A Review of Military Health Research Using a Social–Ecological Framework

Lubens, Pauline; Bruckner, Tim A.

doi:10.1177/0890117117744849

Cited by 13 publications

(14 citation statements)

References 112 publications

(164 reference statements)

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“…Program evaluation efforts for SOCAT, Chaplains‐CARE, and the Suicide Death Review are underway (United States Department of Health and Human Services (U.S. DHHS) Office of the Surgeon General and the National Action Alliance for Suicide Prevention, 2012; DoD, 2015). Examination of programs through the social‐ecological framework can identify important gaps in programming and research (Lubens & Bruckner, 2018). Future efforts focused on stigma reduction (e.g., Monteith et al, 2019) and cultural change (e.g., Executive Order No.…”

Section: Discussionmentioning

confidence: 99%

“…Social ecologically based suicide prevention programming takes into consideration empirically supported suicide risk and protective factors at each level, incorporates multi‐level suicide prevention strategies, and includes program evaluation (Cramer & Kapusta, 2017). This framework can be used to inform, organize, and evaluate military suicide prevention efforts within the DoD and identify important gaps in military health research and program development (Lubens & Bruckner, 2018).…”

Section: Introductionmentioning

confidence: 99%

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Three department of defense‐funded public health approaches to reduce military suicide

LaCroix

Walsh

Baggett

et al. 2021

Suicide & Life Threat Behav

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Background Suicide is a serious and growing public health concern, both for the United States (U.S.) and for the Department of Defense (DoD). Methods Using the social–ecological framework, we provide examples of how three newly developed, DoD‐funded pilots/programs have incorporated a public health approach to help prevent military suicide. Key Results The first two programs demonstrate how non‐clinical, community‐based approaches can be tailored to specific military subgroups at the individual, relational, and community levels. These programs include a universal suicide prevention program developed for Special Operations service members, spouses, and mental health providers, and a selective suicide prevention program pilot developed for military chaplains to support them in their role as a “gateway” to care for distressed service members, improve mental health and chaplaincy collaboration, and prevent burnout. The third program illustrates how the creation of and policy of a methodology/infrastructure to conduct standardized, theory‐driven suicide death reviews across the DoD may inform the DoD public health approach to surveillance, review, and synthesis of suicide data, informed by the social–ecological model. Potential program limitations and evaluation efforts are discussed. Conclusion Future prevention approaches should enhance coordination and communication between DoD, VA, and community organizations to enhance multi‐level suicide prevention programming for military personnel, veterans, and civilians.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Three department of defense‐funded public health approaches to reduce military suicide

LaCroix

Walsh

Baggett

et al. 2021

Suicide & Life Threat Behav

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“…Por fim, a questão 7.2 (satisfação com o local de trabalho) apresentou um padrão de carga cruzada para os fatores 3 e 4 (estresse/sono e condição de trabalho). Outros estudos demonstram que a satisfação com o local trabalho está diretamente associada com o nível de estresse 20 .…”

Section: Discussionunclassified

“…Segundo a Sociedade Canadense para a Fisiologia do Exercício, os correlatos e determinantes da saúde podem ser agrupados em cinco categorias 19 : 1) capacidades individuais e habilidades de enfrentamento; que estão relacionadas às características fisiológicas e psicológicas dos indivíduos como a genética, volição, e perspectiva pessoal de vida; 2) práticas pessoais de saúde; que estão relacionadas aos comportamentos que melhoram a saúde ou a colocam em risco; 3) ambiente socioeconômico; que envolve renda, trabalho, status social, rede de apoio social, educação e fatores sociais no local de trabalho; 4) ambiente físico; que se refere a fatores do ambiente natural e construído; e 5) serviços de saúde; que se refere ao acesso a serviços que promovem, mantém ou restauram a saúde. Percebe-se que as últimas três categorias guardam proximidade com as características sociodemográficas associadas a família, comunidade e instituição de trabalho, as quais têm se mostrado fortes preditores de saúde e bem-estar em militares 20 .…”

Section: Introductionunclassified

Validação do questionário de saúde e performance para policiais e bombeiros militares (QSPM)

Paulo¹,

Rodacki

Caetano

et al. 2021

Rev. Bras. Ativ. Fís. Saúde

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O objetivo deste estudo foi desenvolver e analisar a validade de conteúdo, constructo e a fidedignidade de um questionário para avaliar a demanda física e operacional, saúde e condições de trabalho em policiais e bombeiros militares. O Questionário de Saúde e Performance para Militares (QSPM) foi desenvolvido por pesquisadores militares e não militares, a validade foi analisada com o índice de validade de conteúdo (IVC), análise fatorial exploratória e a fidedignidade com o percentual de concordância (%C), coeficiente Kappa e alfa de Cronbach. Nove juízes participaram da validação de conteúdo, 732 militares (15% mulheres) participaram da etapa de validação de constructo e 262 militares (18% mulheres) responderam duas vezes ao QSPM para a verificação da fidedignidade. As análises foram realizadas no software SPSS 26 e o nível de significância mantido em 5%. O QSPM apresentou o IVC de 0,98 e variância total explicada em 54,7%. A reprodutibilidade apresentou valores de %C entre 97,2 - 100,0%, Kappa entre 0,94 - 1,00 (p < 0,05) e alpha de Cronbach entre 0,80 - 1,00 (p < 0,05). Conclui-se que o QSPM apresentou validade de conteúdo, constructo e fidedignidade para avaliar a frequência da demanda física e operacional, as condições de saúde e de trabalho de policiais e bombeiros militares.

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“…His bioecological model (2005) identifies five interrelated systems that can influence the growth and development of an individual: the microsystem (immediate environments), mesosystem (connections between environments), exosystem (indirect environments), macrosystem (social and cultural aspects) and chronosystem (time-related aspects). In his previous modelthe social-ecological framework - Bronfenbrenner (1979) viewed the individual as an entity that interacts in and with his/her immediate environment and who is impacted by four types of dimensions: individual, interpersonal, professional and societal (Blais et al, 2009;Bronfenbrenner, 1979;Elnitsky et al, 2017a, b;Lubens and Bruckner, 2018;Reistetter and Abreu, 2005;Resnik et al, 2009).…”

Section: Reintegrationmentioning

confidence: 99%

Reintegration of crisis services employees: a systematic literature review

Glorieux

Bue

Euwema

2023

JGM

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PurposeCrisis services personnel are frequently deployed around the globe under highly demanding conditions. This raises the need to better understand the deployment process and more especially, sustainable reintegration after deployment. Despite recent research efforts, the study of the post-deployment stage, more specifically the reintegration process, remains fragmented and limited. To address these limitations, this review aims at (1) describing how reintegration is conceptualised and measured in the existing literature, (2) identifying what dimensions are associated with the reintegration process and (3) identifying what we know about the process of reintegration in terms of timing and phases.Design/methodology/approachFollowing the preferred reporting items for systematic reviews and meta-analyses (PRISMA) protocol, the authors identified 5,859 documents across several scientific databases published between 1995 and 2021. Based on predefined eligibility criteria, 104 documents were yielded.FindingsResearch has primarily focused on descriptive studies of negative individual and interpersonal outcomes after deployment. However, this review indicates that reintegration is dynamic, multi-sector, multidimensional and dual. Each of its phases and dimensions is associated with distinct challenges.Originality/valueTo the authors’ knowledge, this is the first research that investigates reintegration among different crisis services and provides an integrative social-ecological framework that identifies the different dimensions and challenges of this process.

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A Review of Military Health Research Using a Social–Ecological Framework

Cited by 13 publications

References 112 publications

Three department of defense‐funded public health approaches to reduce military suicide

Three department of defense‐funded public health approaches to reduce military suicide

Validação do questionário de saúde e performance para policiais e bombeiros militares (QSPM)

Reintegration of crisis services employees: a systematic literature review

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