While a considerable amount of theoretical literature has explored core values and characteristics of the US Armed Forces, limited empirical research has examined veterans' accounts of military culture. To elucidate military culture and help inform ongoing efforts to incorporate military culture into the provision of healthcare services for veterans, seven focus groups (n = 44) were conducted with diverse groups of veterans to provide their first-hand accounts on these topics. Content analysis of their responses yielded four broad clusters: (1) descriptions of military culture and values (e.g., patriotism, camaraderie, discipline); (2) conflict with values during military service (e.g., betrayed by politicians and/or bureaucracy, internal conflict of killing); (3) cultural changes post-military service (e.g., continuity of military culture, disparate from civilian culture, interpersonal difficulties); and (4) communication with non-military connected persons (e.g., I do not talk about military experiences, I only talk with other veterans). The results expand upon prior conceptualizations of military culture and provide preliminary implications for integrating military culture into healthcare service provisions for veterans. Furthermore, this study highlights the need for further empirical research on the internalization and longer-term impact of military culture to better address the needs of US military veterans.
Results provide needed empirical support for a specific outreach intervention that speeds enrollment and engagement for rural individuals in VA services. Planned interventions to improve service utilization should ameliorate ambivalence about accessing health care in addition to addressing traditional systems or environmental-level barriers.
Background and Purpose: Military and veteran suicide rates exceed those found in the general population. Veterans often reject patient identities, creating barriers to care for mental health within the clinical sector and a mandate for prevention programs. The purpose of this study was to offer a postintervention process evaluation of one peer-led resilience program offered to military veterans of Iraq and Afghanistan at three sites in 2013. Methods: Secondary analysis of survey data collected involved mixed-methods analysis of open and closed-ended questions. In total, the research team reviewed 52 electronic survey responses; participant response rate was 48.1%. Results: Descriptive data analysis found that all participants rated Just Roll With It Bootcamp content as “somewhat useful” (17.9%) or “very useful” (82.1%). Qualitative analysis of open-ended questions found that content was perceived as valuable by participants. Emergent themes included: health practices, social support, and participant quality of life or satisfaction. Comments also informed four subthemes which included: meditation/mindfulness, nutrition, physical practice, and the seminars’ physical environment. Conclusion: Culturally-informed prevention programs that emphasize social support, physical movement, and peer-leadership have a vital role to play in working to prevent suicide by promoting quality of life for veterans.
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