Development of the Soldier Health Promotion to Examine and Reduce Health Disparities (SHPERHD) Project Coordinating Center: Challenges and Opportunities Within a University/Community Partnership

Williams, Edith M.; Lee, Menia D.; Preston, Gwen; Williams, Andrea; Wigfall, Lisa T.; Wilkinson, Larrell L.; Hatala, Jeffrey J.; Hassan, Rahnuma; Glover, Saundra H.

doi:10.7205/milmed-d-10-00465

Cited by 2 publications

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“…The Soldier Health Promotion to Examine and Reduce Health Disparities (SHPERHD) project was a multi-center research initiative between the Institute for Partnerships to Eliminate Health Disparities (IPEHD) at the University of South Carolina (USC) and Fort Jackson in Columbia, South Carolina (40). Overarching goals of the SHPERHD project are to examine and analyze differences across race/ethnicity, age, gender, and residence-based disparities in weight management, injury prevention, and mental health support/treatment during all phases of the military (40).…”

Section: Methodsmentioning

confidence: 99%

“…Overarching goals of the SHPERHD project are to examine and analyze differences across race/ethnicity, age, gender, and residence-based disparities in weight management, injury prevention, and mental health support/treatment during all phases of the military (40). For the current study, soldiers were assessed longitudinally over the course of BCT at Fort Jackson in Columbia, SC.…”

Section: Methodsmentioning

confidence: 99%

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Physical Fitness and Depressive Symptoms during Army Basic Combat Training

Crowley

Wilkinson

Wigfall

et al. 2015

Medicine &Amp; Science in Sports &Amp; Exercise

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Introduction Mental health-related problems are a significant cause of attrition during Basic Combat Training (BCT). Evidence in civilian populations suggests that physical fitness is associated with psychological benefits in civilians, but little is known about the association between physical fitness and psychological adjustment during BCT. Methods This study prospectively examined the association between physical fitness and depressive symptoms in 300 BCT soldiers from May to July, 2012 at Fort Jackson, Columbia, SC. Soldiers completed a baseline Army Physical Fitness Test (APFT) and survey within one week of arriving at BCT, and an end of cycle survey after eight weeks of BCT. Soldiers were assigned to the “high” fitness category if they had a passing score on the standard APFT of greater than or equal to 180 points out of 300 points. Soldiers scoring less than 180 points on the APFT were assigned to the “ low” fitness category. Depressive symptoms were measured using the 20-item Center for Epidemiologic Studies Depression Scale. Results In multivariate analyses, adjusting for baseline demographics, self-reported sleep prior to BCT, BCT confidence, Army identification, and depressive symptoms, the odds of reporting depressive symptoms were 60% lower for soldiers in the high fitness category (odds ratio, OR 0.40; 95% confidence interval, CI 0.19–0.84), compared to soldiers in the low fitness category. Conclusions Analogous to other positive outcomes of soldier fitness, improvement of soldier physical fitness prior to BCT might improve soldiers' psychological health outcomes.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Physical Fitness and Depressive Symptoms during Army Basic Combat Training

Crowley

Wilkinson

Wigfall

et al. 2015

Medicine &Amp; Science in Sports &Amp; Exercise

Self Cite

View full text Add to dashboard Cite

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Soldier-Centered Care: A Concept Analysis

Taylor-Clark

Patrician

2020

Military Medicine

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Introduction It is critical for the U.S. Army Medical Department to acknowledge the distinctive medical needs of soldiers and conceptualize soldier-centered care as a unique concept. In addition to the nationally recognized standards of patient-centered care, soldier-centered care includes provisions for the priorities of soldier health and wellness, injury prevention, illness and injury management, and the preservation of physical performance and medical readiness. The development of soldier-centered care as a distinctive concept may strengthen the evidence base for interventions that support improvements to soldier care and thus, enhance health outcomes specific to soldiers. The purpose of this article is to analyze the concept of soldier-centered care, clarify the meaning of soldier-centered care, and propose a theoretical definition. Methods Rodgers’ evolutionary concept analysis method was used to search and analyze the literature for related terms, attributes, antecedents, and consequences and to create a theoretical definition for soldier-centered care. Results The results of this concept analysis indicated that soldier-centered care is realized through the presence of nine attributes: operational alignment of care, provider and support staff therapeutic competence, management of transitions and care coordination, technology and accessibility, management of limited and lost work days, trust and expectation management, leadership support, continuity, and access to care. Soldier-centered care is focused on health and wellness promotion, disease and injury prevention, and early diagnosis and treatment of acute injuries in the primary care setting to facilitate timely injury recovery, reduce reinjury, and prevent long-term disabilities. The result of soldier-centered care is enhanced physical performance, medical readiness, and deployability for soldiers. Based on the literature analysis, the following theoretical definition of soldier-centered care is proposed: Soldier-centered care is individualized, comprehensive healthcare tailored to the soldier’s unique medical needs delivered by a care team of competent primary care providers and support staff who prioritize trust and expectation management, operational alignment of care, leadership support, care coordination, and the management of limited and lost workdays through the use of evidence-based practice approaches that employ innovative information technology to balance access to care and continuity. Conclusions The concept of soldier-centered care often emerges in discussions about optimal physical performance and medical readiness for soldiers. Although soldier-centered care and patient-centered care have similar conceptual underpinning, it is important to clarify the unique physical and medical requirements for soldiers that differentiate soldier-centered care from patient-centered care. Implementing the defining attributes of soldier-centered care in the U.S. Army primary care setting may improve the quality of care and health outcomes for soldiers. When defining performance metrics for primary care models of care, the U.S. Army Medical Department must consider assessing outcomes specific to the soldier population. Developing empirical indicators for the attributes of soldier-centered care will support meaningful testing of the concept.

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Development of the Soldier Health Promotion to Examine and Reduce Health Disparities (SHPERHD) Project Coordinating Center: Challenges and Opportunities Within a University/Community Partnership

Cited by 2 publications

References 0 publications

Physical Fitness and Depressive Symptoms during Army Basic Combat Training

Physical Fitness and Depressive Symptoms during Army Basic Combat Training

Soldier-Centered Care: A Concept Analysis

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