The Journal of mHealth Vol 1 Issue 3 (June 2014) - Page 41

Understanding Stress and Post-traumatic Growth ® Ready for the most innovative ideas in healthcare when specific content files are distributed to students. There is a common blog site for students and instructors to discuss their responses to the course content, which is carefully monitored by course administrators. They are able to remove inappropriate comments at anytime (together with explanatory interaction with the poster) in order to maintain the positive tone of the interactions and to encourage individual growth and understanding of experiences. Evaluation of the student's progress is simple, in that each time an individual enters Tiatros, it is accompanied by a time-stamped record, and completed assignments are also noted. This allows the instructors to automatically prompt individual students to access and complete assignments and keep up with the course, as well as to spontaneously interact with the individual if they seem to be particularly troubled. For troubled students who want more individual help, there is a list of sites to which they can go for that help, in addition to private conversations with the psychiatrists involved in the course. Efficacy of the course for students can be evaluated formally through pre- and post-course questionnaires, once institu- ™" tional approval for this is gained. Privacy is ensured through the transformation of student names into numbers. Tiatros supports technology-assisted, direct engagement of students that provides a unique and highly effective channel to collect information in real-time through a variety of validated means, such as questionnaires about symptoms of PTSD, substance abuse, personality, growth relationships and other relevant information. Additionally, written course assignments by individuals can be automatically evaluated for changes in word usage and hopefulness in story telling that qualitatively estimates changes in outlook of the individual throughout the course. Tiatros support the capability of downloading the responses directly into a number of programs that can evaluate them for significance. Figure 1: Schematic showing the TiatrosResearch product as it supports the Next Mission offering: Two versions of Next Mission have been given in person in classes taught at City College San Francisco. The response of the Veteran students who took the course was positive with respect to aid from each of the narrative, neuroscience and writing portions. The course given through the Tiatros platform will be beta-tested at several military sites in 2014. Beyond the current course, future courses tailored toward the specific problems experienced by female veterans, and the families of returning veterans are now being developed. REFERENCES 1. Kim P. Y. Et al. 2010. Stigma, Barriers to Care, and Use of Mental Health Services Among Active Duty and National Guard Soldiers After Combat. Psychiatric Services 61:582, 2010. 2. Hoge C.W. Et al. 2004. Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Bar