{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T02:33:53Z","timestamp":1790735633137,"version":"4.1.0"},"reference-count":66,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T00:00:00Z","timestamp":1744848000000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Alcohol consumption among veterans has been shown to be higher than that among the general population. Many veterans experience difficulties during the transition to post\u2010service life, and alcohol is used as a coping mechanism. Excessive alcohol use leads to a significant decrease in mental health, quality of life and social functioning, further exacerbating veteran's readjustment to civilian life after service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to co\u2010design a transition programme to reduce problematic alcohol use. The objectives were to (1) understand which life domains need to be considered within programmes to support successful transition without harmful alcohol consumption and (2) co\u2010design a transition programme with New Zealand veterans (and service providers) to avoid harmful alcohol consumption.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This study offers a novel approach to the development of programmes to reduce excessive alcohol consumption by veterans through the use of a participatory design method. The study involved four co\u2010design workshops with veterans and Defence health professionals, in Aotearoa\u2010New Zealand, and abductive analysis of qualitative data. The analysis compared perspectives obtained from veterans and health professionals with existing well\u2010being and transition frameworks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Findings supported recommendations within those frameworks for strategies to support mental, physical, social\/family and spiritual well\u2010being, as well as finding meaningful work or employment. Themes emerged beyond those frameworks, including a need for programmes to manage loss of identity; lack of trust, scepticism and stigma; and a desire for connected records and networked services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The research offers practical recommendations for a co\u2010designed veteran well\u2010being ecosystem. This involved early prevention, in\u2010service elements and ongoing support through transition and in post\u2010service life. This was supported with the suggestion for a network of services that is promoted well and makes it easy for veterans to identify services that can increase their feeling of competence as they navigate transition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>This study used a co\u2010design process that engaged veterans and Defence health professionals in the design of a programme and programme elements that they would like to see for veterans like themselves or veterans they have encountered in practice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.70262","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T08:11:51Z","timestamp":1744877511000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Co\u2010Design of an Ecosystem of Services to Support Veteran Well\u2010Being and Reduce Excessive Alcohol Consumption"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7181-5651","authenticated-orcid":false,"given":"Julia","family":"Carins","sequence":"first","affiliation":[{"name":"Department of Tourism and Marketing Griffith University Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann\u2010Marie","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Department of Management, Marketing and Tourism University of Canterbury Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ekant","family":"Veer","sequence":"additional","affiliation":[{"name":"Department of Management, Marketing and Tourism University of Canterbury Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,17]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0095327X231216678"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/pops.12399"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/00048674211046894"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1745691620953096"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0095327X16675965"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.21061\/jvs.v4i2.121"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-056916"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/01488376.2018.1546259"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2023.109833"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291720001944"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-008409"},{"key":"e_1_2_11_13_1","unstructured":"AIHW.2023. Health of Veterans https:\/\/www.aihw.gov.au\/reports\/veterans\/health-of-veterans."},{"key":"e_1_2_11_14_1","unstructured":"M.Van Hooff E.Lawrence\u2010Wood S.Hodson et al.2018.Mental Health Prevalence Mental Health and Wellbeing Transition Study."},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqac045"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/adb0000347"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2018.79.79"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1017\/jmo.2021.20"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3109\/08039488.2013.852242"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/15504263.2011.620453"},{"key":"e_1_2_11_21_1","first-page":"242","article-title":"A Systematic Review of the Effectiveness of Alcohol Brief Interventions for the UK Military Personnel Moving Back to Civilian Life","volume":"163","author":"Wigham S.","year":"2017","journal-title":"BMJ Military Health"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1037\/adb0000598"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nurpra.2020.12.016"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15859"},{"key":"e_1_2_11_25_1","first-page":"51","volume-title":"Military\u2010to\u2010Civilian Transition Policies, Processes, and Program Efforts,\u201d in Military Veteran Reintegration","author":"Fossey M.","year":"2019"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/15710880701875068"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/1839334921998541"},{"key":"e_1_2_11_28_1","volume-title":"Whaiora: M\u0101ori Health Development","author":"Durie M.","year":"1994"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/03036758.2019.1668439"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/13569783.2021.1940121"},{"issue":"1","key":"e_1_2_11_31_1","first-page":"4","article-title":"Descriptions of Depression Among a Sample of Maori Smokers","volume":"34","author":"Glover M.","year":"2005","journal-title":"New Zealand Journal of Psychology"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.34074\/whit.3002"},{"key":"e_1_2_11_33_1","unstructured":"R.Peniamina C.Davies L.Moata'ane et al.2021. Food Nutrition and Cancer: Perspectives and Experiences of New Zealand Cancer Survivors."},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2021.1879370"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/17549507.2020.1768288"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:JOPP.0000039938.39574.9e"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1108\/JSOCM-03-2013-0020"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/15245004211021643"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-022-01900-z"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/00221678231204932"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1080\/14719037.2019.1619810"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2021.105167"},{"key":"e_1_2_11_43_1","doi-asserted-by":"crossref","unstructured":"S.Rundle\u2010Thiele T. J.Willmott N.McKillop P.Saleme Ruiz andA.Kitunen.2023. Young Voices United: Co\u2010Designing a Place\u2010Based Youth\u2010Led Sexual and Violence Abuse Prevention Approach for One Australian Community.Safer Communities.","DOI":"10.1108\/SC-09-2022-0039"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1177\/0735275112457914"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781529682571"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1086\/209191"},{"key":"e_1_2_11_47_1","unstructured":"New Zealand Defence Force.2018.The Veteran Rehabilitation Strategy."},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022167820919268"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-815312-3.00003-6"},{"key":"e_1_2_11_50_1","unstructured":"Veteran Evaluation & Research Applications Network.2025.Successful Transition Domains Over Time veternetwork.pse.edu."},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1346057"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0261634"},{"key":"e_1_2_11_53_1","doi-asserted-by":"crossref","unstructured":"B. C.Semaan L. M.Britton andB.Dosono.2016. Transition Resilience With ICTs: \u201cIdentity Awareness\u201d in Veteran Re\u2010Integration. Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems.","DOI":"10.1145\/2858036.2858109"},{"key":"e_1_2_11_54_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12585"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjmilitary-2021-001903"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2020.1735438"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524500418821583"},{"key":"e_1_2_11_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13633"},{"key":"e_1_2_11_59_1","doi-asserted-by":"publisher","DOI":"10.1071\/HC20070"},{"key":"e_1_2_11_60_1","doi-asserted-by":"publisher","DOI":"10.2196\/13662"},{"key":"e_1_2_11_61_1","unstructured":"J. H.\u2010M.Lu C.Corrales andB.Semaan.2019. Designing for Separation: Participatory Design With Military Veterans.iConference 2019 Proceedings."},{"key":"e_1_2_11_62_1","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.5500"},{"key":"e_1_2_11_63_1","doi-asserted-by":"publisher","DOI":"10.3138\/jmvfh.4313"},{"issue":"4","key":"e_1_2_11_64_1","first-page":"343","article-title":"Explanations in Design Thinking: New Directions for an Obfuscated Field","volume":"5","author":"Sarwar A.","year":"2019","journal-title":"She Ji"},{"key":"e_1_2_11_65_1","doi-asserted-by":"publisher","DOI":"10.1080\/03071847.2020.1784039"},{"key":"e_1_2_11_66_1","doi-asserted-by":"publisher","DOI":"10.1080\/13645579.2021.1941646"},{"key":"e_1_2_11_67_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.4770180211"}],"container-title":["Health Expectations"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hex.70262","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T07:51:30Z","timestamp":1748073090000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hex.70262"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":66,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1111\/hex.70262"],"URL":"https:\/\/doi.org\/10.1111\/hex.70262","archive":["Portico"],"relation":{},"ISSN":["1369-6513","1369-7625"],"issn-type":[{"value":"1369-6513","type":"print"},{"value":"1369-7625","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2025-01-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-31","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70262"}}