{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T18:26:52Z","timestamp":1789756012140,"version":"4.0.1"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T00:00:00Z","timestamp":1701993600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T00:00:00Z","timestamp":1701993600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"publisher","award":["EASC-COVID-00237"],"award-info":[{"award-number":["EASC-COVID-00237"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Community Health"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>During the Coronavirus disease pandemic, many U.S. veterans with posttraumatic stress disorder (PTSD) experienced increased symptomology and worsened mental health and well-being due in part to social isolation and loneliness. The Mission Alliance project explored these ramifications and prioritized critical issues expressed by U.S. veterans and stakeholders (<jats:italic>N<\/jats:italic>\u2009=\u2009182) during virtual regional meetings (<jats:italic>N<\/jats:italic>\u2009=\u200932). Field notes created specifically for this project were recorded and thematically analyzed. Emerging themes included: (1) social isolation: missed opportunities, collapsed social circles, work-life balance, fostering relationships, and evolving health care delivery; (2) loneliness: deteriorated mental health, suffered with PTSD together but alone, looked out for each other, ambivalence toward technology, and strained and broken systems; (3) mental health: sense of chaos, increased demand and decreased access, aggravation, implementation of tools, innovative solutions, fear and loss, and availability of resources; (4) wellbeing: sense of purpose, holistic perspective on well-being, recognition of balance, persisting stigma, redefined pressures, freedom to direct treatment, and reconnection and disconnection. A PTSD-related patient centered outcomes research (PCOR)\/comparative effectiveness research (CER) agenda was developed from these themes. Establishment of a veteran and stakeholder network is suggested to support, facilitate, and promote the PTSD-related PCOR\/CER agenda. Furthermore, enhancement of opportunities for veterans with PTSD and stakeholders to partner in PCOR\/CER is required to develop and conduct projects that lead to PTSD-related comprehensive care of veterans affected by traumatic events with the potential to translate findings to other populations.<\/jats:p>","DOI":"10.1007\/s10900-023-01314-5","type":"journal-article","created":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T18:02:09Z","timestamp":1702058529000},"page":"394-401","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Mission Alliance Community Engagement Project: Exploring the Impact of COVID-19 on Social Isolation, Loneliness, Mental Health and Wellbeing in Veterans"],"prefix":"10.1007","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9598-617X","authenticated-orcid":false,"given":"Beth A.","family":"Pratt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4871-6759","authenticated-orcid":false,"given":"Cheryl A.","family":"Krause-Parello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5812-125X","authenticated-orcid":false,"given":"Viann N.","family":"Nguyen-Feng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0112-6214","authenticated-orcid":false,"given":"Nicholas A.","family":"Giordano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6221-7276","authenticated-orcid":false,"given":"S. Basilia","family":"Basin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2947-2936","authenticated-orcid":false,"given":"Alan L.","family":"Peterson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3457-7345","authenticated-orcid":false,"given":"Patrick","family":"Walsh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3657-6251","authenticated-orcid":false,"given":"Aaron Q.","family":"Siebert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8968-1329","authenticated-orcid":false,"given":"Rigoberto","family":"Ruiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4512-1979","authenticated-orcid":false,"given":"David M.","family":"Kirkland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0834-9632","authenticated-orcid":false,"suffix":"Jr.","given":"John Paul","family":"Nolan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,12,8]]},"reference":[{"key":"1314_CR1","unstructured":"U.S. Department of Veterans Affairs. (2021). Office of research & development: VA research on mental health.https:\/\/www.research.va.gov\/topics\/mental_health.cfm"},{"key":"1314_CR2","unstructured":"United States Census Bureau. United States: Quick factshttps:\/\/www.census.gov\/quickfacts\/fact\/table\/US\/VET605220#VET605220"},{"key":"1314_CR3","unstructured":"Schnurr, P. P., & U.S. (2023). Epidemiology of PTSD. Department of Veterans Affairs. https:\/\/www.ptsd.va.gov\/professional\/treat\/essentials\/epidemiology.asp."},{"issue":"6","key":"1314_CR4","doi-asserted-by":"publisher","first-page":"1792","DOI":"10.1002\/jts.22874","volume":"35","author":"CP McLean","year":"2022","unstructured":"McLean, C. P., Wachsman, T., Morland, L., Norman, S. B., Hooper, V., & Cloitre, M. (2022). The mental health impact of COVID-19\u2013related stressors among treatment-seeking trauma-exposed veterans. Journal of Traumatic Stress,35(6), 1792\u20131800. https:\/\/doi.org\/10.1002\/jts.22874","journal-title":"Journal of Traumatic Stress"},{"issue":"1","key":"1314_CR5","doi-asserted-by":"publisher","first-page":"2012374","DOI":"10.1080\/20008198.2021.2012374","volume":"13","author":"JD Richardson","year":"2022","unstructured":"Richardson, J. D., Cyr, S., Forchuk, K., Liu, C., Plouffe, J. J. W., Le, R. A., Gargala, T., Deda, D., Soares, E., Hosseiny, V., Smith, F., Dupuis, P., Roth, G., Bridgen, M., Marlborough, A., Jetly, M., Heber, R., Lanius, A. R., & Nazarov, A. (2022). Well-being of Canadian veterans during the COVID-19 pandemic: Cross-sectional results from the COVID-19 veteran well-being study. European Journal of Psychotraumatology,13(1), 2012374. https:\/\/doi.org\/10.1080\/20008198.2021.2012374","journal-title":"European Journal of Psychotraumatology"},{"issue":"10","key":"1314_CR6","doi-asserted-by":"publisher","first-page":"3093","DOI":"10.1007\/s11606-020-06048-x","volume":"35","author":"MR Gerber","year":"2020","unstructured":"Gerber, M. R. (2020). The things they carry: Veterans and the COVID-19 pandemic. Journal of General Internal Medicine,35(10), 3093\u20133094. https:\/\/doi.org\/10.1007\/s11606-020-06048-x","journal-title":"Journal of General Internal Medicine"},{"issue":"3","key":"1314_CR7","doi-asserted-by":"publisher","first-page":"86","DOI":"10.3138\/jmvfh-2020-0059","volume":"7","author":"CA Krause-Parello","year":"2021","unstructured":"Krause-Parello, C. A., Pratt, B. A., Meyer, E., & Browne-Banic, L. (2021). Veterans and animals: A review of the literature on well-being and social isolation and recommendations during COVID-19. Journal of Military and Veteran Family Health,7(3), 86\u201399. https:\/\/doi.org\/10.3138\/jmvfh-2020-0059","journal-title":"Journal of Military and Veteran Family Health"},{"issue":"Suppl 1","key":"1314_CR8","doi-asserted-by":"publisher","first-page":"964","DOI":"10.1093\/geroni\/igaa057.3523","volume":"4","author":"N Mattek","year":"2020","unstructured":"Mattek, N., Wall, R., Beattie, Z., Wu, C. Y., Kaye, J., Dodge, H., & Silbert, L. (2020). Increased blue mood and loneliness during COVID-19 pandemic in a veteran cohort. Innovation in Aging,4(Suppl 1), 964. https:\/\/doi.org\/10.1093\/geroni\/igaa057.3523","journal-title":"Innovation in Aging"},{"issue":"9","key":"1314_CR9","doi-asserted-by":"publisher","first-page":"600","DOI":"10.1093\/occmed\/kqy160","volume":"68","author":"G Wilson","year":"2018","unstructured":"Wilson, G., Hill, M., & Kiernan, M. D. (2018). Loneliness and social isolation of military veterans: Systematic narrative review. Occupational Medicine,68(9), 600\u2013609. https:\/\/doi.org\/10.1093\/occmed\/kqy160","journal-title":"Occupational Medicine"},{"issue":"3","key":"1314_CR10","doi-asserted-by":"publisher","first-page":"945","DOI":"10.1017\/S0033291721002361","volume":"53","author":"ML Hill","year":"2023","unstructured":"Hill, M. L., Nichter, B., Na, P. J., Norman, S. B., Morland, L. A., Krystal, J. H., & Pietrzak, R. H. (2023). Mental health impact of the COVID-19 pandemic in U.S. military veterans: A population-based, prospective cohort study. Psychological Medicine,53(3), 945\u2013956. https:\/\/doi.org\/10.1017\/S0033291721002361","journal-title":"Psychological Medicine"},{"issue":"1","key":"1314_CR11","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1136\/bmjmilitary-2020-001622","volume":"168","author":"D Murphy","year":"2022","unstructured":"Murphy, D., Williamson, C., Baumann, J., Busuttil, W., & Fear, N. T. (2022). Exploring the impact of COVID-19 and restrictions to daily living as a result of social distancing within veterans with pre-existing mental health difficulties. BMJ Military Health,168(1), 29\u201333. https:\/\/doi.org\/10.1136\/bmjmilitary-2020-001622","journal-title":"BMJ Military Health"},{"key":"1314_CR12","doi-asserted-by":"publisher","DOI":"10.1016\/j.pecinn.2022.100096","volume":"1","author":"AF Kalvesmaki","year":"2022","unstructured":"Kalvesmaki, A. F., Gonzales, E., George, R. T., Nguyen, H., & Pugh, M. J. (2022). Post-9\/11 veterans perceptions of the pandemic: Areas of greatest impact on health and well-being. PEC Innovation,1, 100096. https:\/\/doi.org\/10.1016\/j.pecinn.2022.100096","journal-title":"PEC Innovation"},{"issue":"2","key":"1314_CR13","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1002\/jts.22770","volume":"35","author":"D Fein-Schaffer","year":"2022","unstructured":"Fein-Schaffer, D., Hawn, S. E., Annunziata, A. J., Ryabchenko, K., Miller, M. W., & Wolf, E. J. (2022). Premorbid traumatic stress and veteran responses to the COVID-19 pandemic. Journal of Traumatic Stress,35(2), 559\u2013569. https:\/\/doi.org\/10.1002\/jts.22770","journal-title":"Journal of Traumatic Stress"},{"key":"1314_CR14","unstructured":"Patient Centered Outcomes Research Institute (2013). Patient centered outcomes researchhttps:\/\/www.pcori.org\/research\/about-our-research\/patient-centered-outcomes-research."},{"key":"1314_CR15","unstructured":"Patient Centered Outcomes Research Institute. (n.d.). About PCORIhttps:\/\/www.pcori.org\/about\/about-pcori"},{"issue":"2","key":"1314_CR16","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","volume":"3","author":"V Braun","year":"2006","unstructured":"Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology,3(2), 77\u2013101. https:\/\/doi.org\/10.1191\/1478088706qp063oa","journal-title":"Qualitative Research in Psychology"},{"issue":"2","key":"1314_CR17","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1080\/09638237.2021.2022625","volume":"32","author":"TA Grenawalt","year":"2023","unstructured":"Grenawalt, T. A., Lu, J., Hamner, K., Gill, C., & Umucu, E. (2023). Social isolation and well-being in veterans with mental Illness. Journal of Mental Health,32(2), 407\u2013411. https:\/\/doi.org\/10.1080\/09638237.2021.2022625","journal-title":"Journal of Mental Health"},{"key":"1314_CR18","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1007\/s10900-022-01175-4","volume":"48","author":"CL Crunelle","year":"2023","unstructured":"Crunelle, C. L., Van Daele, T., Van Laere, S., Blancke, S., Vanderbruggen, N., & Matthys, F. (2023). Remote consultations for mental health: Patient experiences. Journal of Community Health,48, 347\u2013352. https:\/\/doi.org\/10.1007\/s10900-022-01175-4","journal-title":"Journal of Community Health"},{"issue":"7","key":"1314_CR19","doi-asserted-by":"publisher","first-page":"1267","DOI":"10.1007\/s10597-021-00876-9","volume":"57","author":"E Magalhaes","year":"2021","unstructured":"Magalhaes, E., Stoner, A., Palmer, J., Schranze, R., Grandy, S., Amin, S., & Cheng, N. (2021). An assessment of mental health outcomes during the COVID-19 pandemic. Community Mental Health Journal,57(7), 1267\u20131277. https:\/\/doi.org\/10.1007\/s10597-021-00876-9","journal-title":"Community Mental Health Journal"}],"container-title":["Journal of Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10900-023-01314-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10900-023-01314-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10900-023-01314-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,30]],"date-time":"2024-03-30T15:06:04Z","timestamp":1711811164000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10900-023-01314-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,8]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["1314"],"URL":"https:\/\/doi.org\/10.1007\/s10900-023-01314-5","relation":{},"ISSN":["0094-5145","1573-3610"],"issn-type":[{"value":"0094-5145","type":"print"},{"value":"1573-3610","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,8]]},"assertion":[{"value":"8 November 2023","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 December 2023","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors report no financial or non-financial interests that are directly or indirectly related to this work.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}},{"value":"The university IRB waived the need for ethics approval and the need to obtain consent for the collection, analysis, and publication of the anonymized data for this non-human subjects research community engagement project (#1825771).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}}]}}