Ben-Avraham Rina, Afek Anat, Berezin Cohen Noa, Davidov Alex, Van Vleet Tom, Jordan Josh, Ben Yehudah Ariel, Gilboa Yafit, Nahum Mor
School of Occupational Therapy, Faculty of Medicine, Hebrew University, Jerusalem, Israel.
Department of Health and Well-Being, Medical Corps, Israel Defense Forces (IDF), Israel.
Mil Psychol. 2021 Nov 5;34(1):55-67. doi: 10.1080/08995605.2021.1969162. eCollection 2022.
Periods of stressful events, such as those experienced during combat training in the military, may lead to psychological distress and reduced quality of life (QoL). Mental resilience, the capacity to overcome negative effects of setbacks on performance, may help protect one from the adversities associated with basic combat training. Among the factors contributing to mental resilience is cognitive control, the mechanism which helps maintain our goal directed behavior. Here we examined the feasibility of a mobile cognitive control training (CCT) app to engage young adults during their basic military training with the intention of improving resilience, mental health and QoL. 153 participants were randomly assigned to complete 2-3 weeks of either mobile CCT (n = 74) or active control training (ACT, mobile games; n = 79). Resilience, QoL, mood and self-efficacy were assessed at baseline and post-intervention. Participants completed, on average, 7.28 ± 3.03 training sessions (out of the planned 14), indicating relatively low feasibility of CCT during basic combat training period and inconsistent engagement with training. In addition, there was lack of improvement in the training tasks ('target engagement'). Accordingly, no significant time by group interactions were found on any of the outcome measures, potentially due to the limited feasibility. We conclude that short-term mobile CCT has low feasibility during basic combat training and discuss the results of this study considering factors that might have contributed to the lack of feasibility of the training protocol.
压力事件时期，比如在军队战斗训练期间所经历的那些，可能会导致心理困扰和生活质量（QoL）下降。心理复原力，即克服挫折对表现产生的负面影响的能力，可能有助于保护人们免受与基础战斗训练相关的逆境影响。有助于心理复原力的因素之一是认知控制，这是一种有助于维持我们目标导向行为的机制。在此，我们研究了一款移动认知控制训练（CCT）应用程序在年轻人基础军事训练期间让他们参与训练的可行性，目的是提高复原力、心理健康和生活质量。153名参与者被随机分配，分别完成2至3周的移动CCT（n = 74）或主动控制训练（ACT，手机游戏；n = 79）。在基线和干预后评估了复原力、生活质量、情绪和自我效能。参与者平均完成了7.28 ± 3.03次训练课程（计划的14次课程中），这表明在基础战斗训练期间CCT的可行性相对较低，且训练参与度不一致。此外，训练任务（“目标参与”）没有得到改善。因此，在任何结果测量中均未发现显著的组间时间交互作用，这可能是由于可行性有限。我们得出结论，短期移动CCT在基础战斗训练期间可行性较低，并结合可能导致训练方案缺乏可行性的因素讨论了本研究的结果。
