Relationship Between Total Force Fitness and Access to Care in Military Personnel

Relationship Between Total Force Fitness and Access to Care in Military Personnel

Bibliography

Name: Sandra Bibb

Rank: CAPT(ret)

Organization: Henry M. Jackson Foundation for the Advancement of Military Medicine

Performance Site: Uniformed Services University of the Health Sciences, Bethesda, MD

Year Published: 2012

Abstract Status: Project Completed

Abstract

The existence of national population health (PH) survey data containing: proposed measures of the domains of Total Force Fitness (TFF); measures of access to care; and survey responses from military personnel, present a unique opportunity to explore the relationship between TFF and  access to care  in military personnel. The theorized-integrated relationship between eight domains of TFF (social, physical, spiritual, environmental, nutritional, psychological, behavioral, and medical) has been described by Department of Defense (DoD) experts. These domains and potential measures for each domain correspond to the determinants of PH health and structural, process, and outcome measures of access to care. While multiple published studies report evaluation of PH in military personnel, to date, no one study has been conducted that describes the relationship between the domains of TFF; and /or explores the relationship between TFF and access to care in military personnel. 

The purpose of this exploratory, secondary analysis study is to describe the relationship between the domains of TFF; and to explore the relationship between potential and realized access in military personnel completing the 2010 Behavioral Risk Factor Surveillance System Survey (BRFSS). 2010 BRFSS data are the most currently available existing data with questions relating to structural, process, and outcome measures of potential and realized access, PH, and TFF; and survey responses from current  and prior active duty military personnel, and Reserves/National Guard. Bivariate analysis and moderator analysis ( hierarchical logistic regression) will be used to:1) Describe the relationship between the domains of TFF in military personnel completing the 2010 BRFSS; 2) Identify the relationship between potential and realized access  in military personnel completing the 2010 BRFSS; and 3)Determine the extent to which realized access  is moderated by potential access in military personnel completing the 2010 BRFSS. Identifying moderators of clinical preventive services (CPS) use in a health care system with the potential for equity in access has significant implications for FHP, PH, and health policy; and is relevant to health outcomes of military personnel and family members.

Population health (PH) and clinical prevention are major components of the multifarious practice, research, education, leadership and advocacy role of military nursing. Therefore, the results of this study are expected to generate evidence to guide nursing/multidisciplinary development of PH improvement interventions for military personnel; while providing insight into the interface between health status and accessibility to care.

 

Final Report is available on NTRL: https://ntrl.ntis.gov/NTRL/dashboard/searchResults/titleDetail/PB2014107908.xhtml