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Combination outreach and wellness intervention for distressed rural veterans: results of a multimethod pilot study.

Dindo L, Roddy MK, Boykin D, Woods K, Rodrigues M, Smith TL, Gonzalez RD, True G. Combination outreach and wellness intervention for distressed rural veterans: results of a multimethod pilot study. Journal of behavioral medicine. 2021 Aug 1; 44(4):440-453.

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We partnered with veteran-serving nonprofits in order to identify distressed rural veterans and provide them with a mental health workshop in community-based settings. Community organizations helped recruit veterans and provided space for 1-day (5-h) Acceptance and Commitment Therapy (ACT) group workshops conducted in rural locations. Qualitative interviews were conducted at 1- and 3-months post-intervention to assess acceptability. Quantitative measures were conducted at baseline, 1- and 3-months post-intervention to measure effectiveness. We successfully engaged community partners throughout every stage of the research and delivered workshops to thirty-one veterans in rural community-based locations. Veterans appreciated the structure, content, and environment of the workshops; most implemented ACT skills into their daily lives and some initiated new treatment following workshop participation. Quantitative measures showed improvements in functioning (Cohen''s d ranging from .27 to .40), reintegration (Cohen''s d = .45), meaning and purpose (Cohen''s d = .40), and reductions in distress (Cohen''s d ranging from .28 to .40) 3-months following workshop participation. Collaborating with rural veteran-serving nonprofit organizations holds promise for engaging hard-to-reach distressed veterans in mental health care.

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