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The Warrior Wellness Study: A Randomized Controlled Exercise Trial for Older Veterans with PTSD

机译：战士健康研究：PTSD老年退伍军人的随机对照运动试验

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Posttraumatic stress disorder (PTSD) affects up to 30% of military veterans. Older veterans, many of whom have lived with PTSD symptoms for several decades, report a number of negative health outcomes. Despite the demonstrated benefits of regular exercise on physical and psychological health, no studies have explored the impact of exercise in older veterans with PTSD. This paper describes the development, design, and implementation of the Warrior Wellness exercise pilot study for older veterans with PTSD. Veterans aged ≥60 with a Diagnostic and Statistical Manual of Mental Disorders (DSM-V) diagnosis of PTSD will be recruited and randomized to (a) Warrior Wellness, a 12-week supervised, facility-based exercise intervention, or (b) usual care for 12 weeks. Warrior Wellness is a theory- and evidence-based behavioral intervention that involves 3 sessions per week of multi-component exercise training that targets strength, endurance, balance, and flexibility. Warrior Wellness focuses on satisfaction with outcomes, self-efficacy, self-monitoring, and autonomy. Factors associated with program adherence, defined as the number of sessions attended during the 12 weeks, will be explored. Primary outcomes include PTSD symptoms and cardiovascular endurance, assessed at baseline and 12 weeks. Compared to those in usual care, it is hypothesized that those in the Warrior Wellness condition will improve on these efficacy outcomes. The Warrior Wellness study will provide evidence on whether a short-term exercise intervention is feasible, acceptable, and effective among older veterans with PTSD, and explore factors associated with program adherence. Identifier:
机译：创伤后应激障碍（PTSD）影响多达30％的退伍军人。年长的退伍军人中许多人患有PTSD症状已有数十年之久，他们报告了许多不利健康的结果。尽管已证明定期锻炼对身体和心理健康有好处，但尚无研究探讨锻炼对患有PTSD的老年退伍军人的影响。本文介绍了针对PTSD的老龄退伍军人进行的Warrior Wellness运动试点研究的开发，设计和实施。年龄≥60岁且经精神疾病诊断和统计手册（DSM-V）诊断为PTSD的退伍军人将被招募并随机分配到（a）战士健康，基于设施的12周监督，运动干预或（b）常规护理12周。勇士健康计划（Warrior Wellness）是一项基于理论和证据的行为干预，每周涉及3堂多部分运动训练，目标是力量，耐力，平衡和灵活性。战士健康专注于对结果，自我效能感，自我监控和自治的满意度。将探讨与计划坚持性相关的因素，定义为12周内参加的会议次数。主要结果包括在基线和12周时评估的PTSD症状和心血管耐力。与常规护理人员相比，假设处于“战士健康”状态的人员将在这些疗效结果上得到改善。战士健康研究将提供证据，证明在患有PTSD的年长退伍军人中进行短期运动干预是否可行，可接受和有效，并探索与坚持计划有关的因素。识别码：

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