Veterans project

Sampling subjects and Setting: Describe population under the study; sampling method; inclusion and exclusion criteria; sample size estimation.
Describe where you are going to conduct the assessment or collect your data. The characters of the setting (e.g., location, demographic characteristics…)

Measurements and instrument: Describe major components/content of your needs assessment; describe the tool/instrument that will be used in your study; Explain how you developed and piloted your instrument; If you used existing instruments, present any data on their validity and reliability; Describe potential confounding factors that may influence your measures.

Please use draft below to continue and a create a study and described the above stated (sampling subjects and setting/ Measurements and instrument)

IDEAS:
Needs of nature-based therapies for veterans
Needs of veterans in transitioning to civilian life
Needs of veterans in
What are the gaps for veterans during times of transition to civilian life
What are the gaps in nature based programs for veterans?

Background:
Veterans, as selfless patriots, and their families comprise a unique set of individuals within communities through the United States. Issues faced by veterans of the most recent conflicts in Afghanistan and Iraq have been well documented to include “high levels of psychological, substance abuse and physical health problems” (Ahern, et al., 2015). Furthermore, the challenges are noted to often begin with the difficult transition to civilian life experienced by many veterans, to include “depression, anxiety, and post-traumatic stress disorder (PTSD)” which can contribute to “personal conflict and substance abuse” (Duval & Kaplan, 2014). According to the Journal of Anxiety Disorders (2015), Post-Traumatic Stress Disorder (PTSD) affects 23% of veterans returning from Iraq and Afghanistan (Fulton, et al., 2015). The prevalence and impact of the physical and mental health challenges for veterans and their families cannot be underestimated.
According to the World Health Organization, “health is a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity” (WHO, 2016). The Healthy People 2020 goals outline a variety of topics and objectives to achieve this comprehensive, holistic definition of health. One such facet includes improving health-related quality of life (HRQOL), which is “multidimensional and includes domains that are related to physical, mental, emotional, and social functioning and the social context in which people live” (Ferans, 2005).
The impact of military service is well documented to impact the factors that comprise the health-related quality of life scores (Ahern, et al., 2015). The constellation of challenges faces by veterans are an important area for health-care providers to further explore and understand evidence-based traditional and non-traditional interventions.
Nature-based therapy is an alternative, non-traditional approach to address the aforementioned challenges faced by veterans. Research demonstrating the benefits associated with exposure to natural environments is “plentiful” (Duval & Kaplan, 2014). However, the research exploring nature based interventions specifically for veterans is somewhat limited. There are major studies, however several are dating back to the late 1980s and explore the effect of the intervention with a variety of populations, to include women, adolescents and more applicably veterans with disabilities. Several articles are primary sources and do provide input directly related to the specific intervention and population, specifically a 2013 article, “Nature adventure rehabilitation for combat-related PTSD chronic stress disorder”, from the Journal of Psychiatry Research.
The lack of research tackling the effectiveness of nature-based therapies specifically with veterans and measuring the long term effectiveness of such interventions justifies the focus and purpose of the research conducted. The impetus for conducting the research therein is clear. The primary focus of the research will be a comprehensive needs assessment exploring the gaps in nature-based therapies for veterans.

Utilization of the Center for Disease Control’s Health Day’s HRQOL assessment questions will serve as the foundation for the needs assessment targeting veterans from the United States most recent conflicts in Iraq and Afghanistan.

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