Co‐Design of an Ecosystem of Services to Support Veteran Well‐Being and Reduce Excessive Alcohol Consumption
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| Format: | Artículo Open Access |
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Wiley
2025
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| _version_ | 1867004616338571264 |
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| author | Julia Carins Ann‐Marie Kennedy Ekant Veer |
| author_facet | Julia Carins Ann‐Marie Kennedy Ekant Veer Julia Carins Ann‐Marie Kennedy Ekant Veer |
| collection | Wiley Open Access |
| contents | Co‐Design of an Ecosystem of Services to Support Veteran Well‐Being and Reduce Excessive Alcohol Consumption Julia Carins Ann‐Marie Kennedy Ekant Veer Health Expectations ABSTRACTBackgroundAlcohol consumption among veterans has been shown to be higher than that among the general population. Many veterans experience difficulties during the transition to post‐service 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.ObjectiveThis study aimed to co‐design 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‐design a transition programme with New Zealand veterans (and service providers) to avoid harmful alcohol consumption.DesignThis 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‐design workshops with veterans and Defence health professionals, in Aotearoa‐New Zealand, and abductive analysis of qualitative data. The analysis compared perspectives obtained from veterans and health professionals with existing well‐being and transition frameworks.ResultsFindings supported recommendations within those frameworks for strategies to support mental, physical, social/family and spiritual well‐being, 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.ConclusionsThe research offers practical recommendations for a co‐designed veteran well‐being ecosystem. This involved early prevention, in‐service elements and ongoing support through transition and in post‐service 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.Patient or Public ContributionThis study used a co‐design 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. 10.1111/hex.70262 http://creativecommons.org/licenses/by/4.0/ |
| doi_str_mv | 10.1111/hex.70262 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_hex_70262 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| publishDate | 2025 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Co‐Design of an Ecosystem of Services to Support Veteran Well‐Being and Reduce Excessive Alcohol Consumption Julia Carins Ann‐Marie Kennedy Ekant Veer Health Expectations Co‐Design of an Ecosystem of Services to Support Veteran Well‐Being and Reduce Excessive Alcohol Consumption Julia Carins Ann‐Marie Kennedy Ekant Veer Health Expectations ABSTRACTBackgroundAlcohol consumption among veterans has been shown to be higher than that among the general population. Many veterans experience difficulties during the transition to post‐service 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.ObjectiveThis study aimed to co‐design 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‐design a transition programme with New Zealand veterans (and service providers) to avoid harmful alcohol consumption.DesignThis 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‐design workshops with veterans and Defence health professionals, in Aotearoa‐New Zealand, and abductive analysis of qualitative data. The analysis compared perspectives obtained from veterans and health professionals with existing well‐being and transition frameworks.ResultsFindings supported recommendations within those frameworks for strategies to support mental, physical, social/family and spiritual well‐being, 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.ConclusionsThe research offers practical recommendations for a co‐designed veteran well‐being ecosystem. This involved early prevention, in‐service elements and ongoing support through transition and in post‐service 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.Patient or Public ContributionThis study used a co‐design 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. 10.1111/hex.70262 http://creativecommons.org/licenses/by/4.0/ |
| title | Co‐Design of an Ecosystem of Services to Support Veteran Well‐Being and Reduce Excessive Alcohol Consumption |
| topic | Health Expectations |
| url | https://onlinelibrary.wiley.com/doi/10.1111/hex.70262 |