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. 2022 Jan 13;24(1):e29559. doi: 10.2196/29559

Table 1.

Moving Forward modules and peer sessions.

Moving Forward content Peer sessions (fidelity elements)
a Session 1
  • Help the veteran choose a problem to focus on

  • Ask the veteran to complete module 0

Module 0: What type of problem solver are you?
  • Common problem-solving challenges, interactive stress game, introduction to problem solving

  • Problem-solving attitudes and approaches—vignettes and explanations

  • Optimistic versus pessimistic problem-solving attitudes

  • Problem-solving approaches—thoughtful planner, quick-fixer, and avoider

  • Problem-solver questionnaire and feedback—identifying strengths and weaknesses and getting personal insight into how one handles stressful situations

Session 2
  • Ask about module completion

  • Discuss veteran’s problem-solving strengths and weaknesses

  • Ask the veteran to complete modules 1 to 2

Module 1: Solve problems when your brain is overloaded
  • How our brains get overloaded and our limited ability to multitask

  • How to externalize, simplify, and visualize to minimize brain overload

Module 2: Solve problems under stress
  • Survey to measure stress level

  • How stress affects your mind, body, and behavior (and problem solving)

Stop and Slow Down steps toolkit with videos (eg, relaxation exercises) and a game (Rocket Commander) to demonstrate steps
Session 3
  • Ask about module completion

  • Discuss the following:

    • Strategies to try when the veteran experiences brain overload

    • How stress affects problem solving

    • Any relaxation strategies veteran tried

  • Ask the veteran to complete module 3

Module 3: Solve problems step-by-step
  • Planful problem solving to focus on the Think and Act steps of problem solving

  • Interactive problem-solving worksheets—fillable exercise to define the problem, obstacles, and courses of action

  • Videos on evaluating and selecting courses of action

Sessions 4
  • Ask about module completion

  • Discuss the following:

    • Implementation of the problem-solving action plan

    • Overcoming barriers to the action plan

  • Create a new problem-solving worksheet, if applicable

  • Ask the veteran to keep working on their action plan and complete module 4

Module 4: Where to go from here
  • Emphasizes practice and anticipating future problems; interactive game to illustrate this concept

  • Encourages celebrating positive progress

  • Encourages veterans to keep trying and offers vignette videos to demonstrate positive outcomes of using the program

  • Offers examples of when and how to reach out for more help

Session 5
  • Discuss the following:

    • Implementation of the problem-solving action plan

    • Overcoming barriers to the action plan

  • Review skills developed in the program

  • Develop a plan to continue problem solving without peer support

  • Connect to additional resources, as needed

aThe participants began using Moving Forward after session 1 so no content is included in this cell.