Women veterans' outcomes and experiences with STEP-Home transdiagnostic reintegration workshops: Implications for future implementation.

IF 1.1 4区心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY

Military Psychology Pub Date : 2025-06-23 DOI:10.1080/08995605.2025.2521952

Michelle M Pebole, Caroline A Sablone, Alexandra Kenna, Dylan Katz, Colleen B Hursh, Arielle R Knight, Alyssa Currao, Adam Lebas, Catherine B Fortier

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Abstract

Women Veterans (WVs) face unique challenges reintegrating into civilian life after military service. Yet, there is a current dearth of information on treatment outcomes and feasability among WVs, particularly regarding interventions that target reintegration focused content and outcomes. The present study is a secondary analysis of a randomized controlled trial that integrates quantitative and qualitative measures to assess WVs' outcomes and experiences with the STEP-Home (SH) transdiagnostic reintegration workshop. A total of 57 Veterans ages 24-65 years (n = 37 men; n = 20 women) completed SH and provided qualitative feedback post-intervention. Sex-stratified outcomes indicated that both men and women improved in reintegration (ps < 0.01), though the effect was smaller among WVs (ds = 0.42 vs 0.67). Women and men also experienced moderate improvements in neurobehavioral symptoms and frontal system functioning (ps < 0.001; ds = 0.48-1.00). WVs showed unique improvements in communication (p = .007, d = 0.50), and personal control (p = .016, d = 0.58). Men showed unique improvements in anger expression (p < .001, d = 0.52) and impulse control (p = .002, d = 0.57). Women represented 35% of Veterans who completed STEP-Home at follow up, a notable overrepresentation of women when compared to their prevalence in the US military. Dropout rates among WVs were similar to men (p > .05). Qualitative feedback indicated that some WVs (n = 5) preferred women only groups. WVs reported high satisfaction with SH, although women did indicate that women only groups may appeal to some WVs. Findings support the benefits of and satisfaction with virtual reintegration programs among WVs. They also emphasize the opportunity for future research focused on the implementation of virtual reintegration programs tailored to the growing population of WVs.Trial Registration: Clinicaltrials.gov: D2907-R.

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妇女退伍军人的结果和经验与跨诊断重返社会的stephome讲习班：对未来实施的影响。

女退伍军人（WVs）在服役后重新融入平民生活面临着独特的挑战。然而，目前缺乏关于WVs治疗结果和可行性的信息，特别是关于以重返社会为重点的内容和结果的干预措施。本研究是对一项随机对照试验的二次分析，该试验综合了定量和定性措施，以评估wv在STEP-Home （SH）跨诊断重返社会研讨会上的结果和经验。57名年龄在24-65岁的退伍军人(n = 37名男性；n = 20名妇女)完成了SH，并在干预后提供了定性反馈。性别分层结果表明，男性和女性在重新融入社会方面都有所改善(ps p =。007, d = 0.50)和个人控制（p = 0.50）。016, d = 0.58)。男性在愤怒表达（p = 0.52）和冲动控制（p = 0.52）方面表现出独特的改善。002, d = 0.57)。在随访中完成STEP-Home的退伍军人中，女性占35%，与美国军队中的普遍情况相比，女性的比例明显过高。女性的辍学率与男性相似（p < 0.05）。定性反馈表明，一些WVs （n = 5）更喜欢女性组。wv报告了对性爱的高满意度，尽管女性确实表示女性团体可能对一些wv有吸引力。研究结果支持了虚拟重返社会项目在wv中的好处和满意度。他们还强调了未来研究的机会，重点是实施针对不断增长的wv人口的虚拟重返社会计划。试验注册：Clinicaltrials.gov: D2907-R。

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来源期刊

Military Psychology PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

2.30

自引率

18.20%

发文量

期刊介绍： Military Psychology is the quarterly journal of Division 19 (Society for Military Psychology) of the American Psychological Association. The journal seeks to facilitate the scientific development of military psychology by encouraging communication between researchers and practitioners. The domain of military psychology is the conduct of research or practice of psychological principles within a military environment. The journal publishes behavioral science research articles having military applications in the areas of clinical and health psychology, training and human factors, manpower and personnel, social and organizational systems, and testing and measurement.