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根植于社区:评估农业对农村退伍军人再融入的影响。

Rooted in the Community: Assessing the Reintegration Effects of Agriculture on Rural Veterans.

机构信息

HSR&D Center of Innovation on Disability and Rehabilitation Research, James A. Haley Veterans Hospital, Tampa, FL.

HSR&D Center of Innovation on Disability and Rehabilitation Research, James A. Haley Veterans Hospital, Tampa, FL.

出版信息

Arch Phys Med Rehabil. 2018 Feb;99(2S):S72-S78. doi: 10.1016/j.apmr.2017.06.035. Epub 2017 Aug 24.

Abstract

OBJECTIVE

To assess the effect of a veteran-oriented community agricultural initiative on transitioning rural veterans.

DESIGN

Convergent mixed-method program evaluation.

SETTING

Veteran-oriented farm-to-market community agricultural initiative.

PARTICIPANTS

Veterans (N=43) who were members of the community agricultural initiative.

MAIN OUTCOME MEASURES

Health, well-being, and reintegration were assessed by self-reported data from interviews, a demographic survey, a validated health quality of life measure (Veterans RAND-12 [VR-12]), a validated reintegration measure (Military to Civilian Questionnaire), and a general satisfaction survey.

RESULTS

Veteran participants were primarily white (88.4%, n=38) and men (74.4%, n=32), and most had a service-connected disability rating (58.2%, n=25). Qualitative and quantitative data revealed that the veterans participating in this community agricultural initiative experienced health and reintegration benefits. Results on the Military to Civilian Questionnaire, VR-12, and satisfaction survey suggest that participating in this community agricultural initiative contributed to improved mental, physical, and emotional health and vocational skills, community connectedness, and interpersonal communication. Qualitative interviews supported quantitative findings and revealed that participating in the community agricultural initiative provided veterans with a sense of satisfaction, a sense of belonging, and helped decrease the stigma surrounding their veteran status.

CONCLUSIONS

Veterans who participate in this community agricultural initiative reported general improvements in physical and mental health, including improvements in sleep, nutrition, and exercise, and decreases in anxiety, pain, depression, and medication and substance use, all known factors which effect veteran reintegration.

摘要

目的

评估面向退伍军人的社区农业倡议对农村退伍军人转型的影响。

设计

汇聚式混合方法计划评估。

设置

面向退伍军人的农场到市场社区农业倡议。

参与者

社区农业倡议的退伍军人(N=43)。

主要观察指标

通过访谈、人口统计调查、经过验证的健康质量生活量表(退伍军人 RAND-12 [VR-12])、经过验证的重新融入量表(军人到平民问卷)和一般满意度调查,评估健康、幸福感和重新融入情况。

结果

退伍军人参与者主要是白人(88.4%,n=38)和男性(74.4%,n=32),大多数人有服务相关的残疾评级(58.2%,n=25)。定性和定量数据表明,参与该社区农业倡议的退伍军人体验到了健康和重新融入的益处。军人到平民问卷、VR-12 和满意度调查的结果表明,参与该社区农业倡议有助于改善心理健康、身体健康和情绪健康以及职业技能、社区联系和人际交往沟通。定性访谈支持定量研究结果,并表明参与社区农业倡议为退伍军人提供了满足感、归属感,并有助于减少围绕其退伍军人身份的耻辱感。

结论

参与该社区农业倡议的退伍军人报告了身体和心理健康的总体改善,包括睡眠、营养和锻炼的改善,以及焦虑、疼痛、抑郁、药物和物质使用的减少,这些都是影响退伍军人重新融入的已知因素。

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