Center for Military Psychiatry and Neuroscience.
Naval Air Warfare Center Training Systems Division.
Psychol Trauma. 2020 May;12(4):431-435. doi: 10.1037/tra0000487. Epub 2019 Jul 22.
The purpose of this study was to pilot the iCOVER curriculum-a training product designed to teach service members how to recognize and respond to acute stress reactions (ASRs) using a simple, 6-step procedure, iCOVER. Three goals guided the pilot: (a) assess training acceptability, (b) assess impact of training on knowledge and performance of the iCOVER procedure, and (c) explore the effects of in-person and computer-simulated practical exercises.
Six military squads (N = 66) were randomly assigned to 3 conditions: iCOVER Standard (iCOVER instruction with an in-person practical exercise), iCOVER Tech (iCOVER instruction with a computer-simulated practical exercise), or Control (no iCOVER instruction). Squads in the iCOVER conditions received iCOVER instruction, completed a knowledge test and practical exercise to which they were assigned (i.e., Standard or Tech), demonstrated their iCOVER skills in live-action scenarios, and reported their perceptions of the training.
iCOVER training was acceptable to most participants and associated with improved knowledge about iCOVER (Mpre = 3.33 vs. Mpost = 5.15; t[42] = -7.61, p < .001, d = 1.41); iCOVER Standard resulted in more iCOVER behaviors during a live-action scenario compared with the other conditions, F(2, 35) = 13.36, p < .001, η2 = 0.43. Compared with iCOVER Tech, iCOVER Standard had greater acceptability and resulted in better performance of iCOVER.
This is the first U.S. demonstration of a training program designed to address ASRs during high-risk operations and offers a potential way ahead for preparing military teams to manage ASRs. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
本研究的目的是试用 iCOVER 课程——这是一种培训产品，旨在通过一个简单的六步程序 iCOVER 来教导服务人员识别和应对急性应激反应 (ASR)。该试验有三个目标：(a)评估培训的可接受性，(b)评估培训对 iCOVER 程序的知识和表现的影响，以及 (c)探索现场和计算机模拟实践练习的效果。
将 6 个军事小队 (N = 66) 随机分配到 3 个条件：iCOVER 标准 (iCOVER 指导加现场实践练习)、iCOVER 技术 (iCOVER 指导加计算机模拟实践练习) 或对照组 (无 iCOVER 指导)。iCOVER 条件下的小队接受 iCOVER 指导，完成他们被分配的知识测试和实践练习(即标准或技术)，在实景场景中展示他们的 iCOVER 技能，并报告他们对培训的看法。
大多数参与者对 iCOVER 培训持可接受态度，并且与 iCOVER 知识的提高有关 (Mpre = 3.33 对 Mpost = 5.15；t[42] = -7.61，p <.001，d = 1.41)；与其他条件相比，现场实景场景中 iCOVER 标准组表现出更多的 iCOVER 行为，F(2, 35) = 13.36，p <.001，η2 = 0.43。与 iCOVER 技术相比，iCOVER 标准的可接受性更高，并且表现出更好的 iCOVER 表现。
这是美国首次展示旨在在高风险行动中应对 ASR 的培训计划，为准备军事团队管理 ASR 提供了一种潜在的方法。
