Page 82 - JSOM Winter 2022

study adherence and retention through use of design principles TABLE 1 Study Assessments
from consumer app development. 15 Study
Assessment Prestudy Daily Weekly End
Assessments Self-Report Questionnaires
Prestudy Survey* X
Table 1 lists the assessments administered through the app,
as well as measures collected through wearable technologies. Demographic Survey X
These include a validated personality profile assessment, as Big Five Inventory X
well as additional psychosocial assessments and combat his- Optimism Scale X
tory surveys. These surveys are commonly used in military and Gratitude Questionnaire X
psychological research to gain a deeper understanding of un- Connor-Davidson Resilience Scale X
derlying factors that contribute to interindividual variability in Grit Scale X
health and wellness. Five Facet Mindfulness
Questionnaire X
We have incorporated assessments that privately obtain daily Emotional Regulation X
information related to sleep quality and alcohol consumption, Questionnaire
extending the single measures that are obtained in the in- Locus of Control Scale X
person cORA. In addition, we gather longitudinal data on Deployment Risk & Resilience X
other factors that influence health and human performance, Inventory-2
such as daily mood, arousal, physical pain, social interactions, Primary Care PTSD Screen for X
energy drink consumption, and tobacco consumption. 16–18 DSM-5 (PC- PTSD-5)
Satisfaction with Life Scale X X
Other unique features enhance the warfighter experience with Patient Health Questionnaire X X
the mobile app and drive engagement and personalization. (PHQ-8)
For example, the user is asked to choose personal health goals Generalized Anxiety Disorder X X
(GAD-7)
across the POTFF domains, and the app provides daily and
weekly summary data using the insights feature. This allows The Positive and Negative Affect X
Schedule (PANAS)
visualization of progress toward those goals. The platform and Weekly Survey** X
app also query Servicemembers about issues that are not as
readily disclosed, such as a history of physical and emotional Daily Survey*** X
trauma, as well as spiritual practices. Over the study inter- System Usability Scale X
val, the app is designed to provide individual and continuous Poststudy Survey*** X
insights for the user that detect early indicators of physical Neurocognitive Tasks
and mental behavioral degradation. Through active use of the Reaction Time (Simple, X
study app and sensors, the user can set goals and participate Procedural)
in app tools that are designed to enhance physical and mental Tapping Speed X
resilience. Examples of the screens collecting this information Stroop Test X
are shown in Figures 2 and 3. Trail Making Test X
Spatial Memory X
Study Device and Use Analyte Sensor (pending availability)
Glucose (continuous) X
The study tracks warfighters’ longitudinal use of digital cORA’s
mobile application in conjunction with third-party devices Lactate (continuous) X
(i.e., biometric sensors and wearables). Subjects are provided Ketones (continuous) X
with study devices consisting of an iPhone and Apple Watch Alcohol (continuous) X
on which they download the custom research app from the Watch/Wearable
Apple App store. This occurs in an orientation session prior to Heart Rate X
providing in-app consent. Study support personnel are present ECG X
at this time, and the session is scheduled in collaboration with Activity X
enrolling military unit personnel charged with assisting in en- Sleep X
rollment coordination. Like the in-person cORA design, 3 RD Interventions
SFG(A) Green Berets are enrolled following deployment, and
1st Reconnaissance Marines are enrolled prior to deployment Mindfulness Meditation X
during combat training. Nutrition Guidelines X
Sleep Hygiene Tips X
Alcohol and Tobacco Cessation
Privacy and Cybersecurity Governance Tips X
The BCRP is governed by robust privacy policies, cybersecu- *Prestudy survey contains questions on concussion, headaches, major
rity policies, and procedures. Such measures help ensure that musculoskeletal injury, major surgeries, and utilization of chaplain/
psychological services.
data are deidentified and in accordance with the Health Insur- **Weekly survey contains questions on utilization of chaplain/behav-
ance Portability and Accountability Act (HIPAA) protections. ioral health services.
The cybersecurity practices are incorporated into the software ***Daily survey contains questions on Mood, Sleep, Pain, Alcohol,
by design and in accordance with FDA guidance to mitigate Tobacco, Social, Arousal, and Energy Drink Consumption.
****Poststudy survey contains questions on helpfulness of app/inter-
cybersecurity risk. The privacy and cybersecurity attributes ventions self-knowledge/awareness and educational resources.
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