Refinement and Validation of an Awareness Training Program

The goal of the proposed project is to provide the Army with a brief, well-validated,
internet-based training program for enhancing Awareness Training and resilience skills. This
project will address the needs outlined for the Military Operational Medicine Research
Program, particularly with regard to enhancing Psychological Health and Resilience. The
fundamental approach of the project directly addresses the need to "develop psychological
resilience among Service members and families to promote well-being and prevent behavioral
health outcomes." Addressing this need is crucial, as military personnel are often required
to serve under dangerous and emotionally stressful conditions. Prolonged stress or exposure
to very intense life threatening experiences, such as those encountered in combat or other
hazardous duty deployments can increase the risk of developing mental health problems
including depression, anxiety, or post-traumatic stress disorder (PTSD). One possible way to
minimize the effects of these stressful experiences on Service members is to strengthen their
emotional flexibility, adaptability, and capacity to cope with adversity before they find
themselves faced with such situations. To fill this need, the investigators propose to
provide the military with a web-based program that focuses on enhancing Awareness Training, a
core set of trainable awareness skills that collectively include the capacity to understand,
perceive, control, and use emotions effectively.

While the previous pilot program was successful in some ways, it needs further research
before it is ready for widespread use. The investigators therefore propose to build upon the
existing strengths already in the program and redesign the weaker modules to be more
effective. Over the course of a four-year study, the investigators propose to develop this
program. The proposed Awareness Training program is brief, web-based, easily accessible, and
sufficiently focused such that it could be completed by large numbers of military personnel
with minimal time burden, leading to rapid enhancement of awareness skills. Such a program
could have a significant effect in promoting resilience, interpersonal functioning, and brain
health among Service members and their families, while reducing the likelihood of mental
health problems among those returning from exposure to potentially traumatic experiences.

The central hypothesis is that a set of well designed and targeted training modules
addressing core awareness ability domains will significantly enhance measured awareness
skills, will translate into improved performance on militarily relevant metrics, and will
lead to better mental and emotional health, as well as well being during stressful situations
and subsequent cognitive processing.