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首页> 美国卫生研究院文献>Translational Behavioral Medicine >Team Red White Blue: a community-based model for harnessing positive social networks to enhance enrichment outcomes in military veterans reintegrating to civilian life
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Team Red White Blue: a community-based model for harnessing positive social networks to enhance enrichment outcomes in military veterans reintegrating to civilian life

机译：红白蓝团队：一种基于社区的模型可以利用积极的社交网络来增强退伍军人重返平民生活的财富积累成果

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Military service assimilates individuals into a socially cohesive force to address dangerous and traumatic situations that have no counterpart in civilian life. Upon leaving active duty, many veterans experience a “reverse culture shock” when trying to reintegrate into civilian institutions and cultivate supportive social networks. Poor social reintegration is associated with greater morbidity and premature mortality in part due to adoption of risky health behaviors, social isolation, and inadequate engagement in health care services. Although institutions like the Veterans Health Administration (VA) do much to address the complex psychosocial and health care needs of veterans and their families with evidence-based care, only 61% of Operations Enduring and Iraqi Freedom (OEF/OIF) Veterans are enrolled in VA care and there are numerous perceived barriers to care for enrollees. To address this gap, a community-based nonprofit organization, Team Red, White & Blue (RWB), was created to help veterans establish health-enriching social connections with communities through the consistent provision of inclusive and locally tailored physical, social, and service activities. This article provides an overview of the development and refinement of a theory-based framework for veteran health called the Enrichment Equation, comprised of three core constructs: health, people, and purpose. By operationalizing programming activities and roles, we describe how theoretical components were translated into a social networking implementation package that enabled rapid national spread of Team RWB. We conclude with future opportunities to partner with researchers and other organizations to understand program impact, and to identify effective intervention components that could be adapted for similar vulnerable groups.
机译：兵役使人们融入了社会凝聚力，以应对在平民生活中没有对手的危险和创伤性局势。退役后，许多退伍军人在试图重新融入民政机构并建立支持性的社会网络时会遭受“逆向文化冲击”。不良的社会重返社会与较高的发病率和过早的死亡率有关，部分原因是采取危险的健康行为，社会孤立以及对医疗服务的参与不足。尽管像退伍军人卫生管理局（VA）这样的机构通过基于证据的护理在解决退伍军人及其家人的复杂的社会心理和医疗保健需求方面做了大量工作，但只有61％的“持久行动和伊拉克自由（OEF / OIF）”退伍军人参加了该项目弗吉尼亚州的护理，并且存在许多被护理者的护理障碍。为了解决这一差距，创建了一个基于社区的非营利组织红，白，蓝团队（RWB），以帮助退伍军人通过持续提供包容性的和本地量身定制的身体，社交和服务，与社区建立丰富健康的社会关系。活动。本文概述了一种基于理论的退伍军人健康框架的发展和完善情况，该框架称为“浓缩方程”，它由三个核心结构组成：健康，人和目的。通过操作编程活动和角色，我们描述了如何将理论成分转换为社交网络实施包，从而使Team RWB迅速在全国范围内传播。我们以未来与研究人员和其他组织合作的机会作为结尾，以了解计划的影响，并确定可以适用于类似弱势群体的有效干预措施。

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