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FIGURE 6  Psychological assessments administered at study entry: (A) DiSC Personality Profile, (B) Connor-Davidson Resilience Scale,
          (C) Satisfaction with Life Scale, (D) Grit Scale, (E) Emotion Regulation, (F) Positive and Negative Affect Schedule, (G) Depression,
          (H) Generalized Anxiety, (I) PTSD Symptom Scale.

           (A)                               (B)           (C)          (D)          (E)








           (F)                               (G)           (H)          (I)









          FIGURE 7  Individual and group average repeated self-reported psychological measures: (A) Positive Feelings, (B) Positive Mood, (C) Anger
          Level, (D) psychological state (composite of Positive Feelings, Positive Mood, and Anger Level [reverse scored]), (E) overall connectedness
          (composite of Family and Peer Connectedness), (F) Daily Stress, (G) Daily Energy Level, (H) Body Component Pain, (I) Subjective Pain,
          (J) Spiritual Health Practice Reliance.
           (A)               (B)                 (C)                (D)                 (E)








           (F)               (G)                 (H)                (I)                 (J)












          was higher for the 3rd SFG(A) but varied greatly within both   Content Access
          groups.                                            The top five most popular topics in the content library for the
                                                             1st Recon Bn were: Controlled Breathing Techniques, Navy
          Spiritual Health                                   Operational Fitness and Fueling System Endurance Series,
          Figure 7j shows a summary of self-rated spiritual habits. Indi-  How to Practice Mental Conditioning, Early Warning Signs
          viduals were asked, “How often did you rely on any spiritual   of Stress, and Goal Setting and Pursuing Your Healthiest Self.
          practices for comfort or support this week?” rated on a scale   The top five topics for the 3rd SFG(A) were: Sleep in Oper-
          of 0 (not at all) to 10 (more than one a day). Most cited little   ational Settings, Controlled Breathing Techniques, Improving
          to no use, but some individuals in both groups were very in-  Sleep Through Behavior Change, Camp Pendleton HIIT Work-
          volved in spiritual practice. Mindfulness sessions via the Apple   outs, and High-Performance Snacks.
          Watch were included in the app to support spiritual health;
          however, the feature was not widely used, with the average   Discussion
          member participating in less than two mindfulness sessions on
          the Watch throughout the study.                    This study demonstrates that it is possible to measure the men-
                                                             tal and physical attributes of active-duty Servicemembers and to
          Cognitive Performance                              gather continuous longitudinal data using a custom-made app
          There was significant group and individual variability in cog-  and wearable sensors. Custom software reported to each user
          nitive performance for both populations. Figure 8 displays   daily, providing integrated information that allowed indepen-
          each cognitive task administered within the study. Figure 8   dent discovery of connections, awards, and insights. This meth-
          data from a single individual in the 3rd SFG(A) is shown longi-  odology of providing data directly to the user for discovery has
          tudinally across the study compared to the entire group. Vari-  been validated in consumer gaming applications for security ad-
          ance may be attributed to differences in environmental factors   herence and behavior change. 19,20  We designed this application
          and whether subjects completed the cognitive performance   to provide a holistic and integrated data set capable of deliver-
          tests under similar circumstances.                 ing insights across all of these behaviors, social parameters, and

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