An Education Intervention to Improve Knowledge of Post-Traumatic Stress Disorder Symptoms and Treatments Among U.S. Women Service Members and Veterans

ABSTRACT Introduction Due to decades of prolonged combat operations, post-traumatic stress disorder (PTSD) is widely discussed and generally well conceptualized. The objective of this study was to determine if an educational program on the signs and symptoms of PTSD and an explanation of the current treatments utilized by the Veterans Administration is effective in increasing the knowledge levels of women service members and veterans, leading to seeking treatment. Materials and Methods The design of this study was a quantitative pretest/posttest interventional study. The educational program was conducted at a Senior Citizen Center. The population was a purposive sample of 44 women service members and veterans from a military base in New Jersey. A 25-item PTSD Knowledge Questionnaire developed for the earlier Web-Based Post-traumatic Stress Disorder Education for Military Family Members (2012) study was used as the pretest and posttest. Results The knowledge level of PTSD among women service members and veterans who participated in this study was significantly higher after completing the educational program with 43% indicating that they would seek mental health care. Conclusions Women service members and veterans were ill-informed on the signs, symptoms, and treatment options of PTSD. If the results of this survey are an indicator of the knowledge level of women service members in broader populations, there is a need to restructure how those who are at risk of developing PTSD are educated. Through better educational programs, women and men could seek care with increasingly favorable long-term outcomes.

‘Healthy Relationships’ campaign: Preventing and addressing family and gender-based violence

LAY SUMMARY Canadian military families face distinct challenges due to the military lifestyle, primarily due to relocation, absences and deployments, and risk of injury and death. Tied to these challenges is the intimate partner relationship and the ability of the family unit to thrive. To support families, Military Family Services (MFS) undertook a collaborative process to create a modernized campaign focused on healthy relationships for Canadian Armed Forces (CAF) members, Veterans, and their families. The “Healthy Relationships” campaign is a unique social media campaign centred on positive behaviour change, inspiration, and sharing of real military families’ stories. The campaign sought to shift the narrative from previous anti-family-violence messaging to promoting positive, healthy, and equitable relationships. The campaign was successful in its rollout across bases and wings in Canada, Europe, and the United States.

Characteristics of pandemic work–life balance in Slovenian military families during the lockdown: Who has paid the highest price?

In April 2020, a survey was conducted among Slovenian military families, being one of the first surveys to be carried out in the country after the outbreak of the pandemic. The military was labeled a crucial institution in the efforts to combat the SARS-CoV-2 virus and was appointed to various activities, leading to a considerable increase in its workload. The burden of care and unpaid work at that time also intensified, becoming shifted onto the military family, particularly civilian female spouses. The survey’s purpose was to measure how military families evaluated their success in balancing between working from home, household work, childcare, and home schooling during the pandemic lockdown. The risk factors were observed on the micro (i.e., lack of extended family support, institutional childcare, and school lockdown) and macro (i.e., military support, national support measures) social levels. The analysis reveals that when it comes to military families the greatest price has been paid by female civilian spouses. The number of children and their age influence parents’ self-evaluation of their success with work–life balance. The results show that big families and families with primary school children have been struggling the most during the lockdown. Surprisingly, dual-serving families felt the most successful.

Family planning in the U.S. military: The gendered experiences of servicewomen

LAY SUMMARY Balancing family and work is always challenging for working women; however, military service presents especially nuanced and unique challenges to women serving in the U.S. military. Family planning, and in particular marriage and children, have distinct impacts on servicewomen’s professional careers. Their chosen professions often intersect and detract from their family planning choices. Within a larger study of gendered experiences, women from all four branches of the U.S. military, representing a variety of familial statuses and occupations, noted the complex and challenging intersections of family and work they encountered over the course of their military careers. As in other professions, military women bear disproportionate familial burdens compared with their male counterparts, and challenges pertaining to marriage and children regularly affect their professional careers. However, the military presents heightened professional demands on family planning, including marital status, marital partners’ professions, pregnancy, maternity, and parenthood. These additional challenges women in the military face regarding family planning often run counter to organizational efforts to encourage women’s participation, promotion, and retention in the military.

We’re Stronger Together: A Collaboration to Support Military Families During the COVID-19 Pandemic

ABSTRACT Introduction The COVID-19 pandemic has created challenges for every segment of the U.S. population, including military personnel and their families. The TriService Nursing Research Program’s Military Family Research Interest Group (FIG) formed a collaboration with Blue Star Families, a civilian non-profit organization, to identify potential issues faced by military families during the pandemic. Data Collection Methods The Pain Points Poll was introduced online by Blue Star Families, and findings were aggregated weekly between March 18 and May 26, 2020. Volunteer poll respondents were mainly recruited through social media outreach. FIG-informed questions were incorporated in week 4 of polling and focused on workplace environment, financial health, social support, physical and mental health, child behavior, utilization of family care plans, and general well-being. Data were collected to gain real-time insights into the major challenges posed by the pandemic. Findings from FIG-informed questions were collaboratively reviewed and analyzed by FIG and BSF teams. Data-driven recommendations were made to stakeholders to improve processes and reprioritize investments for services that aim to alleviate the impact of COVID-19 on military families. Findings A total of 2,895 military family units (i.e., service members and spouses) responded to the poll, a majority of which (88%) represented active duty family units. Although the majority of families (range: 59%-69%) noted no impact to their finances, approximately one in five families endorsed dipping into their savings during the pandemic. A majority of respondents (69.5%) reported taking active measures to support their mental health, endorsing various strategies. Among parents of special needs children, 45% of active duty families and 60% of single-parent service members reported the inability to maintain continued services for their children. A majority of parents with school-aged children (65%) reported child behavioral changes due to their child’s inability to socialize with peers. Among military service members, 41% were concerned about obtaining fair performance evaluations during the crisis. Conclusions The COVID-19 pandemic produced significant challenges for military families. Collaboration between military and civilian partners can inform policies and appropriate strategies to mitigate the impact of COVID-19 for military families. The findings presented here provide insight into areas where military families can be supported for optimal outcomes during unprecedented times.

Resilient Parents… Resilient Communities: A Pilot Study Trialing the Bounce Back and Thrive! Resilience-Training Program With Military Families

IntroductionThe resilience of Canadian military families (CMFs) – the main support of the Canadian Armed Forces service members (SMs) – is imperative. The Canadian Armed Forces aims to ensure that SMs and their families are resilient and SMs ready to respond when called upon for combat, peacekeeping or pandemic/disaster-response. Family concerns, however, can realistically distract SMs from the mission, potentially compromising themselves, their unit and the mission. Resilience-training programs such as Bounce Back and Thrive! (BBT) can help families manage the realities of military life.ObjectiveThis pilot study aimed to evaluate suitability of BBT implementation by Military Family Resource Centers (MFRCs), including whether BBT: (1) fosters resilience-building among parents, (2) facilitates CMF resilience-building, (3) can be contextualized for CMFs, and (4) supports MFRCs in cultivating a culture of resilience.MethodsAn exploratory qualitative design was used. BBT was offered to parents face-to-face. Participants completed focus groups after the first 6 sessions, final 4 sessions, and one-year post-intervention. Data was thematically analyzed.ResultsNine military parents participated. Four major themes resulted: (1) military parent resilience-building, (2) CMF resilience-building, (3) BBT program feedback and contextualization, and (4) MFRCs as community resilience hubs.DiscussionBBT enabled parents to gain a new perspective on resilience, engage in dialogue and intentionally role model resilience skills. Military-specific BBT contextualization and online-delivery formats would increase suitability and access for CMFs. Access to resilience programs delivered through MFRCs would support CMFs. Further research is warranted.