{"title":"共同设计一个服务生态系统，以支持退伍军人的福祉和减少过度饮酒","authors":"Julia Carins, Ann-Marie Kennedy, Ekant Veer","doi":"10.1111/hex.70262","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Alcohol consumption among veterans has been shown to be higher than that among the general population. Many veterans experience difficulties during the transition to post-service life, and alcohol is used as a coping mechanism. Excessive alcohol use leads to a significant decrease in mental health, quality of life and social functioning, further exacerbating veteran's readjustment to civilian life after service.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>This study aimed to co-design a transition programme to reduce problematic alcohol use. The objectives were to (1) understand which life domains need to be considered within programmes to support successful transition without harmful alcohol consumption and (2) co-design a transition programme with New Zealand veterans (and service providers) to avoid harmful alcohol consumption.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>This study offers a novel approach to the development of programmes to reduce excessive alcohol consumption by veterans through the use of a participatory design method. The study involved four co-design workshops with veterans and Defence health professionals, in Aotearoa-New Zealand, and abductive analysis of qualitative data. The analysis compared perspectives obtained from veterans and health professionals with existing well-being and transition frameworks.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Findings supported recommendations within those frameworks for strategies to support mental, physical, social/family and spiritual well-being, as well as finding meaningful work or employment. Themes emerged beyond those frameworks, including a need for programmes to manage loss of identity; lack of trust, scepticism and stigma; and a desire for connected records and networked services.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The research offers practical recommendations for a co-designed veteran well-being ecosystem. This involved early prevention, in-service elements and ongoing support through transition and in post-service life. This was supported with the suggestion for a network of services that is promoted well and makes it easy for veterans to identify services that can increase their feeling of competence as they navigate transition.</p>\n </section>\n \n <section>\n \n <h3> Patient or Public Contribution</h3>\n \n <p>This study used a co-design process that engaged veterans and Defence health professionals in the design of a programme and programme elements that they would like to see for veterans like themselves or veterans they have encountered in practice.</p>\n </section>\n </div>","PeriodicalId":55070,"journal":{"name":"Health Expectations","volume":"28 2","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/hex.70262","citationCount":"0","resultStr":"{\"title\":\"Co-Design of an Ecosystem of Services to Support Veteran Well-Being and Reduce Excessive Alcohol Consumption\",\"authors\":\"Julia Carins, Ann-Marie Kennedy, Ekant Veer\",\"doi\":\"10.1111/hex.70262\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Alcohol consumption among veterans has been shown to be higher than that among the general population. Many veterans experience difficulties during the transition to post-service life, and alcohol is used as a coping mechanism. Excessive alcohol use leads to a significant decrease in mental health, quality of life and social functioning, further exacerbating veteran's readjustment to civilian life after service.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>This study aimed to co-design a transition programme to reduce problematic alcohol use. The objectives were to (1) understand which life domains need to be considered within programmes to support successful transition without harmful alcohol consumption and (2) co-design a transition programme with New Zealand veterans (and service providers) to avoid harmful alcohol consumption.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>This study offers a novel approach to the development of programmes to reduce excessive alcohol consumption by veterans through the use of a participatory design method. The study involved four co-design workshops with veterans and Defence health professionals, in Aotearoa-New Zealand, and abductive analysis of qualitative data. The analysis compared perspectives obtained from veterans and health professionals with existing well-being and transition frameworks.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Findings supported recommendations within those frameworks for strategies to support mental, physical, social/family and spiritual well-being, as well as finding meaningful work or employment. Themes emerged beyond those frameworks, including a need for programmes to manage loss of identity; lack of trust, scepticism and stigma; and a desire for connected records and networked services.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>The research offers practical recommendations for a co-designed veteran well-being ecosystem. This involved early prevention, in-service elements and ongoing support through transition and in post-service life. This was supported with the suggestion for a network of services that is promoted well and makes it easy for veterans to identify services that can increase their feeling of competence as they navigate transition.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Patient or Public Contribution</h3>\\n \\n <p>This study used a co-design process that engaged veterans and Defence health professionals in the design of a programme and programme elements that they would like to see for veterans like themselves or veterans they have encountered in practice.</p>\\n </section>\\n </div>\",\"PeriodicalId\":55070,\"journal\":{\"name\":\"Health Expectations\",\"volume\":\"28 2\",\"pages\":\"\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-04-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/hex.70262\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Expectations\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/hex.70262\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Expectations","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/hex.70262","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Co-Design of an Ecosystem of Services to Support Veteran Well-Being and Reduce Excessive Alcohol Consumption
Background
Alcohol consumption among veterans has been shown to be higher than that among the general population. Many veterans experience difficulties during the transition to post-service life, and alcohol is used as a coping mechanism. Excessive alcohol use leads to a significant decrease in mental health, quality of life and social functioning, further exacerbating veteran's readjustment to civilian life after service.
Objective
This study aimed to co-design a transition programme to reduce problematic alcohol use. The objectives were to (1) understand which life domains need to be considered within programmes to support successful transition without harmful alcohol consumption and (2) co-design a transition programme with New Zealand veterans (and service providers) to avoid harmful alcohol consumption.
Design
This study offers a novel approach to the development of programmes to reduce excessive alcohol consumption by veterans through the use of a participatory design method. The study involved four co-design workshops with veterans and Defence health professionals, in Aotearoa-New Zealand, and abductive analysis of qualitative data. The analysis compared perspectives obtained from veterans and health professionals with existing well-being and transition frameworks.
Results
Findings supported recommendations within those frameworks for strategies to support mental, physical, social/family and spiritual well-being, as well as finding meaningful work or employment. Themes emerged beyond those frameworks, including a need for programmes to manage loss of identity; lack of trust, scepticism and stigma; and a desire for connected records and networked services.
Conclusions
The research offers practical recommendations for a co-designed veteran well-being ecosystem. This involved early prevention, in-service elements and ongoing support through transition and in post-service life. This was supported with the suggestion for a network of services that is promoted well and makes it easy for veterans to identify services that can increase their feeling of competence as they navigate transition.
Patient or Public Contribution
This study used a co-design process that engaged veterans and Defence health professionals in the design of a programme and programme elements that they would like to see for veterans like themselves or veterans they have encountered in practice.
期刊介绍：
Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including:
• Person-centred care and quality improvement
• Patients'' participation in decisions about disease prevention and management
• Public perceptions of health services
• Citizen involvement in health care policy making and priority-setting
• Methods for monitoring and evaluating participation
• Empowerment and consumerism
• Patients'' role in safety and quality
• Patient and public role in health services research
• Co-production (researchers working with patients and the public) of research, health care and policy
Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.
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