Pacific Health Research & Education Institute, 3375 Koapaka Street, Suite I-540, Honolulu, HI 96819 USA ; Department of Public Health Sciences, John A. Burns School of Medicine, University of Hawai'i at Mānoa, 1960 East-West Road, Honolulu, HI 96822 USA.
Transl Behav Med. 2011 Dec;1(4):595-603. doi: 10.1007/s13142-011-0088-1.
Combat exposure among military personnel results in increased risk of posttraumatic stress disorder (PTSD), major depression, substance use, and related health risks. PTSD symptoms require innovative approaches to promote effective coping postdeployment. PTSD's nature and scope requires an approach capable of integrating multiple health risks while reaching large populations. This article provides the rationale and approach to adapt and evaluate a Pro-Change computerized tailored intervention (CTI) targeted at behavioral sequelae (i.e., smoking, stress, and depression) for veterans with or at risk for PTSD. The three-phase approach includes: 1) focus groups to review and, subsequently, adapt content of the existing CTI programs; 2) usability testing; and 3) feasibility testing using a three-month pre-postdesign. Effective, theory-based, real-time, multiple behavior interventions targeting veterans' readiness to quit smoking, manage stress, and depression are warranted to provide potential health impact, opportunities for learning veteran-specific issues, and advance multiple health behavior change knowledge.
军事人员的战斗经历会导致创伤后应激障碍（PTSD）、重度抑郁、物质使用和相关健康风险的增加。 PTSD 症状需要创新的方法来促进部署后的有效应对。 PTSD 的性质和范围需要一种能够整合多种健康风险的方法，同时覆盖大量人群。本文提供了适应和评估针对 PTSD 患者或有 PTSD 风险的退伍军人的行为后果（即吸烟、压力和抑郁）的 Pro-Change 计算机定制干预（CTI）的基本原理和方法。该三阶段方法包括：1）焦点小组审查，随后调整现有 CTI 计划的内容；2）可用性测试；3）使用三个月的前后设计进行可行性测试。有必要针对退伍军人的戒烟准备、管理压力和抑郁提供有效、基于理论、实时、多行为干预措施，以产生潜在的健康影响、为学习退伍军人特定问题提供机会，并推进多种健康行为改变知识。
