Supplemental Material for A Systematic Review of the Biopsychosocial–Spiritual Health of Active Duty Women

2017 ◽  
2017 ◽  
Vol 29 (6) ◽  
pp. 570-580 ◽  
Author(s):  
Meghan H. Lacks ◽  
Angela L. Lamson ◽  
Damon L. Rappleyea ◽  
Carmen V. Russoniello ◽  
Heather L. Littleton

Author(s):  
Meghan Lacks ◽  
Angela Lamson ◽  
Jessica Goodman

LAY SUMMARY This study explored the physical, psychological, social, and spiritual health of active duty women, including how each of these dimensions of health is related to one another. In particular, this study addresses active duty women’s health and experiences associated with trauma, sexual harassment, deployment, and physical health outcomes. A total of 76 active duty women completed a survey consisting of questions about demographics, physical health, psychological health, physical and psychological trauma history, social support, history of sexual harassment, and spirituality. Results showed that women with larger waist circumference had more physical pain and previous experiences with sexual harassment. Also, women who experienced more traumatic events in their lifetime were more involved in organized and non-organized religion or spiritual activities. Being in the military influences every service member’s health; however, more attention is needed to understanding the ways in which biopsychosocial-spiritual assessments and treatment can be created and adopted by medical, mental health, social service, and spiritual health providers.


2020 ◽  
Vol 14 (3) ◽  
pp. 235-261
Author(s):  
Braden J. Brown ◽  
Jakob F. Jensen ◽  
Jennifer L. Hodgson ◽  
Rachel E. Brown ◽  
Damon L. Rappleyea ◽  
...  

2020 ◽  
pp. bmjmilitary-2020-001584
Author(s):  
Jason R Watterson ◽  
B Gabbe ◽  
J V Rosenfeld ◽  
H Ball ◽  
L Romero ◽  
...  

IntroductionHarmful or risky-single occasion drinking (RSOD) alcohol use in the military is a significant problem. However, most studies of interventions have focused on veterans, representing a missed opportunity for intervention with active military personnel. Using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) framework, the aim of this systematic review was to analyse and synthesise the evidence related to workplace-based interventions for reducing alcohol use in active-duty military personnel.MethodsFour electronic databases and reference lists of relevant articles were searched from database inception until 20 January 2020. This review focused on experimental and quasi-experimental studies of active-duty military personnel. Data extraction and methodological quality assessment were independently performed by two reviewers using a standardised checklist. A third reviewer was used to arbitrate the disputed studies for final selection.ResultsThe search yielded seven studies from an initial 1582 records identified. A range of interventions were used in these studies (four randomised controlled trials, two non-randomised trials and one before and after cohort study), including web-based approaches, telephone-delivered interventions and individual and group-based face-to-face interventions. Seven studies found decreased drinking, measured using a range of outcomes, following the intervention. However, this was not sustained in the longer term in any of the studies.ConclusionsThe low methodological rigour of most studies limited the capacity to demonstrate the efficacy of the interventions studied. Given the importance of reducing harmful or RSOD use of alcohol in the military, future studies would benefit from improved methodological rigour including ensuring adequate study power, randomisation, selection of validated outcome measures, including measures other than consumption (eg, attitudinal measures), and longer-term follow-up. There is also a need to develop methods that ensure participant loss to follow-up is minimised.


2016 ◽  
Vol 51 (11) ◽  
pp. 952-961 ◽  
Author(s):  
Kenneth L. Cameron ◽  
Jeffrey B. Driban ◽  
Steven J. Svoboda

Objective: Although tactical athletes (eg, military service members, law enforcement personnel, fire fighters) are exposed to several known risk factors, it remains unclear if they are at increased risk for osteoarthritis (OA). The purpose of this systematic review was to investigate the association between serving as a tactical athlete and the incidence and prevalence of OA. Data Sources: We completed a comprehensive systematic literature search in November 2014 using 12 bibliographic databases (eg, PubMed, Ovid, SportDiscus) supplemented with manual searches of reference lists. Study Selection: Studies were included if they met the following criteria: (1) an aim of the study was to investigate an association between tactical athletes and OA; (2) the outcome measure was radiographic OA, clinical OA, total joint replacement, self-reported diagnosis of OA, or placement on a waiting list for a total joint replacement; (3) the study design was a cohort study; and (4) the study was written in English. Data Extraction: One investigator extracted data from articles that met all inclusion criteria (eg, group descriptions, measures of disease burden, source of nonexposed controls). Data Synthesis: Twelve articles met the inclusion criteria and described retrospective cohort studies. Firefighters, active-duty military service members, and veteran military parachutists consistently had a higher incidence or prevalence of knee, hip, or any OA diagnosis (4 studies). Active-duty pilots and veteran military parachutists may have a higher prevalence of spine OA, but this was not statistically significant (2 studies). Occupational risk factors for OA among tactical athletes include rank and branch of military service. The risk of OA among individuals who completed mandatory national military service remains unclear (6 studies). Conclusions: The incidence of OA among tactical athletes appears to be significantly higher when compared with nonexposed controls. Further research is needed to specifically identify modifiable risk factors within this high-risk population to develop and implement effective risk-reduction strategies.


2018 ◽  
Vol 21 (7) ◽  
pp. 707-720
Author(s):  
Meghan Lacks ◽  
Angela Lamson
Keyword(s):  

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