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Evaluating a Mobile Health Intervention (GUIDE App) for First Responders, Military Personnel, and Veterans: Randomized Controlled Trial

Evaluating a Mobile Health Intervention (GUIDE App) for First Responders, Military Personnel, and Veterans: Randomized Controlled Trial

Despite the severity and prevalence of mental health issues, and the growing awareness of the importance of mental health from military personnel and first responders [29], services to address this crisis continue to go underutilized, including by those who need them the most [30]. First responders and military personnel share concerns about stigma, and they fear being ostracized by peers, family members, and the leadership for seeking treatment or asking for help [31,32].

Morgan K Dunphy, Heather J Nuske

J Med Internet Res 2025;27:e71155


Impact of Acute Respiratory Infections on Medical Absenteeism Among Military Personnel: Retrospective Cohort Study

Impact of Acute Respiratory Infections on Medical Absenteeism Among Military Personnel: Retrospective Cohort Study

During the 1918 influenza pandemic, military personnel living in confined spaces faced significantly higher morbidity and mortality rates compared to civilian populations [10]. Recent outbreaks further highlight the heightened vulnerability of military personnel; a 2013 influenza A (H1 N1) outbreak in a Swiss military camp infected 31% of soldiers, while a 2009 influenza A outbreak in a Peruvian Navy ship affected 22% of crew members [11,12].

Premikha M, Jit Khong Goh, Jing Qiang Ng, Adeliza Mutalib, Huai Yang Lim

JMIR Form Res 2025;9:e69113


Evaluating the Acceptability of a Brief Web-Based Alcohol Misuse Prevention Program Among US Military Cadets: Mixed Methods Formative Evaluation

Evaluating the Acceptability of a Brief Web-Based Alcohol Misuse Prevention Program Among US Military Cadets: Mixed Methods Formative Evaluation

Prior research has shown that the implementation of alcohol misuse prevention programs in the military is complicated by numerous factors, including the size, diversity, and wide geographic distribution of the force [11]. One possible approach is to target individuals in the earliest stages of their careers who likely already consume alcohol but have yet to develop problematic alcohol habits [13-15], namely those enrolled in military service academies or training settings.

Emily Schmied, Lauren Hurtado, W Ken Robinson, Cynthia M Simon-Arndt, Richard Moyer III, Leslie Wilson, Mark Reed, Shannon M Blakey, Marni Kan

JMIR Form Res 2025;9:e67637


Effects of Using a Smart Bassinet on the Mental Health of Military-Affiliated Pregnant Women: Protocol for a Randomized Controlled Sleep Health and Mood in Newly Expectant Military Mothers (SHINE) Trial

Effects of Using a Smart Bassinet on the Mental Health of Military-Affiliated Pregnant Women: Protocol for a Randomized Controlled Sleep Health and Mood in Newly Expectant Military Mothers (SHINE) Trial

Sleep disturbances, both in prevalence and severity, in military-affiliated women extend beyond what civilian women experience. Active-duty service members and their spouses experience unique stressors that often exacerbate sleep issues [28,29]. Despite this, there are limited empirical data regarding sleep disturbances among military-affiliated women.

Michele L Okun, Jennifer L Payne, Lauren M Osborne, Leilani Feliciano, Andrew Lac

JMIR Res Protoc 2025;14:e66439


Digital Health Resilience and Well-Being Interventions for Military Members, Veterans, and Public Safety Personnel: Environmental Scan and Quality Review

Digital Health Resilience and Well-Being Interventions for Military Members, Veterans, and Public Safety Personnel: Environmental Scan and Quality Review

Similarly, veterans, or those who have served with the military and have transitioned to civilian life, must remain supported after their service. The purpose of this paper is to complete an environmental scan to summarize key information and review the quality of resilience and well-being app- and web-based programming for military members, PSP, and veterans.

Rashell R Allen, Myrah A Malik, Carley Aquin, Lucijana Herceg, Suzette Brémault-Phillips, Phillip R Sevigny

JMIR Mhealth Uhealth 2025;13:e64098


Ethical Considerations for Wastewater Surveillance Conducted by the US Department of Defense

Ethical Considerations for Wastewater Surveillance Conducted by the US Department of Defense

Further, infectious diseases present among SM families are also present among SMs; therefore, conducting surveillance of beneficiaries can better inform the epidemiologic picture of infectious disease prevalence and transmission within military units. Thus, there is a high probability of detecting pathogens of Do D significance in these areas.

Hunter Jackson Smith, Richard T Agans, William J Kowallis

JMIR Public Health Surveill 2025;11:e67145


Gamification in the Design of Virtual Patients for Swedish Military Medics to Support Trauma Training: Interaction Analysis and Semistructured Interview Study

Gamification in the Design of Virtual Patients for Swedish Military Medics to Support Trauma Training: Interaction Analysis and Semistructured Interview Study

In addition to personnel who have completed their national service or basic military training, the Home Guard includes a large proportion of various specialists, including military medics. The Swedish model of military prehospital emergency care has 3 levels, where the first level expects that a wounded soldier on the battlefield shall receive first aid from another soldier or a military medic as soon as possible [11].

Natalia Stathakarou, Andrzej A Kononowicz, Erik Mattsson, Klas Karlgren

JMIR Serious Games 2024;12:e63390


Reducing Alcohol Misuse and Promoting Treatment Initiation Among Veterans Through a Brief Internet-Based Intervention: Protocol for a Randomized Controlled Trial

Reducing Alcohol Misuse and Promoting Treatment Initiation Among Veterans Through a Brief Internet-Based Intervention: Protocol for a Randomized Controlled Trial

Americans who served in the US military during or after September 11, 2001, and have since been discharged (post-9/11 veterans) experience concerning rates of mental health disorders, with an estimated prevalence of depression and posttraumatic stress disorder (PTSD) ranging from 10% to 30%, respectively [1-5], and often co-occurring [6]. Alcohol use disorder (AUD) is the most common substance use disorder among veterans [7-10] and it, too, often co-occurs among veterans with depression or PTSD [11-14].

Eric R Pedersen, Jordan P Davis, Justin F Hummer, Kathryn Bouskill, Keegan D Buch, Ireland M Shute, Reagan E Fitzke, Denise D Tran, Clayton Neighbors, Shaddy Saba

JMIR Res Protoc 2024;13:e59993


Quality of Life, Physical Activity Participation, and Perceptions of Physical Rehabilitation Among Community-Reintegrated Veterans With Lower Limb Amputation in Sri Lanka: Convergent Parallel Mixed Methods Study

Quality of Life, Physical Activity Participation, and Perceptions of Physical Rehabilitation Among Community-Reintegrated Veterans With Lower Limb Amputation in Sri Lanka: Convergent Parallel Mixed Methods Study

War-related trauma is a major cause of LLA in the military population. In Sri Lanka, with its relatively recent history of a long civil war, this trauma accounts for the majority of LLA cases [11]. More than 20,000 military veterans are estimated to be living with disabilities in Sri Lanka, and LLA, either with or without additional injuries, is thought to be the most prevalent physical disability. Given the age and demography of serving officers, war-related traumatic LLA occurs at a young age.

Ashan Wijekoon, Dilanthi Gamage Dona, Subashini Jayawardana, Abigail Beane

JMIR Rehabil Assist Technol 2024;11:e52811