A moral resilience intervention to decrease moral injury severity: an 'ABA' single subject design with a rural woman veteran.

Although moral injury is commonly reported by military veterans, the social work literature lacks evidence for efficacious treatments that social workers can administer remotely and thus serve the nearly 25% of veterans who live in resource-deprived rural areas. The purpose of the present study was...

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Publicado en:Journal of Religion & Spirituality in Social Work Vol. 45; no. 1; pp. 66 - 86
Autores principales: McDaniel, Justin T., Ezigbo, Ugochukwu, Copeland, Lt. Col. Ret. Paul
Formato: clinical trial pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jan-Mar2026
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Journal of Religion & Spirituality in Social Work
      issn: 15426432
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      dt: Jan-Mar2026
      vid: 45
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        191349058
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        191349058
        191349058
        10.1080/15426432.2025.2459828
        191349058
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        atl: A moral resilience intervention to decrease moral injury severity: an 'ABA' single subject design with a rural woman veteran.
      aug:
        au:
          McDaniel, Justin T.
          Ezigbo, Ugochukwu
          Copeland, Lt. Col. Ret. Paul
        affil: School of Human Sciences, Southern Illinois University, Carbondale, IL, USA
      sug:
        subj:
          Rural Population Psychosocial Factors
          Women Psychosocial Factors
          Veterans Psychosocial Factors
          Morals
          Psychological Distress Prevention and Control
          Hardiness
          Internet-Based Intervention
          Forgiveness
          Community Living
          Program Evaluation
          Human
          Female
          Clinical Assessment Tools
          After Care
          Trauma Severity Indices
          Midwestern United States
          Questionnaires
          Adult
          Prospective Studies
          Clinical Trials
          Descriptive Statistics
          Post Hoc Analysis
          Task Performance and Analysis
          Psychological Tests
          Adult: 19-44 years
          Female
      ab: Although moral injury is commonly reported by military veterans, the social work literature lacks evidence for efficacious treatments that social workers can administer remotely and thus serve the nearly 25% of veterans who live in resource-deprived rural areas. The purpose of the present study was to test a self-administered, interactive, online moral injury resilience intervention grounded in forgiveness theory, called BREACH/PREACH, in an "ABA" single subject study design with a rural-dwelling woman veteran. The primary target in this study was a moral injury severity rating as measured by the behavioral economics-inspired "Moral Injury Purchase Task" (MIPT) during a seven-day baseline period, a 12-day intervention period, and a seven-day follow-up period. Four behavioral economic demand indices derived from the MIPT (i.e. intensity, Pmax, Omax, and breakpoint) decreased from the baseline period to the intervention period (Tukey HSD p's < 0.05) and from the intervention period to the follow-up period (Tukey HSD p's < 0.05). Although limitations accompany single subject study designs, this project provides preliminary evidence of the efficacy of remote moral injury resilience intervention that social workers could prescribe to reduce moral injury severity in rural-dwelling military veterans.
      pubtype: Academic Journal
      doctype:
        clinical trial
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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