Women's Health Sciences Division, National Center for PTSD (116B-3), VA Boston Healthcare System, Boston, Massachusetts, USA.
Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA.
BMJ Open. 2018 Jun 11;8(6):e020734. doi: 10.1136/bmjopen-2017-020734.
Efforts to promote the health and well-being of military veterans have been criticised for being inadequately informed of veterans' most pressing needs as they separate from military service, as well as the programmes that are most likely to meet these needs. The current article summarises limitations of the current literature and introduces The Veterans Metrics Initiative (TVMI) study, a longitudinal assessment of US veterans' well-being and programme use in the first three years after they separate from military service. Veterans were assessed within 3 months of military separation and will complete five additional assessments at 6-month intervals during the subsequent period.
The TVMI study cohort consists of a national sample of 9566 newly separated US veterans that were recruited in the fall of 2016.
The TVMI sample includes representation from all branches of service, men and women, and officers and enlisted personnel. Although representative of the larger population on many characteristics, differential response rates were observed for some subgroups, necessitating the development of non-response bias weights. Comparisons between unweighed and weighted results suggest that the weighting procedure adequately adjusts for observed differences.
Analyses are under way to examine veterans' well-being and programme use in the period following separation after military service, as well as factors associated with poor outcomes. We have also begun to decompose programmes into their core components to facilitate examination of how these components relate to well-being. Once our third data collection is complete, we will examine factors related to different patterns of readjustment over time.
为促进退役军人的健康和福祉而做出的努力,由于对他们离开军队时最紧迫的需求以及最有可能满足这些需求的方案了解不足,而受到了批评。本文总结了当前文献的局限性,并介绍了退役军人指标倡议(Veterans Metrics Initiative,TVMI)研究,该研究是对美国退役军人在离开军队后的头三年的幸福感和方案使用情况进行的纵向评估。退役军人在离开军队后 3 个月内接受评估,并在随后的期间内每 6 个月完成另外 5 次评估。
TVMI 研究队列由 2016 年秋季招募的 9566 名新退伍的美国退役军人组成。
TVMI 样本包括来自所有军种、男女和军官及 enlisted personnel 的代表。虽然在许多特征上与总体人口具有代表性,但对于某些亚组观察到了不同的响应率,这需要开发非响应偏差权重。未加权和加权结果之间的比较表明,加权程序充分调整了观察到的差异。
正在分析退役军人在离开军队后的时期内的幸福感和方案使用情况,以及与不良结果相关的因素。我们还开始将方案分解为其核心组件,以促进研究这些组件与幸福感的关系。一旦完成第三次数据收集,我们将研究与随时间推移不同调整模式相关的因素。