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Accession Number ADA584183
Title Battlemind Training for UK Armed Forces: A Cluster Randomised Controlled Trial.
Publication Date Apr 2011
Media Count 14p
Personal Author K. Mulligan
Abstract Background: Research among Armed Forces (AF) personnel has found that combat exposure can increase the risk of subsequent psychological ill- health. Psycho-educational interventions for personnel returning from deployment have been developed as one approach to try to mitigate the possible ill-effects of combat. One such intervention is Battlemind, which was developed by the US Army and was found to have a beneficial effect on mental health among those exposed to high levels of potentially traumatic combat events. The aim of this study was to evaluate the efficacy of Battlemind in UK AF. Methods: Battlemind was compared with the UK standard stress and homecoming brief in a cluster randomised controlled trial. Participants were AF Personnel returning home from deployment in Afghanistan via a third location decompression facility in Cyprus. We recruited 2443 personnel who completed a baseline questionnaire about combat experiences and mental health before they received the brief. Of these, 1616 (66%) completed a follow-up questionnaire approximately 6 months later. Measures of mental health included the General Health Questionnaire (GHQ-12) which is a measure of common mental disorders, and the post traumatic stress disorder checklist (PCL-C). Alcohol misuse was measured with the Alcohol Use Disorders Identification Test (AUDIT) plus an additional question about binge drinking. A binge drinker was defined as someone who drinks 12 or more units on a single occasion weekly or daily/almost daily. Participants also completed feedback questions about the brief they had received. Differences in study outcomes between Battlemind and the standard brief were analyzed using mixed-effect models to take account of possible cluster effects. Main Findings: In the mixed effects model, we did not find a statistically significant difference between Battlemind and the standard brief in either symptoms of PTSD or GHQ-12 caseness. Overall AUDIT scores did not differ significantly between the two groups but became significant after adjusting for combat exposure (mean difference -0.75 95% confidence interval -1.47 to -0.04, P = 0.04). Furthermore those who received Battlemind were less likely to be classified as binge drinkers than those in the standard brief (adjusted odds ratio 0.73 95% confidence interval 0.58-0.92). Participants' ratings of the subjective utility of Battlemind and the standard brief did not differ.
Keywords Afghanistan
Army
Base lines
Deployment
Feedback
Health
Intervention
Measurement
Mental disorders
Mental health
Military forces(Foreign)
Models
Psychology
Questionnaires
Risk
Signs and symptoms
Stress(Psychology)
Stresses
Training
Trauma
Warfare

 
Source Agency Non Paid ADAS
NTIS Subject Category 92B - Psychology
57T - Psychiatry
74 - Military Sciences
Corporate Author NATO Research and Technology Organization, Neuilly-sur-Seine (France).
Document Type Technical report
Title Note N/A
NTIS Issue Number 1402
Contract Number N/A

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