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[PMID]: 28263359 [Au] Autor: Champlin BE; Kunkel DE [Ti] Título: Implementing a Veteran-Centered Community Health Clinical Experience in a Baccalaureate Nursing Program. [So] Source: J Nurs Educ;56(3):186-190, 2017 Mar 01. [Is] ISSN: 1938-2421 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: In a baccalaureate nursing curriculum, students focused on the unique health care needs of veterans and their families. The learning experiences aimed to equip them with the knowledge, skills, and attitudes (KSAs) to provide holistic relation-centered care to veterans and their families. METHOD: The clinical course integrated the findings of several veteran-centered publications and the American Association of Colleges of Nursing veteran-centered resources. RESULTS: Formative and summative anecdotal information was gathered in the learning experience during weekly postclinical discussions, course assignments, and a seminar after completion of the experience. Three noteworthy themes stand out: Increased Descriptions of Resources and Services Available to Veterans and Their Families, Increased Expressions of the Complex Health Care Needs of Veterans, and Increasing Recognition of the Autonomous Nature of the Community Health Nursing Role. CONCLUSION: Early indicators are that this community health field work experience will be sustainable into the future. The academic institution and clinical partner remain committed to working together to provide meaningful learning opportunities to students. Students completed the experience with increased KSAs and a beginning orientation to the Veterans Affairs Health Care System. [J Nurs Educ. 2017;56(3):186-190.]. [Mh] Termos MeSH primário: Bacharelado em Enfermagem/métodos Conhecimentos, Atitudes e Prática em Saúde Estudantes de Enfermagem Saúde dos Veteranos/educação [Mh] Termos MeSH secundário: Currículo Seres Humanos Família Militar Modelos Educacionais Pesquisa em Educação de Enfermagem Estados Unidos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171004 [Lr] Data última revisão: 171004 [Sb] Subgrupo de revista: IM; N [Da] Data de entrada para processamento: 170307 [St] Status: MEDLINE [do] DOI: 10.3928/01484834-20170222-12

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[PMID]: 28206806 [Au] Autor: Pinna KL; Hanson S; Zhang N; Gewirtz AH [Ad] Endereço: Department of Psychology, St. Catherine University. [Ti] Título: Fostering resilience in National Guard and Reserve families: A contextual adaptation of an evidence-based parenting program. [So] Source: Am J Orthopsychiatry;87(2):185-193, 2017. [Is] ISSN: 1939-0025 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Military deployment of a parent is a risk factor for children's internalizing and externalizing problems. This risk may be heightened in National Guard and Reserve (NG/R) families who tend to be isolated from other NG/R families and do not benefit from the centralized support system available to active duty families living on military bases. Isolation and trauma-related disorders may complicate the adjustment of military families during reintegration. An evidence-based parent training intervention was modified to meet the unique needs of recently deployed NG/R parents and their spouses, and the modified program was evaluated in a randomized controlled trial. The current study examines engagement and satisfaction with the program. Modifications such as employment of military-connected facilitators sought to maximize engagement in and satisfaction with the program. Engagement and satisfaction were examined between mothers and fathers, as well as between groups led by a military-connected facilitator and those led by civilian facilitators. Significantly greater engagement was noted for groups that were led by a military-connected facilitator (p = .01). There were no differences between genders in attendance rates, though greater positive group experiences were reported by mothers versus fathers (p = .01). Results are discussed in the context of engagement and satisfaction reported for similar programs. Implications for working with military families are also considered. (PsycINFO Database Record [Mh] Termos MeSH primário: Adaptação Psicológica Família Militar/psicologia Pais/educação Resiliência Psicológica [Mh] Termos MeSH secundário: Adulto Criança Pré-Escolar Feminino Seres Humanos Masculino Pais/psicologia Estresse Psicológico/psicologia [Pt] Tipo de publicação: JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170925 [Lr] Data última revisão: 170925 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170217 [St] Status: MEDLINE [do] DOI: 10.1037/ort0000221

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[PMID]: 28005475 [Au] Autor: Nicosia N; Wong E; Shier V; Massachi S; Datar A [Ad] Endereço: 1 RAND Corporation, Boston, MA, USA. [Ti] Título: Parental Deployment, Adolescent Academic and Social-Behavioral Maladjustment, and Parental Psychological Well-being in Military Families. [So] Source: Public Health Rep;132(1):93-105, 2017 Jan/Feb. [Is] ISSN: 1468-2877 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVE: Increases in the frequency and length of military deployments have raised concerns about the well-being of military families. We examined the relationship between a military parent's deployment and (1) adolescent academic and social-behavioral maladjustment and (2) parental psychological well-being. METHODS: We collected data from April 2013 through January 2014 from 1021 families of enlisted US Army personnel with children aged 12 or 13 during the Military Teenagers' Environments, Exercise, and Nutrition Study. Through online parent surveys, we collected data on deployment, adolescent academic and social-behavioral maladjustment, and parental psychological well-being. We estimated adjusted logistic and linear regression models for adolescents (all, boys, girls), military parents (all, fathers, mothers), and civilian parents. RESULTS: Compared with no or short deployments, long deployments (>180 days in the past 3 years) were associated with significantly higher odds of decreases in adolescent academic performance (adjusted odds ratio [AOR] = 1.54), independence (AOR = 2.04), and being responsible (AOR = 1.95). These associations were also significant for boys but not for girls. Among parents, long deployments were associated with significantly higher odds of being depressed (AOR = 2.58), even when controlling for adolescent maladjustment (AOR = 2.54). These associations did not differ significantly between military and civilian parents and were significant for military fathers but not military mothers. Recent deployment (in the past 12 months) was not associated with either adolescent or parent outcomes. CONCLUSION: Long deployments are associated with adolescents' academic and social-behavioral maladjustments and diminished parental well-being, especially among boys and military fathers. [Mh] Termos MeSH primário: Adaptação Psicológica Ansiedade de Separação/diagnóstico Família Militar/psicologia Pais/psicologia Satisfação Pessoal [Mh] Termos MeSH secundário: Adolescente Criança Feminino Seres Humanos Modelos Lineares Masculino Inquéritos e Questionários Estados Unidos Guerra [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1707 [Cu] Atualização por classe: 170713 [Lr] Data última revisão: 170713 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 161223 [St] Status: MEDLINE [do] DOI: 10.1177/0033354916679995

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[PMID]: 27909070 [Au] Autor: Thandi G; Oram S; Verey A; Greenberg N; Fear NT [Ad] Endereço: Academic Department of Military Mental Health, King's College London, London, UK. [Ti] Título: Informal caregiving and intimate relationships: the experiences of spouses of UK military personnel. [So] Source: J R Army Med Corps;163(4):266-272, 2017 Aug. [Is] ISSN: 0035-8665 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: AIM: Currently, there is no research available on the experiences of spouses providing informal care to wounded, injured or sick (WIS) UK military personnel. The aim of this study was to fill this gap by investigating the relationship experiences of non-military partners caring for WIS UK military personnel. METHODS: Spouses of WIS military personnel (n=25) completed telephone interviews with the research team. The data were transcribed and analysed using thematic analysis. The transcripts were cross-coded and checked for inter-rater reliability. RESULTS: Six major themes were identified: (1) communication between couples, (2) adverse family environment, (3) reintegration, (4) intimacy, (5) financial uncertainty and (6) transition from partner to caregiver. CONCLUSIONS: Partners caring for injured/ill military personnel appear to be at risk of experiencing personal distress caused by impaired relationship functioning, which may lead to diminished physical and mental well-being. Partners of WIS military personnel experience significant levels of distress and burden associated with caregiving in the form of arguments with the military partner, problems in reintegration and a lack of physical and emotional intimacy. [Mh] Termos MeSH primário: Cuidadores Relações Interpessoais Família Militar Papel (Figurativo) Cônjuges/psicologia [Mh] Termos MeSH secundário: Adaptação Psicológica Adulto Comunicação Conflito Familiar Relações Familiares Feminino Seres Humanos Entrevistas como Assunto Masculino Meia-Idade Reino Unido Ferimentos e Lesões/terapia [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171003 [Lr] Data última revisão: 171003 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161203 [St] Status: MEDLINE [do] DOI: 10.1136/jramc-2016-000679

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[PMID]: 27909069 [Au] Autor: Khera CK; Stevelink SAM; Fear NT [Ad] Endereço: King's Centre for Military Health Research, King's College London, Weston Education Centre, London, UK. [Ti] Título: Parental reports of serious illness and disability among children aged 3-16 years from UK military families. [So] Source: J R Army Med Corps;163(4):255-258, 2017 Aug. [Is] ISSN: 0035-8665 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: Prevalence rates of child illness according to parents have been found to vary greatly in the general population, with even less known about children of military parents. Mothers are generally considered more informed about their children's problems than fathers. This paper aimed to establish the prevalence of serious illness and disability among children from military families, noting the difference between parental reports. METHODS: Male serving and ex-serving personnel with children aged 3-16 years were invited to take part in an online questionnaire and telephone interview based on their child's health. The mothers of their children were invited via post if the father gave permission to make contact. Data were analysed using descriptive statistics and Cohen's kappa. RESULTS: 378 fathers and 383 mothers provided information for 610 children. The vast majority of parents did not perceive their child to have a serious illness or disability; fathers reported problems in 7.7% of their children (respiratory conditions most common), while mothers reported problems in 6.2% (physical health problems rated most prevalent). A moderate agreement was found between parent's reports; kappa=0.51 (p<0.001). CONCLUSIONS/IMPLICATIONS: The prevalence of serious illnesses and disabilities is low among military children according to parent reports. Fathers were more likely to disclose a problem in their child, and these differences were visible in the type of problem reported also. This disparity suggests mothers' and fathers' views should both be considered when making decisions that involve the child's care, in addition to clinical diagnoses. [Mh] Termos MeSH primário: Saúde do Adolescente Saúde da Criança Nível de Saúde Família Militar [Mh] Termos MeSH secundário: Adolescente Adulto Criança Pré-Escolar Feminino Seres Humanos Entrevistas como Assunto Masculino Meia-Idade Pais Inquéritos e Questionários Reino Unido [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171003 [Lr] Data última revisão: 171003 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161203 [St] Status: MEDLINE [do] DOI: 10.1136/jramc-2016-000671

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[PMID]: 27872275 [Au] Autor: Torrens Armstrong A [Ad] Endereço: 1 University of South Florida, Tampa, FL, USA. [Ti] Título: Serving Those That Serve. [So] Source: Health Promot Pract;18(2):169-174, 2017 Mar. [Is] ISSN: 1524-8399 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Since 1986, health promotion has had a place within the U.S. Department of Defense. Emphasizing the leading health indicators of Healthy People, the role of health promotion has continued to support the U.S. Armed Forces in perhaps one of the most challenging decades of wartime operations. Serving a sizable population with both typical and mission-related health issues, health promotion plays a critical role in maintaining and improving health. The purpose of this article is to highlight military health promotion by offering insight into the day-to-day life of a "boots on the ground" military health educator, reviewing the challenges and opportunities of working with a unique population. A summary of a variety of military specific initiatives is provided. Additionally, the article highlights the barriers and benefits to military health promotion. Last, the article concludes with a call to action to consider the role of all health educators in serving those that serve. [Mh] Termos MeSH primário: Educadores em Saúde/organização & administração Promoção da Saúde/organização & administração Militares [Mh] Termos MeSH secundário: Adulto Feminino Acesso aos Serviços de Saúde Seres Humanos Masculino Família Militar Estados Unidos Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 171108 [Lr] Data última revisão: 171108 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161123 [St] Status: MEDLINE [do] DOI: 10.1177/1524839916678405

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[PMID]: 27399606 [Au] Autor: Cheek C; Yaure RG [Ad] Endereço: a Department of Human Development & Family Studies , Penn State Mont Alto , Mont Alto , Pennsylvania , USA. [Ti] Título: Quilting as a generative activity: Studying those who make quilts for wounded service members. [So] Source: J Women Aging;29(1):39-50, 2017 Jan-Feb. [Is] ISSN: 1540-7322 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: A qualitative study of 24 quilters examined their experiences creating and delivering quilts to wounded service members who served in the Iraq and Afghanistan conflicts. Using Erikson's (1963) perspective on generativity and Baumeister and Vohs's (2002) theory of motivation as theoretical frameworks, along with McCracken's (1988) five-step analysis model, we looked at the part motivation played in this process. The results were that respondents wanted to supply quilts in response to their own family histories of military involvement, to support friends/acquaintances with family in the military, and to make a difference to those who seemed young and badly wounded. Some respondents described being affected by the reactions of quilt recipients and of healing from their own traumas and grief. [Mh] Termos MeSH primário: Amigos/psicologia Passatempos/psicologia Relações Interpessoais Motivação [Mh] Termos MeSH secundário: Adulto Campanha Afegã de 2001- Idoso Idoso de 80 Anos ou mais Feminino Seres Humanos Guerra do Iraque 2003-2011 Masculino Meia-Idade Família Militar Pesquisa Qualitativa Têxteis Veteranos Ferimentos e Lesões/psicologia [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170623 [Lr] Data última revisão: 170623 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 160712 [St] Status: MEDLINE [do] DOI: 10.1080/08952841.2015.1021652

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[PMID]: 27155870 [Au] Autor: Richards LK; Bui E; Charney M; Hayes KC; Baier AL; Rauch PK; Allard M; Simon NM [Ad] Endereço: Home Base, A Red Sox Foundation and Massachusetts General Hospital Program, 101 Merrimac Street, Boston, MA, 02114, USA. lrichards3@mgh.harvard.edu. [Ti] Título: Treating Veterans and Military Families: Evidence Based Practices and Training Needs Among Community Clinicians. [So] Source: Community Ment Health J;53(2):215-223, 2017 Feb. [Is] ISSN: 1573-2789 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Little is known about the capacity of community providers to provide military informed evidence based services for posttraumatic stress disorder (PTSD). We conducted a regional, web-based survey of 352 community mental health care providers that sought to identify clinical practices, training needs, and predictors of evidence based treatment (EBT) use for PTSD. Overall, 49 % of providers indicated they seldom or never use a validated PTSD screening instrument. Familiarity with EBTs, specifically prolonged exposure (PE; χ (4) = 14.68, p < .01) and cognitive processing therapy (CPT; χ (4) = 4.55, p < .05), differed by provider type. Of providers who received training in PE or CPT (N = 121), 75 % reported using treatment in their practice, which was associated with having received clinical supervision (χ (1) = 20.16, p < .001). Widely disseminated trainings in empirically supported PTSD assessment and treatment, and implementation of case supervision in community settings are needed. [Mh] Termos MeSH primário: Serviços de Saúde Comunitária Prática Clínica Baseada em Evidências Pessoal de Saúde/educação Família Militar/psicologia Veteranos/psicologia [Mh] Termos MeSH secundário: Seres Humanos New England Inquéritos e Questionários Estados Unidos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 171108 [Lr] Data última revisão: 171108 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 160509 [St] Status: MEDLINE [do] DOI: 10.1007/s10597-016-0013-7

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[PMID]: 27753562 [Au] Autor: Leroux TC; Kum HC; Dabney A; Wells R [Ad] Endereço: Department of Preventive Medicine and Biostatistics, Uniformed Services University, 4301 Jones Bridge Road, Bethesda, MD 20814. [Ti] Título: Military Deployments and Mental Health Utilization Among Spouses of Active Duty Service Members. [So] Source: Mil Med;181(10):1269-1274, 2016 Oct. [Is] ISSN: 1930-613X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Since the onset of the wars in Iraq and Afghanistan attention has increased on the importance of mental health with military service members. An integral component, although far less studied, are the ties between mental health and military spouses. Military deployments place considerable stress on military families. This study analyzed the mental health utilization of military spouses of active duty service members assigned to an aircraft carrier between 2011 and 2014. A negative binomial generalized estimating equation was used to examine the rate of change in mental health utilization over time against various deployment phases. Associations emerged between select deployment phases (i.e., deployment 1, between deployments, deployment 2) with increases in mental health utilization ranging between 12% and 20% for military spouses. This study demonstrated, for military spouses, the in between deployment phase has associations with mental health utilization rates similar to actual deployed periods. As a result, military leaders should continue to monitor the well-being of their service members' families throughout all deployment phases. [Mh] Termos MeSH primário: Serviços de Saúde Mental/utilização Cônjuges/psicologia [Mh] Termos MeSH secundário: Adulto Campanha Afegã de 2001- Feminino Seres Humanos Guerra do Iraque 2003-2011 Estudos Longitudinais Masculino Serviços de Saúde Mental/estatística & dados numéricos Família Militar/psicologia Militares/estatística & dados numéricos Estudos Retrospectivos Cônjuges/estatística & dados numéricos Estresse Psicológico/complicações Estresse Psicológico/etiologia Estresse Psicológico/psicologia Guerra [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1707 [Cu] Atualização por classe: 170713 [Lr] Data última revisão: 170713 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161019 [St] Status: MEDLINE

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[PMID]: 27597440 [Au] Autor: Saltzman WR; Lester P; Milburn N; Woodward K; Stein J [Ad] Endereço: UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA. [Ti] Título: Pathways of Risk and Resilience: Impact of a Family Resilience Program on Active-Duty Military Parents. [So] Source: Fam Process;55(4):633-646, 2016 12. [Is] ISSN: 1545-5300 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Over the past decade, studies into the impact of wartime deployment and related adversities on service members and their families have offered empirical support for systemic models of family functioning and a more nuanced understanding of the mechanisms by which stress and trauma reverberate across family and partner relationships. They have also advanced our understanding of the ways in which families may contribute to the resilience of children and parents contending with the stressors of serial deployments and parental physical and psychological injuries. This study is the latest in a series designed to further clarify the systemic functioning of military families and to explicate the role of resilient family processes in reducing symptoms of distress and poor adaptation among family members. Drawing upon the implementation of the Families Overcoming Under Stress (FOCUS) Family Resilience Program at 14 active-duty military installations across the United States, structural equation modeling was conducted with data from 434 marine and navy active-duty families who participated in the FOCUS program. The goal was to better understand the ways in which parental distress reverberates across military family systems and, through longitudinal path analytic modeling, determine the pathways of program impact on parental distress. The findings indicated significant cross-influence of distress between the military and civilian parents within families, families with more distressed military parents were more likely to sustain participation in the program, and reductions in distress among both military and civilian parents were significantly mediated by improvements in resilient family processes. These results are consistent with family systemic and resilient models that support preventive interventions designed to enhance family resilient processes as an important part of comprehensive services for distressed military families. [Mh] Termos MeSH primário: Família Militar/psicologia Militares Pais/psicologia Resiliência Psicológica Estresse Psicológico/terapia [Mh] Termos MeSH secundário: Adaptação Psicológica Adulto Saúde da Família Feminino Seres Humanos Relações Interpessoais Masculino Modelos Psicológicos Medicina Naval Estresse Psicológico/psicologia Estados Unidos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171127 [Lr] Data última revisão: 171127 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 160907 [St] Status: MEDLINE [do] DOI: 10.1111/famp.12238

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