for alcohol dependence, hypertension, and tobacco use disorder. While efforts have examined the impact of sustained operations on military members, first responder military subgroups like firefighters are deficient. Cognitive Behavior Therapy interventions are efficacious for preventing and reducing behavioral health problems; therefore, tailoring them specifically for U.S. military firefighters could significantly improve quality of life and long-term health.
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- 2021
14. Injured Soldiers Report Poorer Sleep Quality, Shorter Sleep Durations, And Greater Pain Than Uninjured Soldiers
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Bradley M. Ritland, Jason L. Judkins, Jacob A. Naylor, Joseph R. Kardouni, Stefan M. Pasiakos, and Julianna M. Jayne
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Physical Therapy, Sports Therapy and Rehabilitation ,Orthopedics and Sports Medicine - Published
- 2022
15. Air Force Medical Personnel: Perspectives Across Deployment
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Monty T. Baker, Jason L. Judkins, William C. Isler, Cynthia L. Lancaster, Brian A Moore, Willie J. Hale, and Alan L. Peterson
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050103 clinical psychology ,Military service ,Study Personnel ,media_common.quotation_subject ,Health Personnel ,0211 other engineering and technologies ,02 engineering and technology ,Social support ,Quality of life (healthcare) ,Surveys and Questionnaires ,Humans ,0501 psychology and cognitive sciences ,media_common ,021110 strategic, defence & security studies ,Medical education ,05 social sciences ,Public Health, Environmental and Occupational Health ,General Medicine ,Military personnel ,Military Personnel ,Feeling ,Software deployment ,Iraq ,Quality of Life ,Psychology ,Military deployment - Abstract
IntroductionContingency operations during the past 18 years have exposed millions of U.S. military service members to numerous combat and operational stressors. Despite this, a relative dearth of literature has focused on the experiences of deployed military medical personnel. As such, the present study aimed to address this gap in the literature by conducting individual and small group interviews with Air Force medical personnel who had recently returned from a deployment to Iraq. Interviews targeted self-reported factors related to psychological risk and resiliency across the deployment cycle, while also seeking recommendations for future military medical personnel preparing for medical deployments.Materials and MethodsInductive thematic analyses were conducted on transcripts from 12 individual and structured group interviews conducted with recently deployed U.S. Air Force medical personnel (N = 28). An interview script consisting of 18 prompts was carefully developed based on the experiences of study personnel. Two team members (n = 1 research psychologist; n = 1 military medical provider) coded exemplars from interview transcripts. A third team member (research psychologist) reviewed coded exemplars for consistency and retained themes when saturation was reached.ResultsIn total we report on 6 primary themes. Participants reported feeling prepared to conduct their mission while deployed but often felt unprepared for the positions they assumed and the traumas they commonly experienced. Most participants reported deployment to be a rewarding experience, citing leader engagement, and social support as key protective factors against deployment-related stressors. Finally, following deployment, participants largely reported positive experiences reintegrating with their families but struggled to reintegrate into their workplace.ConclusionFindings from the present study indicate that the military is largely doing a good job preparing Air Force medical providers to deploy. Results of the present study indicate that military medical personnel would benefit from: (1) increased predictability surrounding deployment timelines, (2) improved cross-cultural training, (3) advanced training for atypical injuries in unconventional patient populations, and (4) improvements in postdeployment workplace reintegration. The present research has the potential to positively impact the overall quality of life for deploying military service members and their families; while simultaneously highlighting the successes and shortfalls in the deployment process for U.S. military medical personnel.
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- 2020
16. Incidence Rates of Posttraumatic Stress Disorder Over a 17-Year Period in Active Duty Military Service Members
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Tyler Collette, Brian A Moore, Willie J. Hale, Jason L. Judkins, Alan L. Peterson, and Sandra B. Morissette
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Adult ,Male ,050103 clinical psychology ,medicine.medical_specialty ,Active duty ,Population ,Stress Disorders, Post-Traumatic ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Epidemiology ,Prevalence ,Medicine ,Humans ,0501 psychology and cognitive sciences ,Longitudinal Studies ,Young adult ,education ,Retrospective Studies ,education.field_of_study ,business.industry ,Incidence (epidemiology) ,Incidence ,05 social sciences ,Retrospective cohort study ,Middle Aged ,United States ,030227 psychiatry ,Psychiatry and Mental health ,Clinical Psychology ,Military Personnel ,Military Deployment ,Population Surveillance ,Marital status ,Female ,business ,Military Pay ,Demography - Abstract
Posttraumatic stress disorder (PTSD) affects approximately 8% of the general population. The prevalence of PTSD is twice as high in active duty service members and military veterans. Few studies have investigated the incidence rates of PTSD in active duty military personnel. The present study evaluated the incidence of PTSD diagnoses and the differences between demographic factors for service members between 2001 and 2017. Data on 182,400 active duty service members between 2001 and 2017 were drawn from the Defense Medical Epidemiological Database and examined by sex, age, service branch, military pay grade, marital status, and race. From 2001 to 2017, the incidence rates of PTSD in the active force (per 1,000 service members) steadily climbed, with a low of 1.24 in 2002 to a high of 12.94 in 2016. Service members most often diagnosed with PTSD were in the U.S. Army, with the enlisted pay grades of E-5-E-9, White, married, male, and between 20 and 24 years old. Statistically significant differences, ps < .001, were found between observed and expected counts across all examined demographic variables. The present study is the first to our knowledge to provide a comprehensive examination of PTSD incidence rates in an active duty military population.
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- 2019
17. Pilot investigation of an activity-based approach to building hardiness
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Brian A Moore, E Stone, B Rendell, G Carbon, Alan H. Welsh, Jason L. Judkins, and Alan L. Peterson
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Program evaluation ,Hardiness (psychological) ,media_common.quotation_subject ,General Medicine ,Service member ,Psychological resilience ,Psychology ,Training programme ,Clinical psychology ,media_common - Abstract
BackgroundThe purpose was to describe an activity-based psychological hardiness training programme delivered by an occupational therapist and examine its acceptability and effectiveness in improving hardiness.MethodParticipants (N=28) completed the 6-hour programme, which included pre/post-programme completion of the Dispositional Resilience Scale-15 (DRS-15) and a Program Evaluation Form. Paired t-tests were used to determine differences between pre-training and post-training scores on the DRS-15.ResultsResults showed a significant increase (pConclusionsThis programme evaluation described an occupational therapist’s role in providing an activity-based psychological hardiness training programme and provided preliminary support for the acceptability of an activity-based approach to training psychological hardiness for service members.
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- 2021
18. A Review of the Effectiveness of a Combat and Operational Stress Control Restoration Center in Afghanistan
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Jason L. Judkins and Devvon Bradley
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Adult ,Male ,Mental Health Services ,Warfare ,050103 clinical psychology ,medicine.medical_specialty ,Stress management ,0211 other engineering and technologies ,02 engineering and technology ,Ambulatory Care Facilities ,Military medicine ,Occupational Stress ,Combat stress reaction ,Surveys and Questionnaires ,Environmental health ,parasitic diseases ,medicine ,Humans ,0501 psychology and cognitive sciences ,021110 strategic, defence & security studies ,Afghan Campaign 2001 ,business.industry ,Public health ,05 social sciences ,Afghanistan ,Public Health, Environmental and Occupational Health ,General Medicine ,medicine.disease ,Navy ,Military personnel ,Military Personnel ,Female ,Self Report ,Occupational stress ,Medical emergency ,business ,Standard operating procedure - Abstract
The management of Combat and Operational Stress Reactions (COSR) within an operational environment is a multidimensional process. The aim is to help prevent behavioral health problems, preserve combat power, and increase return to duty rates for combat stress related casualties. In some COSR cases, enhanced services are required and the Combat and Operational Stress Control (COSC) Clinic refers Service Members (SMs) to the Freedom Restoration Clinic (FRC). The purpose was to describe a deployed restoration center in Afghanistan and examine the long-term effectiveness of those services.The data analyzed were obtained by a retrospective clinical records review from the participants' responses to the Outcome Questionnaire-45.2 (OQ-45.2) and a 30-Day Post-Restoration Program Survey created by the occupational therapist. The OQ-45.2 was administered pretreatment and immediately post-treatment. In addition, the OQ-45.2 and 30-Day Post-Restoration Program Survey was sent electronically by secure e-mail to each participant 30 days after treatment. These outcome measures were part of the standard operating procedures and were ongoing for the duration of the FRC restoration program. Descriptive statistics and frequencies were computed to describe participant characteristics. Paired t-tests were used to compare the means of the OQ45.2 total and subscale scores at pretreatment versus post-treatment and post-treatment versus 30-day follow-up.There were 37 participants with an average age of 29 years, primarily Army (81.1%), served in combat-support roles (75.6%), and reported no exposure to combat (89.2%). The results showed a statistically significant decrease (p0.001) in OQ-45.2 scores from pre to post for the total score and for each subscale. There was no significant difference in means when comparing post versus 30 days. Lastly, the top five utilized classes were anger management (78%), goal setting (76%), resiliency (76%), stress management (76%), and positive thinking (76%); 81% of SMs reported that they are almost always or sometimes using the lessons learned from the FRC.This performance improvement project described an occupational therapist's role within a COSC restoration center and examined the effectiveness of the FRC program. There were several limitations: no control/comparison groups, use of only one clinical assessment tool, and a short follow-up. This performance improvement evaluation provides some empirical support for the utility of the COSC FRC program in reducing psychological distress in SM in a deployed environment.
- Published
- 2017
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