Kelley Michelle L, Strowger Megan, Chentsova Victoria O, Bravo Adrian J, Gaylord Susan A, Burgin Elizabeth E, Vinci Christine, Ayers Kenneth L, Agha Erum
Old Dominion University, Old Dominion University, Norfolk, VA, USA.
Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA.
Contemp Clin Trials Commun. 2022 Oct 14;30:101011. doi: 10.1016/j.conctc.2022.101011. eCollection 2022 Dec.
Military service puts service members at risk for . Moral injury is an array of symptoms (e.g., guilt, shame, anger) that develop from events that violate or transgress one's moral code.
We describe adaption of in-person mindfulness training program, Mindfulness to Manage Chronic Pain (MMCP), to address symptoms of moral injury to be delivered live via the web. We discuss how we will assess benchmarks (i.e., recruitment, credibility and acceptability, completion rates, and adherence) of the Mindfulness to Manage Moral Injury (MMMI) program.
Aim 1: To develop and then adapt the MMCP program based on feedback from experts and veterans who took part in Study 1. Aim 2: To develop an equally intensive facilitator-led online Educational Support (ES) program to serve as a comparison intervention and conduct a run-through of each program with 20 veterans (10 MMMI; 10 ES). Aim 3: To conduct a small-scale randomized controlled trial (N = 42 veterans; 21 MMMI; 21 ES) in which we will collect pre-post-test and weekly benchmark data for both refined intervention arms.
Study 1 and 2 are completed. Data collection for Study 3 will be completed in 2022.
MMMI is designed to provide a live facilitated mindfulness program to address symptoms of moral injury. If Study 3 demonstrates good benchmarks, with additional large-scale testing, MMMI may be a promising treatment that can reach veterans who may not seek traditional VAMC care and/or who prefer a web-based program.
兵役使军人面临[具体风险未给出]。道德伤害是一系列因违反或违背个人道德准则的事件而产生的症状（如内疚、羞耻、愤怒）。
我们描述了针对管理慢性疼痛的正念训练项目（MMCP）的改编，以解决道德伤害症状，并通过网络进行现场授课。我们讨论将如何评估管理道德伤害的正念训练项目（MMMI）的基准（即招募、可信度和可接受性、完成率和依从性）。
目标1：根据参与研究1的专家和退伍军人的反馈，开发并改编MMCP项目。目标2：开发一个同样密集的由主持人主导的在线教育支持（ES）项目作为对照干预，并对每个项目与20名退伍军人（10名MMMI；10名ES）进行预演。目标3：进行一项小规模随机对照试验（N = 42名退伍军人；21名MMMI；21名ES），我们将为两个改进后的干预组收集前后测和每周的基准数据。
研究1和2已完成。研究3的数据收集将于2022年完成。
MMMI旨在提供一个现场指导的正念项目，以解决道德伤害症状。如果研究3显示出良好的基准，经过额外的大规模测试，MMMI可能是一种有前景的治疗方法，可以惠及那些可能不会寻求传统退伍军人医疗管理局护理和/或更喜欢基于网络项目的退伍军人。
