Crisis warning signs in mHealth for military veterans: a collaborative design approach

Crises range from global catastrophes to personal disasters. However, systematic inquiry on crises rarely employs a comparative approach to examine commonalities between these seemingly very different events. We argue here that individual psychosocial disasters can inform a broader discussion on crises. Our approach applies general crisis theory to a smartphone based psychosocial support system for US military veterans. We engaged in a process designed to explore how veteran peer-to-peer mentorship can be augmented with IS support to display potential early warning signs as first step toward preventative intervention for high risk behaviors. To gain a better understanding of how military veterans might benefit from such a system, this article focuses on a community collaborative design process. The co-design process used the Small Stories method, allowing important cultural characteristics of to emerge, illuminating considerations in IS design with military veterans, and highlighting how humans think about crisis events at the individual level.

[1]  Bryan C. Semaan,et al.  Transition Resilience with ICTs: 'Identity Awareness' in Veteran Re-Integration , 2016, CHI.

[2]  L. Jaeger On Killing The Psychological Cost Of Learning To Kill In War And Society , 2016 .

[3]  R. Novaco,et al.  Violence associated with combat-related posttraumatic stress disorder: The importance of anger. , 2015, Psychological trauma : theory, research, practice and policy.

[4]  Patrick Hirsch,et al.  Understanding the impact of cascade effects of natural disasters on disaster relief operations , 2015 .

[5]  Han K. Kang,et al.  Suicide risk among 1.3 million veterans who were on active duty during the Iraq and Afghanistan wars. , 2015, Annals of epidemiology.

[6]  D. Mitchell,et al.  Professional responsibility : the fundamental issue in education and health care reform , 2015 .

[7]  Craig E Kuziemsky A Model of Tradeoffs for Understanding Health Information Technology Implementation. , 2015, Studies in health technology and informatics.

[8]  Nadiyah Johnson,et al.  Mobile peer-mentoring: An approach to make veterans seek mental health-care support a normality , 2014, 10th IEEE International Conference on Collaborative Computing: Networking, Applications and Worksharing.

[9]  C. Kuziemsky,et al.  The EnRiCH Community Resilience Framework for High-Risk Populations , 2014, PLoS currents.

[10]  Facilitating Transdisciplinary Research in an Evolving Approach to Science , 2014 .

[11]  A Kushniruk,et al.  From Usability Testing to Clinical Simulations: Bringing Context into the Design and Evaluation of Usable and Safe Health Information Technologies , 2013, Yearbook of Medical Informatics.

[12]  Loïc Brevault,et al.  Accident precursors, near misses, and warning signs: Critical review and formal definitions within the framework of Discrete Event Systems , 2013, Reliab. Eng. Syst. Saf..

[13]  Phillip Y. Lipscy,et al.  The Fukushima disaster and Japan's nuclear plant vulnerability in comparative perspective. , 2013, Environmental science & technology.

[14]  José L. Abdelnour-Nocera,et al.  Revealing the Socio-Technical Context of Design Settings: Toward Participatory IS Design , 2013, Int. J. Hum. Comput. Interact..

[15]  C. Kuziemsky,et al.  Unraveling the complexities of disaster management: A framework for critical social infrastructure to promote population health and resilience , 2012, Social Science & Medicine.

[16]  Monique W. M. Jaspers,et al.  Context Sensitive Health Informatics: Concepts, Methods and Tools , 2013, CSHI.

[17]  Yvonne Rogers,et al.  HCI Theory: Classical, Modern, and Contemporary , 2012, HCI Theory.

[18]  Carl Boettiger,et al.  Quantifying limits to detection of early warning for critical transitions , 2012, Journal of The Royal Society Interface.

[19]  M. Valenstein,et al.  Suicide risk and precipitating circumstances among young, middle-aged, and older male veterans. , 2012, American journal of public health.

[20]  Anna De Fina,et al.  Analyzing Narrative: Discourse and Sociolinguistic Perspectives , 2012 .

[21]  M. Gutmann Breaking Ranks: Iraq Veterans Speak Out against the War , 2010 .

[22]  T. Insel Assessing the economic costs of serious mental illness. , 2008, American Journal of Psychiatry.

[23]  S. Boyer On Killing: The Psychological Cost of Learning to Kill in War and Society , 2007 .

[24]  C. Rosen,et al.  Predicting High-Risk Behaviors in Veterans With Posttraumatic Stress Disorder , 2005, The Journal of nervous and mental disease.

[25]  M. Kreuter,et al.  The role of culture in health communication. , 2004, Annual review of public health.

[26]  Didier Sornette,et al.  Predictability of catastrophic events: Material rupture, earthquakes, turbulence, financial crashes, and human birth , 2001, Proceedings of the National Academy of Sciences of the United States of America.

[27]  S. Silver,et al.  Outcome of treatment for post-traumatic stress disorder in a primary care unit serving vietnam veterans , 1994, Journal of traumatic stress.

[28]  Enrico L Quarantelli,et al.  What Is Disaster? The Need For Clarification In Definition And Conceptualization In Research , 1985 .