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Fiscal Year: FY 2006  Task Last Updated:  01/08/2007 
PI Name: Cartreine nee Carter, James A. 
Project Title: Designing a Smart Medical System for Psychosocial Support 
   
Division Name: Human Research 
Program/Discipline: NSBRI Teams 
Element/Subdiscipline: Neurobehavioral and Psychosocial Factors Team 
Joint Agency Name:  
Human Research Program Elements: None
Human Research Program Risks:: None
Human Research Program Gaps: None
PI Email: jcart@caregroup.harvard.edu  Fax:  617-667-1518 
PI Organization Type: NON-PROFIT  Phone: 617-667-1507  
Organization Name: Beth Israel Deaconess Medical Center 
PI Address 1: 330 Brookline Ave., Feldberg 867 
PI Address 2:  
PI Web Page:  
City: Boston  State: MA 
Zip Code: 02215-5400  Congressional District: 
Comments: Name change to Cartreine in summer 2008, per NSBRI information (11/08) 
Project Type: GROUND  Solicitation:  NSBRI 
Start Date: 05/01/2001  End Date:  09/30/2005 
No. of Post Docs: No. of PhD Degrees: 
No. of PhD Candidates: No. of Master' Degrees: 
No. of Master's Candidates: No. of Bachelor's Degrees: 
No. of Bachelor's Candidates: Monitoring Center:  NSBRI 
Contact Monitor:   Contact Phone:   
Contact Email:  
Flight Program:  
Flight Assignment:

 

Key Personnel Changes/Previous PI:  
COI Name (Institution): Buckey, Jay  ( Dartmouth College )
Holland, Albert  ( NASA JSC ) 
Grant/Contract No.: NCC 9-58-NBPF00207 
Performance Goal No.:  
Performance Goal Text:

 

Task Description: INTRODUCTION Although interpersonal conflict can be productive, unmanaged conflict can pose a threat to the success of long-duration missions. This project involves the development of a conflict management training program to teach long-duration crews how to manage intra-crew conflict, crew-ground conflict, and silent conflict, and to mediate between crewmembers who are in conflict. This training is part of a larger network of self-guided interactive multimedia programs to train and assist long-duration flyers in the prevention, assessment, and management of multiple psychosocial problems that can arise on extended missions. The system is intended for use both during training and on orbit.

METHODS The project involves three phases.

Phase 1: Background Data Collection. Consultation interviews were conducted with 13 veteran long-duration flyers who have lived on the International Space Station, Mir, and Skylab. Interviewees were presented with five hypothetical scenarios, three of which depicted interpersonal conflicts, both within crews and between space and ground, on extended missions. Input was obtained on the best practices for managing such situations, as well as mistakes that a novice might make in handling them. Input was also obtained from clinical experts in interpersonal conflict management and depression treatment. Content of the training program was based on these data.

Phase 2: Interactive Multimedia Production. A Virtual Space Station 3-dimensional graphic was created to serve as a portal to multimedia-based training, assessment, and intervention resources. The system is modular and expandable, to accommodate additional content in the future. Original content is being created to teach how to manage conflicts, and presented via interactive video simulations, activities, and didactics. All training and intervention content is guided by an on-camera coach.

Phase 3: Formative Evaluation of the system by astronauts at NASA-Johnson Space Center. Formative evaluation of a prototype of the training will be conducted with 10 members of the astronaut corps. They will use portions of the system and provide feedback regarding its usability, acceptability, and perceived value. This data will guide further program development and revisions.

EARTH APPLICATIONS Although this study involves developing countermeasures to assist long-duration flyers, it also provides a model that could be applied in many earthbound settings, both in operational environments and in everyday life.

 

Research Impact/Earth Benefits: The system, with simple modifications and revisions, could be adapted for use in other isolated operational environments, such as polar research stations, submarines, commercial ships, oilrigs, and underwater research bases. Furthermore, even greater value could be derived by making similar psychosocial support systems available to the public in settings such as primary care practices, public and mental health centers, schools, social services offices, places of worship, military bases, prisons, and eventually at home or in any location, through broadband Internet.

 

Task Progress: In the past year, the countermeasure have been used by Wyle Life Sciences staff in stand-up training for astronauts on conflict management. Additionally, a formative evaluation, focuing on usability and acceptability, was conducted at NASA-Johnson Space Center with 10 current members of the astronaut corps. These data are currently being compiled and formatted at JSC's Usability Testing and Analysis Facility in preparation to be sent to the investigators. The data will be used to make improvements to all aspects of the program, going forward. The conflict management training was also used by Dr. Joseph Brady and his colleagues to train subjects in their Mars mission simulation.

 

Bibliography Type: Description: (Last Updated: 01/24/2007) Show Cumulative Bibliography Listing
 
 
Fiscal Year: FY 2005  Task Last Updated:  11/03/2005 
PI Name: Cartreine nee Carter, James A. 
Project Title: Designing a Smart Medical System for Psychosocial Support 
   
Division Name: Human Research 
Program/Discipline: NSBRI Teams 
Element/Subdiscipline: Neurobehavioral and Psychosocial Factors Team 
Joint Agency Name:  
Human Research Program Elements: None
Human Research Program Risks:: None
Human Research Program Gaps: None
PI Email: jcart@caregroup.harvard.edu  Fax:  617-667-1518 
PI Organization Type: NON-PROFIT  Phone: 617-667-1507  
Organization Name: Beth Israel Deaconess Medical Center 
PI Address 1: 330 Brookline Ave., Feldberg 867 
PI Address 2:  
PI Web Page:  
City: Boston  State: MA 
Zip Code: 02215-5400  Congressional District: 
Comments: Name change to Cartreine in summer 2008, per NSBRI information (11/08) 
Project Type: GROUND  Solicitation:  NSBRI 
Start Date: 05/01/2001  End Date:  09/30/2005 
No. of Post Docs: No. of PhD Degrees: 
No. of PhD Candidates: No. of Master' Degrees: 
No. of Master's Candidates: No. of Bachelor's Degrees: 
No. of Bachelor's Candidates: Monitoring Center:  NSBRI 
Contact Monitor:   Contact Phone:   
Contact Email:  
Flight Program:  
Flight Assignment:

 

Key Personnel Changes/Previous PI:  
COI Name (Institution): Buckey, Jay  ( Dartmouth College )
Holland, Albert  ( NASA JSC ) 
Grant/Contract No.: NCC 9-58-NBPF.002.07 
Performance Goal No.:  
Performance Goal Text:

 

Task Description: INTRODUCTION Although interpersonal conflict can be productive, unmanaged conflict can pose a threat to the success of long-duration missions. This project involves the development of a conflict management training program to teach long-duration crews how to manage intra-crew conflict, crew-ground conflict, and silent conflict, and to mediate between crewmembers who are in conflict. This training is part of a larger network of self-guided interactive multimedia programs to train and assist long-duration flyers in the prevention, assessment, and management of multiple psychosocial problems that can arise on extended missions. The system is intended for use both during training and on orbit. METHODS The project involves three phases. Phase 1: Background Data Collection. Consultation interviews were conducted with 13 veteran long-duration flyers who have lived on the International Space Station, Mir, and Skylab. Interviewees were presented with five hypothetical scenarios, three of which depicted interpersonal conflicts, both within crews and between space and ground, on extended missions. Input was obtained on the best practices for managing such situations, as well as mistakes that a novice might make in handling them. Input was also obtained from clinical experts in interpersonal conflict management and depression treatment. Content of the training program was based on these data. Phase 2: Interactive Multimedia Production. A Virtual Space Station 3-dimensional graphic was created to serve as a portal to multimedia-based training, assessment, and intervention resources. The system is modular and expandable, to accommodate additional content in the future. Original content is being created to teach how to manage conflicts, and presented via interactive video simulations, activities, and didactics. All training and intervention content is guided by an on-camera coach. Phase 3: Formative Evaluation of the system by astronauts at NASA-Johnson Space Center. Formative evaluation of a prototype of the training will be conducted with 10 members of the astronaut corps. They will use portions of the system and provide feedback regarding its usability, acceptability, and perceived value. This data will guide further program development and revisions. EARTH APPLICATIONS Although this study involves developing countermeasures to assist long-duration flyers, it also provides a model that could be applied in many earthbound settings, both in operational environments and in everyday life.

 

Research Impact/Earth Benefits: The system, with simple modifications and revisions, could be adapted for use in other isolated operational environments, such as polar research stations, submarines, commercial ships, oilrigs, and underwater research bases. Furthermore, even greater value could be derived by making similar psychosocial support systems available to the public in settings such as primary care practices, public and mental health centers, schools, social services offices, places of worship, military bases, prisons, and eventually at home or in any location, through broadband Internet.

 

Task Progress: In the past year, we have 1) written several scripts for conflict management training simulations, 2) scripted and programmed training on how to do cognitive restructuring (a fundamental aspect of conflict management and cognitive behavioral therapy), 3) further developed the architecture of the system, 4) interviewed several additional long duration flyers about their opinions on best practices, 5) written a 70 page “how to” manual on conflict management to be used in conjunction with the interactive simulations, and 6) begun the usability and acceptability testing in conjunction with the Usability Testing and Analysis Facility. We have also helped to get the current version of the program into use for training astronaut candidates in a live seminar.

 

Bibliography Type: Description: (Last Updated: 01/24/2007) Show Cumulative Bibliography Listing
 
Articles in Peer-reviewed Journals Carter JA, Buckey JC, Greenhalgh L, Holland AW, Hegel MT. "An interactive media program for managing psychosocial problems on long-duration spaceflights." Aviat Space Environ Med. 2005 Jun;76(6 Suppl):B213-23. PMID: 15943215 , Jun-2005
Presentation Carter, JA, Buckey, JC, Holland, AW, Hegel, MT, Greenahaglh, L "An interactive multimedia conflict management training program for long-duration space crews" N/A

May-2005

Presentation Carter, JA, Buckey, JC, Holland, AW, Hegel, MT, Greenhalgh, L "A psychosocial training system for long duration spaceflights" N/A

Oct-2005

 
Fiscal Year: FY 2004  Task Last Updated:  03/20/2006 
PI Name: Cartreine nee Carter, James A. 
Project Title: Designing a Smart Medical System for Psychosocial Support 
   
Division Name: Human Research 
Program/Discipline: NSBRI Teams 
Element/Subdiscipline: Neurobehavioral and Psychosocial Factors Team 
Joint Agency Name:  
Human Research Program Elements: None
Human Research Program Risks:: None
Human Research Program Gaps: None
PI Email: jcart@caregroup.harvard.edu  Fax:  617-667-1518 
PI Organization Type: NON-PROFIT  Phone: 617-667-1507  
Organization Name: Beth Israel Deaconess Medical Center 
PI Address 1: 330 Brookline Ave., Feldberg 867 
PI Address 2:  
PI Web Page:  
City: Boston  State: MA 
Zip Code: 02215-5400  Congressional District: 
Comments: Name change to Cartreine in summer 2008, per NSBRI information (11/08) 
Project Type: GROUND  Solicitation:  NSBRI 
Start Date: 05/01/2001  End Date:  10/31/2004 
No. of Post Docs: No. of PhD Degrees:   
No. of PhD Candidates: No. of Master' Degrees:   
No. of Master's Candidates: No. of Bachelor's Degrees:   
No. of Bachelor's Candidates: Monitoring Center:  NSBRI 
Contact Monitor:   Contact Phone:   
Contact Email:  
Flight Program:  
Flight Assignment:

 

Key Personnel Changes/Previous PI:  
COI Name (Institution): Buckey, Jay  ( Dartmouth Medical School )
Holland, Albert  ( NASA-Johnson Space Center )
Hegel, Mark  ( Dartmouth Medical School )
Greenhalgh, Leonard  ( Amos Tuck School of Business at Dartmouth College ) 
Grant/Contract No.: NCC 9-58-NBPF.002.07 
Performance Goal No.:  
Performance Goal Text:

 

Task Description: We are developing a prototype of a computer-based system to assist astronauts in preventing, diagnosing and managing psychological and social problems that can arise on long-duration space missions. This project merges the fields of psychotherapy with multimedia by producing prototypes of self-help training programs for prevention, assessment and self-treatment. The two areas that we are addressing in the prototype are conflict resolution and self-treatment of depression. The project involves three phases: (1) Consultation interviews with former long-duration flyers from the International Space Station, Mir, and Skylab; (2) Interactive multimedia production and formative evaluation and; (3) Evaluation with astronauts at NASA-Johnson Space Center. The system will be modular and expandable, to accommodate additional content in the future.

 

Research Impact/Earth Benefits: Earth benefits include developing similar systems for other isolated living and work environments (military and commercial ships, polar research bases, oil rigs, etc.), as well as for use by the general public in schools, mental health centers, primary care practices, public health centers, social service agencies, HMO's, prisons, and other settings.

 

Task Progress: No progress report for this reporting period.

 

Bibliography Type: Description: (Last Updated: 01/24/2007) Show Cumulative Bibliography Listing
 
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